| Objective:Cerebral infarction(CI),also known as cerebral infarction,is the generic name of cerebral ischemic stroke, including cerebral thrombosis, lacutypingar infarction and cerebral embolism, et.About 70% of all stroke,Cerebral blood supply is caused obstacles ischemia,hypoxia,resulting in limitations of ischemic brain tissue necrosis or encephalomalacia.Common clinical,multiple with high mortality and morbidity.There is no special treatment in addition to rehabilitation and symptomatic treatment According to clinical manifestations of this disease it belongs to the category of stroke.Experience of Chinese medicine treatment of stroke is rich and stresses determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs.We made staging and typing to CI patients of recovery phase that had identified by western medical diagnosis, with the method of combination of traditional Chinese medicine(TCM) with Western medicine, and differentiation of symptoms and signs at the same time.Approach the Correlation between Syndrome Differentiation of TCM with Staging and Typing of Cerebral Infarction, With a view to provide reference for determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs and atheoretical basis and for bringing into full play the advantages of Chinese medicine.Methods:The total 280 cases of CI are chosen from. inpatient and outpatient in the Second Hospital of Hebei Medicine University Department of neurology. We divided the recovery phase of CI into five stages:earlier convaleescence stage, intermediate convalescence stage, later convalescence stage , chronicity convalescence stage,and sequelae stage. And according to the severity three types: mild type , moderate type and severe type.At the same time we collect datas by using a method of comprehensive analysis by the four examination methods(a Chinese Wang Wen wen qie). Each staging,we diagnosed each patient with six symptom factors of disease nature (endogenous wind, syndrome of fire-heat , phlegm syndrome, syndrome of blood stasis, deficiency of vital energy and asthenic yin causing predominant yang) and nine symptom factors of disease location(heart, liver, spleen, lung, kidney, meridian, brain, large intestine, stomach). Analyzing the relevance between Syndrome Differentiation of TCM with Staging and Typing of Cerebral Infarction.Results: (1) The relation between staging of recovery phase of CI and symptom factors of disease nature: The frequency of endogenous wind is lower in each stage(26.8% -4.65%), and a gradually declining trend,there is significant deviation between sequelae stage and earlier convaleescence stage(P<0.01).The frequency of syndrome of fire-heat was decreasing along with the recovery of pathogenetic condition(57.1%-25.6%).Comparing chronicity convalescence stage,sequelae stage and earlier convaleescence stage,there is significant difference (P<0.01).The frequency of syndrome of phlegm syndrome is at a relatively higher level,(76.8%-56.5%), there is nonsignificant difference among the five stages P>0.05. The tendency of the frequency of syndrome of blood stasis is increasing(39.3%-67.4%). Comparing chronicity convalescence stage,sequelae stage and earlier convaleescence stage, there is significant difference (P<0.01).The frequency of deficiency of vital energy is gradually increasing. Comparing chronicity convalescence stage,sequelae stage and earlier convaleescence stage,intermediate convalescence stage, there is significant difference(P<0.01).The frequency of asthenic yin causing predominant yang is at a relatively lower level(14.1%-28.3%). there is nonsignificant difference among the five stages P>0.05. (2)The relation between staging of recovery phase of CI and symptom factors of disease location: The frequency of liver has a gradually fall-off tendency (16.3%-44.6%).There is significant difference between sequelae stage and earlier convaleescence stage(P<0.01). The frequency of renal is gradually rising (8.9% -41.9%), Comparing chronicity convalescence stage,sequelae stage and earlier convaleescence stage,intermediate convalescence stage, there is significant difference (P<0.01).The frequency of brain is gradually declining(14.0%-33.9%). Comparing sequelae stage and earlier convaleescence stage,there is significant difference(P<0.01).The frequency of heart, large intestine,lung,spleen is not different among the five stages(P>0.05).The frequency of heart is 9.3%-23.9%,the frequency of lung14.0%-30.4%,large intestine20.9%-35.7%,and spleen21.4% -34.9%.The frequency of meridian is the highest at each stage( 65.2% -88.4%),The frequency of stomach is the lowest at each stage (6.5% -9.3%). The frequency of meridian and the frequency of stomach have no difference among the five stages(P>0.05).(3)The relation between typing of recovery phase of CI and symptom factors of disease nature: Each frequency of syndrome of fire-heat,phlegm syndrome,asthenic yin causing predominant yang and deficiency of vital energy has nonsignificant difference among the three types(P>0.05).At intermediate convalescence stage, the frequency of endogenous wind,syndrome of blood stasis of moderate type and severe type is higher than that of the mild P<0.05.(4)The relation between typing of recovery phase of CI and symptom factors of disease location:At earlier convalescence stage and intermediate convalescence stage, the frequency of meridian of moderate type and severe type is higher than that of the mild(P<0.05).so is the frequency of large intestine at intermediate convalescence stage,sequelae stage and the frequency of lung at sequelae stage.The frequency of other symptom factors of disease location is of no difference(P>0.05).Conclusion: (1)The relation between staging of recovery phase of CI and symptom factors of disease nature:The tendency of the frequency of endogenous wind and syndrome of fire-heat is gradually declining. The tendency of the frequency of syndrome of blood stasis and deficiency of vital energy is gradually rising. The frequency of phlegm syndrome is at a relatively higher level, the frequency of asthenic yin causing predominant yang a lower level.It shows that phlegm as a pathological product of pathological factors and the disease has run through the recovery phase of CI and played an important role. Syndrome of blood stasis, deficiency of vital energy and asthenic yin causing predominant yang gradually occupy a dominant position.(2)The relation between staging of recovery phase of CI and symptom factors of disease location: The tendency of the frequency of liver and brain is gradually declining. The tendency of the frequency of kidney is gradually rising. The frequency of heart,large intestine,lung,spleen dose not change significantly. The frequency of meridians is among the stages, and stomach the lowest but the frequency of them dose not change significantly. (3) The relation between typing of recovery phase of CI and symptom factors of disease nature: At intermediate convalescence stage, the frequency of endogenous wind,syndrome of blood stasis of moderate type and severe type is higher than that of the mild.The frequency of other symptom factors of disease nature is of nonsignificant difference (4) The relation between typing of recovery phase of CI and symptom factors of disease location: At earlier convalescence stage,intermediate convalescence stage,the frequency of meridian of moderate type and severe type is higher than that of the mild. and so is the frequency of large intestine at intermediate convalescence stage and sequelae stage ,the frequency of lung at sequelae stage.The frequency of other symptom factors of disease location is of nonsignificant difference. So it shows that staging and typing of CI has some dependablity with symptom factors of disease nature and disease location of TCM. It can provid reference for differentiation of symptoms and signs of TCM.
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