Discussion On The Relationship Between Gastroscopic Manifestations、Organization And Pathology Classification And TCM Syndrome Types With Stomach Pain

Purpose:At the direction of the traditional Chinese medicine theory. We discuss the different distribution principles of the stomach pain explore the correlation among the Gastroscopic manifestations、 tongue manifestations and organization and pathology classification by using the method of TCM inspection. To expect for the TCM clinical stomach pain syndrome and macro modern gastroscope inspection looking for the breakthrough point through the comprehensive analysis.to Promote the TCM of modern syndrome differentiation objective process. Thus the dialectical treats, guide clinical treatment, maximum play the advantages and features in the diagnosis and treatment of Chinese medicine modern disease to Improve the clinical effect.Methods:1.Through the ancient and present literature of the stomach pain make comprehensive research and analysis, to understand the evolution about the etiology,syndrome differentiation of TCM and modern research progress.2.Through collect the300cases data of stomach pain,According to syndrome diagnostic standard of the TCM,to induce the syndrome type.then make the electronic gastroscope inspection, analysis of a microscope. And then used statistical methods to analyze and process,Explore the relationship, between gastroscopic manifestations、 organization and pathology classification and different syndromes of TCM with stomach pain.Results:1. In the TCM syndrome types of the patient who have the stomach pain, The syndrome of liver damaging stomach is the maximum, and the types of syndrome sequence from high to low are as follows:The syndrome of liver damaging stomach> Spleen-Stomach deficient pattern>damp-heat of Spleen-Stomach>Yin deficiency of stomach> Blood stasis arrested stomach syndrome.2.There is the significant difference in different phase of tongue coating and mucosal performance in the gastroscopic manifestations (χ2=77.585P<0.01)3.There is a close correlation between mucosal performance in the gastroscopic manifestations and TCM syndrome types (χ2=124.210P<0.01)4.HP infection rates in different TCM syndrome types have certain differences (χ2=12.092P<0.05)5.There is a close correlation between Bile reverse flow and TCM syndrome types:the patients in damp-heat of Spleen-Stomach syndrome type is the most,the second is The syndrome of liver damaging stomach.(P<0.01) 6. The pathology classification of Chronic gastritis in every TCM syndrome types has significant difference (χ2=27.115P<0.01)7. There is no correlation between the intestinal metaplasia degree and TCM syndrome types (χ2=3,644P>0.05)Conclusion:There is a close correlation between microcosmic syndrome differentiation in the gastroscopic manifestations and the macroscopic syndrome differentiation in the stomach pain.The gastric mucosal performance、 tongue manifestation and TCM syndrome types have obvious correlation, HP infection rates and the TCM syndrome types have certain correlation, The histopathological and TCM syndrome type are not completely related; And the types of syndrome among stomach pain are able to reflect the changes in gastric mucosa.