The Research On The Syndrome Element Of Peptic Ulcer

Objective:This thesis is based on the syndrome element differentiation system found by Professor Zhu, initially paying attention on the distribution characteristics of a preliminary exploration of peptic ulcer disease and disease of syndrome element, detecting the correlation of peptic ulcer with a variety of factors, ultimately providing specific and reliable theory support for TCM treatment of peptic ulcer.Methods:Collecting 214 cases of peptic ulcer patients who conform to the standard diagnostic criteria, summarizing the questionnaire survey to collect relevant information and inputting data into Excel to establish database, analyzing with SPSS 16.0, attaining distribution law of peptic ulcer syndrome.Results:According to the research samples,51%-60% of peptic ulcer stands for a high prevalence rate; prevalence rate of male is higher than that of female; workers are the main population who get peptic ulcer disease, followed by retirees; in dietary preferences, drinking is core cause of peptic ulcer disease, followed by a spicy taste preference. Peptic ulcer appears mostly in duodenal, and most of them are under an ulcer active period, most common ulcer size is around 0.5-1.0cm, the HP infection rate of peptic ulcer amounts to 42.06%. Peptic ulcer disease usually appears in stomach, spleen, stomach meridian, liver, large intestine and heart, and the peptic ulcer in stomach accounts for the highest proportion of 76.79%, peptic ulcer in spleen ranks second for 57.74%, the proportion of peptic ulcer in stomach meridian, liver, large intestine and heart occupy respectively 27.38%,18.45%,5.36% and 1.19%. Single syndrome factor accounted for 41.07%, double syndrome factor accounted for 52.38%, multi-syndrome factors account for 6.55%. Main syndrome elements of peptic ulcer disease are Hot (41.07%), Qi Stagnation (33.93%), Qi Deficiency (30.95%), Blood Stasis (25.60%), Yin Deficiency (22.02%), Wet (20.24%), Dyspepsia (5.36%), Yang (4.17%), Cold (3.57%). Different gender has statistical differences in distribution of peptic ulcer (P=0.003<0.05), and different gender has no statistical difference in nature of disease (P=0.193>0.05); both locational and nature syndrome factor of different ages show no statistical significance (P=0.660, P=0.980); there’s no statistical significance between HP infection and location and nature of peptic ulcer (P=0.581, P=0.997); there’s no statistical significance between location of peptic ulcer disease and its syndrome distribution (P=0.320, P=0.983); size of peptic ulcer and its syndrome distribution has no statistical significance (P=0.419, P,=0.738); stages of peptic ulcer and locational syndrome factor have statistical significance (P=0.018<0.05), stages of peptic ulcer and the nature of disease syndrome have no statistical significance (P=0.967>0.05).Conclusion:Peptic ulcer disease mainly appears in the stomach, spleen, stomach, liver, large intestine, heart, especially in the stomach and spleen. The disease distributes mostly in the form of single syndrome and double syndrome, multi-syndrome is rare. Nature of disease of digestive ulcer disease shows in Hot, Qi Stagnation, Qi Deficiency, Blood Stasis, Yin Deficiency, Wet, Dyspepsia, Yang Deficiency and Cold, among which Hot, Qi Stagnation and Blood Stasis occur most. As to the nature of disease, double syndrome is the most frequent, single syndrome and multi-syndrome account less. Through the statistic analysis on related factors of phosphorus distribution in peptic ulcer syndrome, different gender has statistically difference in the location of disease, stages of peptic ulcer disease and the location of disease exist statistical significance. However, age, HP infection, ulcers, the size of ulcer and peptic ulcer have no statistical difference.