Henoch - Schonlein Purpura Nephritis With TCM Syndrome Analysis Of The Characteristics Of

Objective: through analyzing retrospectively the child cases with HSPN (Henoch-Schonlein Purpura Nephritis) in the past three years in our hospital, Investigate the evolution of TCM pathogenesis, differentiation and treatment of HSPN, as to make it more reasonable and prospective.Methods: 144 cases of children in hospital (with HSPN) from January 2006 to December 2008, in the affiliated hospital of Liaoning University of Traditional Chinese Medicine, were selected. Observe and analysis the clinical features and changes in tongue and pulse in detail with the statistical analysis method.Results:1. The damp-heat in lower Jiao 45 cases transforming to blood stasis is 12 cases. The obstruction of damp-heat 32cases transforming to asthenia is 17cases including Qi deficiency and Yin deficiency. And the spleen asthenia with the domination of damp pathogen transforming to heat is 4cases. blood stasis is 8 cases. Asthenia is 2cases.2. In the cases of relapsing, 75% of damp, 63% of heat, deficiency of 40%, 31% of blood stasis , which damp-heat takes the most part. Blood stasis runs through the whole process of the disease. In the course of each symptoms and signs , the stagnation of damp-heat is the longest duration, the average onset time from skin to the urinary abnormalities purpura time for 72 days, renal damage of time for 193 days.3. Pathogenesis of the minimum is 3-years-old, maximum age is 18-years -old, the average age is 8-year-old, with male 78 cases, female 66 cases , male to female ratio was 1. 18:1, and 83 cases of recurrence in children, accounting for 58%. The major attack season is spring and summer, with 45 cases for each 31% . In fall ,the 22 cases of morbidity accounts for 15%, and the number is 32 cases in the winter, which accounting for 22%. And 34 cases of morbidity in children with inducement of upper respiratory tract infection is 28cases. Conclusion:1. the damp ,heat , asthenia , blood stasis is the main characteristics of the disease in the whole development process . and the damp , heat , asthenia , blood stasis , the four can stand alone, or part-time into the patient folder.2. The damp , heat, asthenia , blood stasis is the main reason of disease recurrence and extension and the damp causes the most part and the blood stasis take part in the whole process.3. The most sufferers of the child is over the age of 7, mostly men, mostly in spring and summer, morbidity-based to infection.4. The damp , heat, asthenia , blood stasis is the points to the dialectical, better reflects the dialectical law of differential diagnosis and clearing away the heat-evil and promoting diuresis and removing blood stasis and promoting blood circulation is an important method of treatment.