The Study Of Possible Relationship Between The Syndrome Differentiation In Stomach Pain Of The Traditional Chinese Medicine And The Gastric Polyps Pathological Type

ObjectiveThe purpose of this study is to research the possible relationship between the syndrome differentiation in stomach pain of the Traditional Chinese Medicine(TCM) and the gastric polyps pathological type, for providing more useful clinical informations in curing stomach pain patients and gastric cancer prevention by exploring the motherland TCM combined with western medicine dialectical analysis, providing better services for clinical and scientific research by preliminary revealing the objective law and seeking more objective standards and the theoretical basis for syndrome differentiation of TCM.MethodsReferring to a total of 769 patients with stomach pains in Combined Traditional Chinese and Western Medicine Hospital of GuangDong Province in 2012-2014,210 cases of patients with gastric polyp were gathered, complying with the inclusion criteria and not in conformity with the exclusion criteria, divided into liver-stomach disharmony syndrome, weakness of the spleen and the stomach syndrome, damp heat in the spleen and the stomach syndrome, stomach-Yin deficiency syndrome, stagnated blood of stomach meridian syndrome on the basis of TCM classification, the distribution of 4 different pathological type of gastric polyps in those groups was compared. The possible relationship between the classification of stomach pain in TCM and the pathological type of gastric polyps in chronic gastritis patients would be discussed.Results1. In all case, the cases of the stomach-Yin deficiency syndrome and the stagnated blood of stomach meridian syndrome were rare, mainly in the liver-stomach disharmony syndrome (59.5%), the weakness of the spleen and the stomach syndrome (27.1%) and the damp heat in the spleen and the stomach syndrome (8.6%). In the gastric polyps pathological type, the fundic gland polyps (76.2%), hyperplastic polyp (15.7%), the inflammatory fibroid polyp (7.1%), adenomatous polyp (1.0%).2. There was no statistically significant difference (P= 0.150) in the incidence of the gastric polyps among the liver-stomach disharmony syndrome 26.37% (48/182), the weakness of the spleen and the stomach syndrome 18.57% (13/70), the damp heat in the spleen and the stomach syndrome 17.78% (8/45) and the stomach-Yin deficiency syndrome 14.29%(1/7) in HP positive cases, there was also no statistically significant difference (P>0.005) in cases of the liver-stomach disharmony syndrome 30.68% (77/251), the weakness of the spleen and the stomach syndrome36.67% (44/120), the damp heat in the spleen and the stomach syndrome17.24%(10/58) and the stomach-Yin deficiency syndromell.76% (2/17) in HP negative cases. There was no statistically significant difference (P> 0.005) in all cases regardless of the HP.3. Study shows that there was no significant statistical difference (P> 0.05) in the incidence of the fundic gland polyps and the hyperplastic polyp between the liver-stomach disharmony syndrome and the weakness of the spleen and the stomach syndrome regardless of the HP.4. The logistic analysis of 4 kinds of pathological types and gender, age, TCM syndrome types showed that women had negative correlation with both of the fundic gland polyps and the adenomatous polyp. HP infection was related negatively to the fundic gland polyps, while positively to the adenomatous polyp.age was the risk factor of the fundic gland polyps. No definite correlation between pathological types of polyps and TCM syndrome types was comfirmed.ConclusionThere was no statistically significant difference in the incidence of the Gastric polyps among all TCM syndrome types in stomach pain patients, also in the incidence of the fundic gland polyps and the adenomatous polyp between liver-stomach disharmony syndrome and the weakness of the spleen and the stomach syndrome. There was no definite correlation in pathological type of gastric polyps and TCM syndrome types.