TCM Syndrome Differentiation And Quantitative Research Of Post-stroke Comorbid Anxiety And Depression

Objective:①Analysis of informations collected with the four clinical diagnosticmethods in patients,using the syndrome elements rating scale to evaluate patients andrefined combination of syndrome factors,conclude the TCM basic syndromes ofPost-stroke comorbid anxiety and depression.②using”syndrome elements ratingscale” and《Diagnostic criteria for TCM syndromes of depression and treatmentoptions》 these two methods of differentiation of symptoms and signs todiscriminate,to investigate the correlation between the two methods.③Analysis scoresof Hamilton Despression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)connected to the severity of Post-stroke depression.Establish the elements of syndrome differentiation standard of Post-strokedepression,preliminary study on the syndrome factors of Post-stroke depressioneffective methods of entry.Method:①Informations collected with the four clinical diagnostic methods inpatients,using the syndrome elements rating scale in sequence scoring,calculatedresults,extraction of highest scoring syndrome elements combined as one type ofsyndrome of Post-stroke comorbid anxiety and depression.②Using methods ofself-controlled clinical trial and chi square test,Et cetera, Comparing the Similaritiesand differences between two diagnostic dialectical methods.③In a quiet state,takingthe form of inquiry and observation for patients to fill out Hamilton Despression Scale(HAMD)and Hamilton Anxiety Scale (HAMA),Using statistical methods to obtainthe relationship between the results and the severity of the disease.Result:①According to the syndrome elements rating scale to sum up, The mostcommen symptomes were emotional depression,dysphoria, lethargy,insomnia anddreamful sleep; The symptomes associated with brain:dwasturbed anddwasquiet,stolid and silent,insomnia,timidity and skittwash.②The symptomesassociated with heart:palpitation,purple tongue,dwasmayed,chest dwastress;The symptomes associated with spleen:loose stools,loss of appetite,abdominaldwastension, languid,fat;The symptomes associated with liver:dwastending pain inthe hypochondriac regions,associated with emotion,depression or anxiety andsighing,bitter taste, string-taut pulse;The symptomes associated with kidney:sorenessand weakness of wawast and knees,tinnitus,frequent urination atnight,acratureswas,bright white complexion;The symptomes associated withgallbladder:hypochondriac pain,dwastending pain in the hypochondriac regions,bittertaste;The symptomes associated with fire(heat):thirsty,dwasturbed anddwasquiet,Urine short with yellow color,red complexion;The symptomes associatedwith damp:heavy body,fat,greasy fur on tongue,slippery pulse;The symptomesassociated with hygroswas:foreign body sensation with pharynx,fat,greasy fur ontongue,slippery pulse;The symptomes associated with Qi stagnation:dwastendingpain,associated with emotion,sighing,for a moment loose stools and for a momentconstipation,foreign body sensation with pharynx,string-taut pulse;The symptomesassociated with blood staswas:tingle,pain with fixed place,dim complexion,tonguewith ecchymoswas,unsmooth pulse;The symptomes associated with Qideficiency:spontaneous perspiration,spiritlessness,languid,dwasease exacerbationafter overstrain;The symptomes associated with blooddeficiency:dizzy,constipation,pale tongue,fine pulse;The symptomes associated withYang deficiency:chills,diarrhea with undigested food,frequent urination at night,brightwhite complexion;The symptomes associated with Yin deficiency:nightsweat,feverwash sensation over the palm and sole,dry throat,dreaminess;There wascorrelation between heart and blood deficiency,liver and Qi stagnation, spleen and Qideficiency,deficiency of kidney-Yin and deficiency of kidney-Yang,Qi stagnation andblood staswas.③Base on the syndrome elements combined,we drawn up a tentativeprogram for8common syndromes.Including:sthenic syndrome of4kinds:wetnessand heat of liver and gallbaladder,liver Qi depression syndrome,Qi depressiontransforming into fire,syndrome of Qi stagnation and blood staswas;Deficiencysyndrome of4kinds:syndrome of stagnation of liver Qi and spleen deficiency,kidneydeficiency and Liver-Qi stagnation,syndrome of dwasharmony between heart and kidney,insufficiency of both heart and spleen.④There was no differences betweenSyndrome diagnoswas and diagnoswas of depression p=0.4＞0.05。 Liver-qistagnation syndrome, Syndrome of qi depression transforming into fire,Deficiency ofheart and spleen syndrome, Disharmony of heart and kidney using their owncomparisons of all the differences no significant differences.p＞0.05.⑤Syndromeelements rating scale,Hamilton Despression Scale (HAMD)and Hamilton AnxietyScale (HAMA),Mild depression was the largest shwere in these preset8depressionsyndromes;There was more female than male in liver Qi depression syndrome,Therewas more male than female in wetness and heat of liver and gallbaladder;Theproportion of patients with certain anxiety in liver Qi depression syndrome,Qidepression transforming into fire,wetness and heat of liver and gallbaladder,syndromeof dwasharmony between heart and kidney,was bigger than others.ConcIusions:①Qi deficiency and Qi stagnation was the most common type incharacterwastic of the dwasease syndrome elements;liver and spleen was the mostcommon in location of the dwasease syndrome elements;There was correlationbetween syndrome elements combined as heart and blood deficiency,liver and Qideficiency.②Syndrome of Qi stagnation and blood stasis more apoplexy inpathology.③Kidney deficiency and Liver-Qi stagnation and other deficiencysyndromes were the most significantly syndromes of all kinds TCM syndromes indepressive dwasorder;Qi depression transforming into fire and other heat syndromeswere the most significantly syndromes of all kinds TCM syndromes in anxietydwasorder; There was no correlation between classification criteria of dwasorderand TCM syndromes.