The Clinical Investigation On Syndrome Identification Of The 262 Cases In The Uremia Stage Of Chronic Renal Failure

Objectives:to investigate the syndrome classification laws and related factors of chronic renal failure (uremia stage) in the light of Traditional Chinese Medicine。Methods:262 patients of chronic renal failure in the uremia stage were admitted and they were asked to fill in the questionnaire with demographic, syndrome classification and laboratory-related information. Statistical analyses were performed to the collected data.Results:In the included 262 cases,207 patients (79.8%) were of complicated normal qi deficiency and excess evil pattern,50(19.1%) were of pure deficiency pattern and 3 (1.1%)were of pure excess pattern. In the pure deficiency type and deficiency part of the complicated pattern,46.7% were of Spleen and Kidney yang deficiency,23.6% of Spleen and Kidney Qi deficiency,20.4% of dual deficiency of yin and yang, and 2.7% for liver and Kidney yin deficiency, and within the complicated syndromes,53.9% were involving blood stasis,19.6% dampness,18.7% dampness and heat, and 2.4% water accumulation syndrome, no wind syndrome was included in this investigation. No significant difference exists in terms of gender, age, BMI,pathogen, treating schedule and Hb, GFR with P>0.05. Within the complicated excess syndrome,20.2% were due to turbid dampness with blood stasis accumulation,13.0% were of dampness and heat with blood stasis accumulation.Conclusions:for chronic kidney deficiency syndrome patients(in uremia stage), the most common type for deficiency is spleen and kidney yang deficiency with less liver and kidney Yin deficiency; while in excess syndromes, blood stasis syndrome is the common type and wind stirring type was not seen. The syndrome identification has not correlation with factors including gender, age, BMI, pathogens, treating schedule and Hb, GFR.