Study Of The Etiopathogenisis,Pathogenesis And Syndrome Pattern Distribution Regularity Of The Endometriosis In Taiwan

ObjectiveTo summarize the clinical symptoms,physical signs and medical history of patients with endometriosis, study the etiopathogenisis,pathogenesis and syndrome pattern distribution regularity of the endometriosis in Taiwan, and find the relationship among the syndrome distribution regular patterns with patients'age,course,miscarriage and dysmenorrhea.MethodsWe made the cross-sectional study in 984 women with endometriosis under the age of 45, with approximate living condition in Taiwan. The patients were divided as the health-care territories in Taiwan, among which 187 came from Taipei area,162 from north area,21 from median area,158 from south area, 220 from Gaoping area, and 45 from east area. We used the systems of traditional eight principles (Ba Gang) and entrail differentiations of symptoms and signs, and according to the clinical characteristic of endometriosis, made "the investigation scale of syndrome patterns" combined with domestic diagnostic criteria of asthenia and stagnation of blood syndromes. We also tested the subjects with technology, and input all the data we got into the database.The statistics were analyzed byχ2 describing decompose and cluster analysis in order to find the syndrome characteristic and the distribution regularity of endometriosis.ResultsAmong 984 patients in the study, the syndrome distribution regularity is as follows:202 are qi-stagnancy and blood stasis (20.5%); 170 are cold coagulation and blood stasis (17.3%); 139 are renal deficiency and blood stasis (14.1%); 121 are combination of phlegm and heat (12.3%); 107 are humid heat and blood stasis (10.9%); 90 are deficiency of vital energy and blood stasis (9.1%); 67 are combination of phlegm and blood stasis (6.8%); 58 are cold hygrosis (5.9%); 31 are others (3.2%), including 18 blood stasis and oncosis,7 yin asthenia and blood stasis and 6 yang asthenia and blood stasis. All the syndrome patterns contain blood stasis, among which syndromes of qi-stagnancy and blood stasis,cold coagulation and blood stasis fill the maximal proportion. Renal deficiency and blood stasis,combination of phlegm and heat,humid heat and blood stasis,deficiency of vital energy and blood stasis combination of phlegm and blood stasis and cold hygrosis are followed one by one.Conclusion1. The syndrome patterns of endometriosis there are maily 8 patterns of endometriosis (qi-stagnancy and blood stasis,cold coagulation and blood stasis,renal deficiency and blood stasis,combination of phlegm and heat,humid heat and blood stasis,deficiency of vital energy and blood stasis combination of phlegm and blood stasis and cold hygrosis).2. The correlation between patients'age,course,miscarrage,dysmenorrhear and the syndrome patterns there is close relationship in the asthenia and sthenia syndromes between and patients'age,course,miscarriages and the syndrome patterns,renal deficiency and blood stasis,deficiency of vital energy and blood stasis mostly distribute in groups age from35-39, and cold hygrosis mostly in groups age from 40-45.3. High risks coherent with endometriosis possible factors that may cause endometriosis:depression(83.2%),heavy exercises in menstruation(75.0%),high pressure(45.9%); Pelvic surgery,vacuum aspiration operation,and catching cold in menstruation and after puerperium are important reasons. The results above show that exogenous evil,internal damage by sentiment,congenital constitution or operation injury may lead to dysfunction of the entrails,impairment of thoroughfare and conception vessel,disharmony between qi and blood,blood stasis outside the vessels, and reduce the disease. Stagnant blood is the patho-production, and the etiological factor, therefore, stagnant blood is the key point in causing the signs and symptoms.