Syndrome Differentiation And Treatment Of Ankylosing Spondylitis

Purpose：BycollectingtheLiaoninguniversity oftraditionalChinesemedicineaffiliated hospital nearly4years li rheumatism lead of hospitalized patientswith ankylosing spondylitis medical records, to the high frequency of TCMtreatment of ankylosing spondylitis drugs was summarized, analyzed and finishing,the TCM syndrome types and principles of ankylosing spondylitis, and analyzesthe mechanism of TCM treatment.Method：Choose2010January1to December31,2013for ankylosing spondylitisin our hospital inpatients, li rheumatism lead to conform to the standard of203cases of patients with TCM syndrome differentiation, treatment, medicationand high frequency induction, analysis and finishing, to explore the TCM syndrometype and law of ankylosing spondylitis.Results：The common TCM syndrome type of ankylosing spondylitis and itspercentage,order from high to low is:kidney empty overseers cold syndrome37.44%,moist cold arthralgia syndrome30.05%,blood arthralgia syndrome18.23%,moist heat arthralgia syndrome11.33%,liver and kidney deficiencysyndrome2.95%;Its corresponding treatment:consoliate the renalessence,eliminating dampness and dredging,expelling wind and cold,dampnesspain，promoting blood circulation and removing blood stasis,activatingcollaterals and relieving the pain,clearing heat and eliminatingdampness,activating collaterals and relieving the pain，nourishing the liverand kidney,promoting blood circulation and relieving pain. All kinds of druguse frequency and its ratio from high to low in turn for: virtual taking25.39%,medicine for rheumatism22.19%,promoting blood circulation and removingblood stasis18.49%,diaphoretic13.50%,heat clearing drug9.68%,warm inmedicine4.04%,diuresis medicine1.76%，drugs for calming liver to stop endogenous wind1.39%,huashi drugs1.21%and others2.35%.All three ingredientsof medical application of highest frequency and percentage respectively:Niuxi(5.72%), Duzhong(4.77%), Duhuo(4.66%).Conclusion：The main TCM syndrome type of ankylosing spondylitis frequencyorder from high to low is:kidney empty overseers cold syndrome,moist coldarthralgia syndrome, blood arthralgia syndrome, moist heat arthralgiasyndrome,liver and kidney deficiency syndrome.Main treatment of traditionalChinese medicine is:consoliate the renal essence,eliminating dampness anddredging,expelling wind and cold,dampness pain,promoting blood circulation andremoving blood stasis,activating collaterals and relieving the pain,clearingheat and eliminating dampness,activating collaterals and relieving the pain，nourishing the liver and kidney,promoting blood circulation and relieving pain.Excess or insufficiency of treatment of ankylosing spondylitis in Chinesemedicine,virtual taking use frequency is highest,medicine forrheumatism,promoting blood circulation to remove blood stasis drugs use alsois more,secondly to nourish the medicine in medicine, water, heat, temperaturemoisture penetration medicine, liver extinguish wind, wet, etc. Treatment inthe application of the highest frequency of three ingredients:Niuxi(promotingblood circulation and removing blood stasis),Duzhong(tonifyingdrug),Duhuo(medicine for rheumatism).Each card type commonly useddrugs:(1)kidney empty overseers coldsyndrome:Gouji,Niuxi,Baishao,Guizhi,Duhuo,Fangfeng,Duzhong,Shudihuang,Lujiaoshuang,Xuduan.(2)moist cold arthralgiasyndrome:Duhuo,Niuxi,Duzhong,Jisheng,Chuanxiong,Fangfeng,Xixin,Xuduan,Baishao,Qinjiao.(3)blood arthralgiasyndrome:Jianghuang,Danggui,Taoren,Chishao,Chuanxiong,Dilong,Qinjiao,Qianghuo,Gancao,Honghua,Xiangfu.(4)moist heat arthralgiasyndrome:Huangbai,Gancao,Niuxi,Cangzhu,Qingfengteng,Huzhang,Tufuling,Chishao,Weilingxian,Rendongteng,Honghua.(5)liver and kidney deficiency syndrome:Jisheng,Gancao,Danshen,Wushaoshe,Baishao,Wutou,Guizhi,Chuanxiong,Lulutong,Jianghuang,Gouji.