A Comparative Analysis Of TCM Syndromes Of Nonalcoholic Fatty Liver And Objective Index Of Modern Medicine

Objective:through eligible patients collected in Dongzhimen hospital.157 patients were divided into damp heat retention.stagnation of phlegm dampness syndrome.liver stagnation and spleen deficiency syndrome,spleen and kidney yin deficiency.phlegm and blood stasis in 5 kinds of TCM syndrome type,analysis between 5 kinds of different TCM syndrome types of differences in objective indexes sex,to explore the distribution regularity of TCM syndromes in the objective indices,so as to make the syndrome differentiation of TCM more objective。Method:from 2014 September to 2015 January,the patients were investigated with a questionnaire,collecting a total of 157 cases of qualified,records of patients with general information including gender,age,height,weight,and biochemical indices of liver function (including ALT,AST,GGT),blood lipid (TG,TC,HDL,LDL) fasting blood glucose, serious illness degree,according to the complaint and tongue in patients with signs of divided into damp heat retention,stagnation of phlegm dampness syndrome,liver stagnation and spleen deficiency syndrome,spleen and kidney yin deficiency,phlegm and blood stasis in 5 kinds of TCM syndrome type,using SPSS 17 statistical software for statistical data analysis, the distribution difference between the specific analysis of different TCM syndrome type in the general information blood glucose,blood lipids,liver function,and the severity of illness, and comparative analysis.Results:1.patients in general:the youngest patient was 21 years old,the oldest was 68 years old.the average age was 53 years old,in the 51-60 age stage in male and female incidence rate reached the peak,in total 42.68%patients. Before the age of 50. the incidence of male was higher than that of women.but after the age of 50,the female was higher than male incidence of clinical. Patients with nonalcoholic fatty liver between 24-28 in BMI was the largest number of overweight,obesity accounted for 54.14%,more than 28 in BMI accounted for 22.92%,with phlegm interties was most obvious. The course of the most concentrated were in the 0-5 years, the course of disease in 3-5 years accounted for 49.68%,with damp heat retention,stagnation of phlegm dampness syndrome.TCM Syndrome Differentiation for damp heat retention,stagnation of phlegm dampness syndrome.liver stagnation and spleen deficiency syndrome,spleen and kidney yin deficiency,phlegm and blood stasis in 5 kinds of TCM syndrome types,with damp heat accumulation type (31.85%) is most often.2.severity:mild fatty liver was the most,accounting for 73.89%.Between different TCM syndrome types different diseases were severity (P<0.05).Mild fatty liver with damp heat retention is the most,turbid phlegm and blood stasis in the severe fatty liver based Statistical analysis,no linear relationship with the severity of fatty liver disease can not think that the longer the duration of fatty liver the more severe grade.3.blood glucose and blood lipid:no obvious difference between the TCM syndrome type in fasting blood glucose(P>0.05);blood lipid, stagnation of phlegm dampness syndrome with TC increased themost obviously.no obvious difference between the TCM syndrome type in TG(P>0.05).3.liver associated with MS ALT,GGT in patients with fatty liver was higher than that of non MS group; liver function distribution of different TCM syndrome types had difference (P<0.05),turbid phlegm and blood stasis of liver damage was most obvious,stagnation of phlegm dampness syndrome in the level of ALT was higher than that of liver kidney yin deficiency,damp heat retention in liver function by damage to a lesser degree.Conclusion:In 5 kinds of TCM syndrome types,damp heat syndrome was the most common in clinic; in different TCM syndrome types,there was no significant difference in gender age; nonalcoholic fatty liver patients was mostly women,reached a peak at 50-60 years old age; in the course of the disease,syndrome of dampness heat and phlegm dampness certificate course was short.concentrated in the 3-5 years,liver kidney yin deficiency syndrome and phlegm and blood stasis syndrome patients compared with other syndromes of relatively longer. The severity:the heavy to light were arranged in order:phlegm and blood stasis,the phlegm wet resistance,liver kidney yin deficiency syndrome of liver stagnation and spleen deficiency syndrome of stagnation of damp heat. The investigation has not yet concluded the result that the longer course of disease was the more serious:in the BMI index,the body mass index of stagnation of phlegm dampness syndrome; in cholesterol,no difference in each card type,triglyceride. the phlegm wet resistance of TG increased was the most obviously; the investigation did not find difference between TCM syndrome differentiation type of components in the blood glucose; in liver function,with phlegm and blood stasis of liver function damage was the most obvious.