The Study On The Status Of Recuperating Spleen And Stomach In Traditional Chinese Medicine Treatment Of The Chronic Renal Failure

Objective:Most of the treatments of the chronic renal failure(CRF) are the traditional medicine with west medicine. For knowing the status of recuperating spleen and stomach in the Traditional Chinese Medicine(TCM) treatment of the CRF, this research is based on literature, domestic research, investigate the sufferer's symptomatology, TCM method.Methods:1. We research clinical case stories, then every tow weeks collect the details observe dynamic and analyse them.2. We adopt excel software to cluster and analyse, and then process the data embodying.Results:We collect 90 cases in all, male 51 cases and female 39 cases thereinto. The youngest is 24 years-old and the eldest is 83 years-old, average is 62.2±17.8 years-old. The course of disease is from 0 to 10 year.1. Most of the TCM symptomatology about the CRF is Qixu both the spleen and kidney. There are 69 cases of Qixu both the spleen and kidney, the percentage is 76.7% at the beginning, there are 17 cases of both Qi and Yin, percentage is 18.9%, 4 cases of Yangxu both the spleen and kidney, percentage is 4.4%. There we know that the Qixu of both the spleen and kidney is epidemic in the patient suffering from the CRF.2. The patient suffering from the CRF often have the symptoms of digestive tract. This investigation shows the symptom which often appears is lassitude (84.4%), the following symptom is inappetency (60%), thirsty (51.1%), insomnia (33.3%), the constipation (24.4%), disgusted(23.3%), vomit (17%), be known as the majority of the digestive tract symptom.3. The patient often have complication such as infection and malnutrition etc. This investigation shows 31 cases with infection, including 3 upper respiratory infection, 16 pneumonia, 7 urethra infection, 3 peritonitis, 2 bronchitis; explaining the sufferer easily merger an infection in the CRF. There is no distinct difference between the symptoms of digestive tract of patient with infection and patient without infection. At the same time, totally, there are 75cases with anemia, percentage 85.2%, among them, 30cases are the light anemia, 35 medium anemia, 10 the heavy anemia.4. According to the result of this investigation, we find the frequency using the herbs to strengthen spleen is very high. The herbs such as baizhu, fuling are usually used to strengthen spleen and stomach. In the 90cases, there are 82 cases used baizhu, percentage is 91.1%, 81 cases used fuling, percentage 90%, 71 cases used dangsen, percentage 78.9%.Conclusion:1. Most symptomatology of the TCM abcut the chronic renal failure is Qixu of both the spleen and kidney.2. The patient suffering from the CRF often have the symptoms of digestive tract.3. The patient often have complication such as infection and malnutrition etc.4. The frequency using the herbs to strengthen spleen is very high.