The Correlation Study Between TCM Syndrome Differentiation For Stomachache And Gastroscopic Performance

Objective:To explore typical gastroscopic performance of the TCM syndromedifferentiation for stomachache, provide the objective basis for TCM syndromedifferentiation and treatment.Methods:(1)Choose188stomachache cases who were in accordance with theinclusion criteria, make the clinical observation table, collect medical records on the baseof the literature research foundation;(2)Observe the gastroscopic performance of the188cases, and combined with Traditional Chinese Medical Four Diagnostic, and input thedata;(3) Using SAS9.1.3statistical software processing of data.Result:(1)In the188cases, syndrome stomach disorder due to liver-QI make thebiggest part, each type with the order is: syndrome stomach disorder due to liver-QI>syndrome of damp-heat obstructing>syndrome deficiency cold of spleen and stomach>syndrome insufficiency of stomach-Yin>syndrome stomach disorder due to food>syndrome stomach disorder due to blood stasis>syndrome stomach disorder due topathogenic cold.(2)The detection rate of chronic gastritis is94.15%, the arrangement order:chronic superficial gastritis>bile reflux gastritis>verrucous gastritis>chronic superficialatrophic gastritis>chronic atrophic gastritis; and the proportion of different kinds ofgastritis is different.(3)The detection rates of adanced stomach cancer, duodenuminflammation have obvious difference.(4)Gastroscopic performances like spotted kindchange, congestion, edema in the stomach every syndrome type has significant difference.Spotted in the red as sample change, syndrome of damp-heat obstructing make the mostpart, and followed syndrome stomach disorder due to liver-QI; and spotted in white,syndrome stomach disorder due to liver-QI make the most, and followed syndromedeficiency cold of spleen and stomach; give priority to congestion, syndrome stomach disorder due to liver-QI make the most part, and followedsyndrome of damp-heatobstructing; give priority to edema, syndrome deficiency cold of spleen and stomach, andfollowed syndrome stomach disorder due to liver-QI.(5)The cases which give priority tocongestion and edema, are also statistically significant in the tongue colour and shape, buthave no statistical significance in the tongue coating, give priority to congestion, mosttongue is red, and the tongue shape is normal; give priority to edema, tongue is pale white,the tongue shape is fat.(6) The detection rate of helicobacter pylori is different, syndromestomach disorder due to liver-QI, syndrome stomach disorder due to blood stasis,syndrome of damp-heat obstructing is much higher than in other three.Conclusion:(1) Gastroscopic performance is basis of TCM syndrome differentiation.(2)There is inner relationship between gastroscopic performance and TCM syndromedifferentiation.(3)The stomachache not only have relationship with the liver, spleen, butalso with the small intestine.(4)Gastric mucosa pathological changes is basis of TCMsyndrome differentiation.(5)Mucosal hyperemia edema keep consistent with the tonguecolor, the tongue shape.(6)The detection rate of helicobacter pylori is significantly higherinexcesssyndrome than deficiency syndrome.