The Correlation Of Western Medicine's Staging And Typing With Syndrome Differentiation Of TCM In Recovery Phase Of ICH

Objective: At present clinical,there is lack of a more effective means of treatment in addition to Western medicine rehabilitation treatment in recovery phase of intracerebral hemorrhage, but Chinese medicine practitioners accumulated rich experience。Chinese medicine treatment on the premise that the right syndrome differentiation. The study will probe into the correlation of Western Medicine's staging and typing with syndrome differentiation of TCM in recovery phase of ICH, with a view to provide objective indicators for TCM. and improve its accuracy, so can provide a theoretical basis for TCM treatment's advantages in recovery phase of ICH。Methods:The 246 cases are consistent with the ICH diagnosis standard set by《The Chinese manual of prevention to ICH(2005)》[1]。Consulting the draft proposal of'ICH treatment according to staging and typing'compiled and amended by Huang ruxun and combining the ICH pathology change and clinical symptom, we divide recovery phase into : early convalescence stage,intermediate convalescence stage,late convalescence stage,chronic convalescence stage,sequelae phase of five; According to nerve function scores standard, we separate the cases into mild type, moderate and serious type. According to《stroke syndrome diagnostic standard》[2]and《the syndromes Character of disease location》[3], we separate every patient into wind syndrome,fire syndrome,phlegm syndrome,blood stasis syndrome,Qi deficiency syndrome and Yin asthenic syndrome six disease nature and heart,liver,spleen,lung ,kidney , large intestine, stomach , mind , channels and collaterals nine disease positionResults:1 The relation between Western Medicine staging and disease nature syndromes of TCM Wind syndrome 's frequency of occurrence is in a low level in whole recovery phase, and drops gradually along with the course,early convalescence stage the highest(26.39%) and chronic convalescence stage the lowest(7.32%)。Fire syndrome's frequency of occurrence gradually declining form early convalescence stage's 61.11% drops to the sequelae phase's 38.46%along with the condition restoration。Phlegm syndrome 's frequency of occurrence occupies quite high, form early convalescence stage's 81.94% drops to the sequelae time 61.54%。For fire syndrome ,chronic convalescence stage,sequelae phase compare with early convalescence stage have significant statistical difference p<0.05;for phlegm syndrome sequelae phase compares with early convalescence stage have significant statistical difference p<0.05。Blood stasis syndrome's frequency of occurrence rises gradually form early convalescence stage(30.56%)to sequelae phase(61.54%), chronic convalescence stage,sequelae phase compare with early convalescence stage,intermediate convalescence stage all have significant statistical difference p<0.05,late convalescence stage compares with early convalescence stage have significant statistical difference p<0.05。Qi deficiency syndrome's frequency of occurrence rises gradually from 29.17% to 76.92%,chronic convalescence stage,sequelae phase compare with early convalescence stage,intermediate convalescence stage all have significant statistical difference p<0.01,late convalescence stage compares with early convalescence stage,sequelae phase have significant statistical difference p<0.05。Yin deficiency and yang excess syndrome has always been at a low level(20.83%-38.46%),have no significant differences among stagesp>0.05.2 The relation between Western Medicine staging and disease location syndromes of TCM: Channels and collaterals' frequency of occurrence is throughout high(83.33%-100%), the sequelae phase compared with early convalescence stage p<0.05;。Liver's frequency of occurrence assumes the tendency which drops gradually from early convalescence stage(44.44%) to sequelae phase( 26.92%)。Brain's frequency of occurrence between 26.92%-37.5%,Spleen's frequency of occurrence rises gradually, compared the sequela phase with early convalescence there is a remarkable difference p<0.05。Kidney's frequency of occurrence rises gradually from13.89% to 46.15%,chronic convalescence stage,sequelae phase compare with early convalescence stage,intermediate convalescence stage have remarkable difference p<0.05.Heart, lung, large intestine, stomach's frequency of occurrence is low various stages.3 The relationship between typing and TCM disease nature of ICH recoveryIn early convalescence stage ,wind syndrom's frequency of occurrence is higher among moderate and serious type than mild type ,compare the two typies p<0.01;there is no significant statistical difference between mild type and moderate serious type among the other four stages.4 The relationship between typing and TCM disease position of ICH recoveryIn early convalescence stage ,liver's frequency of occurrence is higher among moderate and serious type than mild type ,compared the two typies p<0.01;there is no significant statistical difference between mild type and moderate serious type among the other four stages.5The syndrome combination:at every stage of ICH recovery ,the two-syndrome (23.08%-46.34%)and the three-syndrome take the main ratio, the single–syndrome (3.85%-10.77%) and the four-syndrome(7.69%-14.29%) is minority.There is no significant statistical difference among stages p>0.05.Conclusions:1.There are relationships among staging and disease nature,disease position of TCM during ICH recovery:at early convalescence stage,fire syndrome and phlegm syndrome are the main disease nature,while liver ,brain ,channels and collaterals are the main disease position . With the resumption, blood stasis,Qi deficiency syndrome, spleen, kidney, channels and collaterals become the main disease nature and main disease position.So ,staging can be as a reference for TCM syndrome differentiation.2.There are relationships among typing and disease nature,disease position of TCM during ICH recovery:among moderate and serious type Wind syndrome and liver syndrome's frequency of occurrence is more higher than among mild type;so typing can be as a reference for TCM syndrome different -tiation.3.The syndromes are complex in ICH recovery phase, so needing considered to improve the accuracy of TCM syndrome differentiation .