The Study On The Difference Of Differentiation Of Syndromes And Determination Of Treatment In 3 Ophthalmocaces Between In South China And North China

Medical science in South China is an academic school by studying the occurrence and development of the disease in the influence of the natural climate, the circumstances and the group constitution, and by studying the rule of prevention and cure.It includes seasonal febrile disease, internal medicine, pediatrics, plague, malignant malaria and so on. To this day, there is no the study on the difference of treatment by differentiation of syndromes (TDS) in ophthalmology between in South China and North China. We select 3 ophthalmocaces as the research objects, It includes herpes simplex keratitis(HSK), uveitis and central serous chorioretinopathy(CSC).Objective:By statistical analyzing the data of thesis and cases of HSK, uveitis and CSC, by contrasting the difference of TDS in ophthalmology between in South China and North China, to understand the special feature of TDS in ophthalmology.Method:Using retrospective analysis , collecting 271 thesis in the library of Guanghzou University of TCM and 325 cases in the medical record library and the laser-room in the first of affiliated hospital of Guangzhou University of TCM after 1980, we divided these data into two groups:the north group (Beijing, Tianjin, Hebei, Henan, Shanxi, Anhui, Shandong, Jiangsu, Shanghai) and the south group (Guangdong, Guangxi, Hainan) , to contrast TDS between in the South and North group, to conclude the difference between in the South North group. Result:1. Analysis of type of syndrome:①There are more ratio of syndrome of accumulated damp-heat in south than north, more syndrome of excessive fire of liver-gallbladder and remaining of pathogens due to deficiency of vital QI in north than south in front group of HSK. There are more ratio of syndrome of accumulated damp-heat and wind-heat of liver channel in south than north, more syndrome of excessive fire of liver-gallbladder and remaining of pathogens due to deficiency of vital QI in North than South in post group of HSK. There is the same ratio of type of syndrome in thesis in South as North, the same ratio of type of syndrome in the front group as the post group in South.②There are more ratio of syndrome of hyperactivity of fire due to deficiency of YIN in north than south in the front group of uveitis. There is the same ratio of type of syndrome in South as North. There are more ratio of syndrome of hyperactivity of fire due to deficiency of YIN in the post group than front , more syndrome of asdthenic splenonephro-yang in the front group than post. ?There are more ratio of syndrome of damp stagnancy in the South group of CSC than North, more hepatic and renal yin deficiency in north than south. There is the same ratio of type of syndrome in the front group as the post group in south. 2. Analysis of determination of treatment:①Contrast of medicine of HSK: Contrast ing the top of ten medicine in the South and North group , it has statistical significance. (P<0.05)②Contrast of medicine of uveitis: Contrasting the top of ten medicine in the South and North group , it has statistical significance. (P<0. 05)③Contrast of medicine of CSC Contrasting the top of ten medicine in the South and North group , it has statistical significance. (P<0.05)Conclusion:1. Difference of type of syndrome:①There is more ratio of syndrome of damp-heat or damp in South China.②The cause and pathogenesis of HSK are closely correlated with syndrome of wind-heat of liver channel.③The cause and pathogenesis of uveitis are closely correlated with syndrome of hepatochlic hygropyrexia.④There are more ratio of syndrome of excessive fire of liver-gallbladder of HSK, more ratio of syndrome of hyperactivity of fire due to deficiency of YIN of uveitis, more ratio of syndrome of hepatic and renal yin deficiency of CSC in North China. 2. Characteristic of treatment:①Medication in South China is more medicine of removing blood stasis and cooling the blood.②Medication in South China is more slight and bland medicine.③Medication of protecting the spleen and stomach is more applied in South China.④Medication of dispersing stagnated liver-qi for relieving qi stagnation is more applied in South China.⑤Drastic relatively medicine is more applied in North China.⑥Medication of activating yang and removing dampness and promoting diuresis is more applied in North China.⑦Medication of tonifying YIN is more applied in North China. 3.The feature of TDS is closely correlated with climate and body constitution in South China, but not much closely correlated with time-lapse and development of network.