.120 Elderly Patients With Pneumonia In Traditional Chinese Medicine Syndrome Characteristics Of Study

Pneumonia is common and frequently-occurring disease of the older. It's also the important death cause of the older. The Old have many chronic disease, their condition is complex when they get pneumonia, their clinical symptoms is not typical and easy to be misdiagnosed, and their complications is serious,have high mortality rate. With aging of population and pathogenic microorganism variation and resistance of medicine get worse and worse, morbidity and mortality of elderly pneumonia are increasing yearly, elderly pneumonia has become a global problem of the medicine. So studying elder pneumonia on TCM syndromes, figure out its pathogenesis and features of TCM syndrome, is important to guide clinical treatment.Objective:According to methods and rules of clinical Epidemiology, we take clinical data from 120 cases of elderly pneumonia as evidence and use modern statistic software to discuss and explore the TCM syndromes features and distribution. It is scientific and conventional try of elderly pneumonia clinical research.Methods:Through scale model of 120 cases to collect clinical information, we use method of " differentiation of syndrome elements " to differentiate disease part, disease quality and elements of every case, then combine disease part with disease quality and elements together, analyze frequency of every syndrome type by statistic software to explore TCM syndrome features of elderly pneumonia.Results:Elderly pneumonia clinical symptoms have high frequency in cough, cough with white creamy phlegm, dispiritedness and powerless, dryness of mouth and pharynx, lack of Qi, gasp of breath, chest tightness, loss of appetite, fever, tinnitus and deafness and dry excrement. Besides, facial color is main dark or yellow, while tongues are main red tongue, dark red tongue, yellow greasy surface and pulse are main thin, smooth, stringed and fast. Tongue surfaces draw off have crackle or stasis maculae are also not seldom. Deficiency of both Qi and Yin symptoms are more clear as same as phlegm and heat symptoms. Some patients expresses blood stasis symptoms obviously. Disease parts are lung, kidney and spleen. The main disease quality elements are phlegm, heat, blood stasis, deficiency of Qi and deficiency of Yin. The most common syndrome types in order are lung deficiency both Qi and Yin syndrome type (16.7%), lung and kidney both deficiency of Qi syndrome type (10.3%), phlegm and heat stagnating the lung syndrome type (10%), lung and spleen both deficiency of Qi syndrome type (10%)Conclusion:(1)Most of patients of elderly pneumonia have deficiency of Qi, especially deficiency of Qi and Yin, it is essential of incidence. (2)Elderly pneumonia disease part is lung and have close relationship to spleen and kidney. (3) Phlegm, heat and blood stasis play significant role in leading to elderly pneumonia.