The Relationship Between TCM Syndrome Types Of CP And NIH-CPSI,EPS Routine

ObjectiveIt has been proved that the relationship between TCM Syndrome Type and urine flow rate,expressed prostatic secretion(EPS) routine.It is widely accepted by The National Institutes of Health that chronic prostatitis symptom index(NIH-CPSI) is the best method to detect the severity of clinical symptoms of chronic prostatitis(CP).In this research,in order to explore the relationship between TCM Syndrome Type with subjective symptoms (NIH-CPSI),and the therapeutic efficacy objective index for EPS routine. This research may be helpful to explore the objective indexes of Chinese Medical Syndrome Differentiation of CP and instruct the clinical medication. In the future,multi-center,large sampled and prospective random comparison therapeutic study based on evaluative criteria constituted by Traditional Chinese Medicine-Western Medicine Integrating Institute provide basic information and evidences. MethodⅠ:The clinical data of CP outpatients of the first affiliated Hospital of Guangzhou University of TCM from 2005 to 2006 were analyzed retrospectively. The target establishment of this investigation to find out TCM Syndrome Type of CP outpatients after TCM therapy.By using the methods of literature data, CP patients aged 20-50 years,diagnosis criteria of CP was according to Clinical Practice Guidelines for patients with urologic diseases(Na Yah Quan as the Chief Compiler ).The diagnostic criteria referred to the classification and diagnostic standard of《Guiding Principles for Clinical Study of New Chinese Medicines》(Chinese Ministry of Health,1997 Edition3), TCM Syndrome Type including syndrome of downward flow of damp-heat,cold coagulation liver channel,hyperactivity of fire due to yin deficiency syndrome,Kidney-Yang Deficiency,Qi stagnation and blood stasis syndrome. ⅡProspective Study of CP outpatients investigative according to TCM Syndrome Type in the first visit to our hospital.Research by using the methods of prospective survey.CP outpatients aged 80-85 years,diagnosis criteria of CP was according to Clinical Practice Guidelines for patients with urologic diseases(Na Yan Quan as the Chief Compiler,2006 ).The diagnostic criteria referred to the classification and diagnostic standard of《Guideline for the diagnosis and treatment of chronic prostatitis (Traditional Chinese Medicine-Western Medicine Integrating Institute andrology,2007),TCM Syndrome Type including syndrome of downward flow of damp-heat,Qi stagnation and blood stasis syndrome,Liver Qi stagnation syndrome,kidney yang deficiency syndrome.Investigation content including NIH-CPSI,TCM Syndrome Type,urinalysis,EPS routine.ⅢProspective Study of CP outpatients investigative according to TCM Syndrome Type after one month of treatment.Investigation content includes NIH-CPSI,TCM Syndrome Type,urinalysis,EPS routine.ⅣProspective Study of CP outpatients investigative according to TCM Syndrome Type after three months of treatment.Investigation content including NIH-CPSI,TCM Syndrome Type,urinalysis,EPS routine.ResultLiterature Review and the clinical data of 260 CP outpatients of the first affiliated Hospital of Guangzhou University of TCM from 2005 to 2006 were analyzed retrospectively.Among them,syndrome of downward flow of damp-heat 77 cases,cold coagulation liver channel 29 cases,hyperactivity of fire due to yin deficiency syndrome 48 eases,Kidney-Yang Deficiency syndrome 48 cases, Qi stagnation and blood stasis syndrome 61 cases.The numerical results show that syndrome of downward flow of damp-heat,Qi stagnation and blood stasis syndrome,Liver Qi stagnation syndrome,kidney yang deficiency syndrome were the most common type.The investigation result showed that,TCM Syndrome Type of CP outpatients is closely related to NIH-CPSI,urinalysis,EPS routine. Three months follow-up analysis showed TCM Syndrome Type of CP outpatients in the first visit to our hospital the most common type is syndrome of downward flow of damp-heat.TCM Syndrome Type of CP outpatients after one month of treatment the most common type is Qi stagnation and blood stasis syndrome. TCM Syndrome Type of CP outpatients after three months of treatment the most common type is kidney yang deficiency syndrome. ConclusionThe article puts forward that syndrome of downward flow of damp-heat, Qi stagnation and blood stasis syndrome,Liver Qi stagnation syndrome,kidney yang deficiency syndrome were the most common type of CP outpatients.TCM Syndrome Type of CP outpatients in the first visit to our hospital the most common type is syndrome of downward flow of damp-heat.TCM Syndrome Type of CP outpatients after one month of treatment the most common type is Qi stagnation and blood stasis syndrome.TCM Syndrome Type of CP outpatients after three months of treatment the most common type is kidney yang deficiency syndrome.TCM Syndrome Type of CP outpatients is closely related to NIH-CPSI, urinalysis,EPS routine.This research may be helpful to explore the objective indexes of Chinese Medical Syndrome Differentiation of CP and instruct clinical medication.In the future,multi-center,large sampled and prospective random comparison therapeutic study based on evaluative criteria consfituted by Traditional Chinese Medicine-Western Medicine Integrating Institute provide basic information and evidences.