Outpatients With Influenza And Inpatients With Influenza Viral Pneumonia In Analysis Of TCM Syndromes

ObjectiveTo investigate the clinical characteristics and distribution regularity of syndrome of traditional Chinese medicine (TCM) in patients with influenza and influenza virus pneumonia.MethodsThe design of influenza Chinese medicine syndrome questionnaire based on literature survey, a cross-sectional survey was conducted in 306 cases of influenza outpatients and in 90 cases of influenza virus pneumonia during 2013 January to 2014 December, through descriptive analysis and clustering analysis, and combining the expert’s opinion to discuss the distribution regularity of TCM syndromes.ResultsPatients with influenza with fever, cough, runny nose, mental fatigue, nasal congestion, headache, sore throat, body aches, chills were the main clinical manifestations while Patients with influenza virus pneumonia with fever, cough, expectoration, aversion to cold, stuffy nose, sore throat, runny nose were the main clinical manifestations. For influenza, TCM syndrome is divided into wind-heat-dampness invading lung (33.66%), wind-cold-dampness invading lung (31.70%), wind-heat invading lung (18.30%), wind-cold invading lung (16.34%). The course of disease within 3 days to wind-heat invading lung and wind-cold invading lung is common while the course of disease within 3 to 5 days for wind-heat-dampness invading lung and wind-cold-dampness invading lung is common among patients with influenza. For influenza virus pneumonia, TCM syndrome is divided into wind-heat invading lung (55.4%), wind-heat-dampness invading lung (23.9%) and dampness-heat stagnating in the lung (20.7%), the course of disease in 5-7 days to wind-heat invading lung and wind-heat-dampness invading lung is common while the course of>7 days to dampness-heat stagnating in the lung is common among patients with influenza virus pneumonia.ConclusionThe distributions of TCM syndromes in patients with influenza and influenza virus pneumonia have certain regularity and the course of disease is related with the syndrome distribution. Wind is the most important factor at the beginning of viral respiratory tract infection (influenza and influenza virus pneumonia), with cold, heat or dampness. Wind-heat-dampness invading lung and wind-cold-dampness invading lung were relatively common in patients with influenza. Wind-heat invading Wei is the most common in patients with influenza virus pneumonia. Influenza, acute onset, change quickly, from outside to inside, from exterior into interior, transfers from weifen to qifen and is easily with dampness.