Study On The Meaning Of Spleen Deficiency In TCM Differention And The Relevant Distribution Of Spleen Deficiency In Common Chronic Diseases

ObjectiveThis is a retrospective study,to analyze the clinical common chronic diseases include type 2 diabetes mellitus,coronary heart disease and chronic gastritis in the spleen deficiency type characteristics and dialectical medication rules.We expect to provide a new idea for the prevention and treatment of common chronic diseases in the community,and to promote the feasibility of spleen-stomach health care and the syndrome differentiation of Chinese medicine treatment in the community.MethodsThe data of the chronic diseases of spleen deficiency were collected.These medical records were inputted and established standardized database.SPSS 22.0 is used for frequency analysis and factor analysis.The statistical results of the analysis were explained based on the theory of traditional Chinese medicine.Finally,we summed up the characteristics of chronic diseases of spleen deficiency and medication law.Results1.In this study,three kinds of spleen deficiency chronic diseases were included 600 cases,260 males and 340 females.Among them,type 2 diabetes mellitus(T2DM)accounted for 43.5%of men,women accounted for 56.5%;coronary heart disease(CHD)accounted for 47.0%of men,women accounted for 53.0%;chronic gastritis accounted for 39.5%of men,women accounted for 60.5%.The statistical results of the clinical survey data for the three cases of chronic spleen deficiency syndrome,which difference between male and female was no significant statistical significance.In terms of age,T2DM and CHD age in 60-75 years old were accounting for most,which were 39.5%and 42.0%,and the average age were 62.5 years old and 68.16 years old,mainly in the elderly.The most patients of chronic gastritis survey were the age of 30-45 years old,accounting for 40.5%,followed by 46-60 years old,accounting for 30.5%,that mainly in middle-aged patients.2.This is high frequency symptoms(>10%)distribution of three spleen deficiency syndrome chronic disease:The main symptoms of spleen deficiency T2DM are fatigue,thirst,limb numbness,sleep disorders,stomach discomfort,loss of appetite,dizziness and headache.The high frequency symptoms of CHD are chest tightness,shortness of breath,palpitations,sleep disorders,dizziness,headache,chest pain,loss of appetite,limb numbness,dry mouth,stomach discomfort.Chronic gastritis symptoms were upper abdominal distension,upper abdominal pain,belching,sleep disorders,loss of appetite,fatigue,fatigue,loose stools,acid reflux,dry mouth,constipation,mouth bitter,heartburn,nausea.This is the distribution of chronic syndromes of three spleen deficiency syndrome.Spleen deficiency syndrome of T2DM was spleen deficiency whith wet and blood stasis,followed spleen-kidney deficiency,followed qi and yin deficiency,followed spleen deficiency and blood stasis,followed spleen and stomach qi deficiency,followed spleen damp heat.Spleen deficiency syndrome of CHD was spleen deficiency phlegm and blood stasis,spleen deficiency and blood stasis,followed spleen-kidney deficiency,followed qi and yin deficiency,followed heart and spleen deficiency,followed spleen and stomach qi deficiency,followed spleen deficiency and qi stagnation.Spleen deficiency syndrome of chronic gastritis was spleen deficiency and qi stagnation,followed spleen and stomach qi deficiency,followed stagnation of liver qi and spleen deficiency,followed spleen deficiency with damp heat,followed spleen deficiency with wet stagnation,followed qi and yin deficiency.3.Through the study of the Chinese medicine factor analysis of three kinds of chronic diseases,we got some kind of Chinese traditional medicine group,as common factor.T2DM extract ten common factors,which three factors associated with spleen qi deficiency,two factors associated with yin deficiency,six factors associated with wet,two factors associated with phlegm,six factors associated with blood stasis,two factors associated with qi stagnation.CHD extract eight common factors,which three factors associated with spleen qi deficiency,three factors associated with phlegm and wet,three factors associated with blood stasis,two factors associated with yin deficiency,two factors associated with qi stagnation.Chronic gastritis extract eight common factors,which three factors associated with spleen deficiency and qi stagnation,two factors associated with spleen qi deficiency,three factors associated with spleen deficiency phlegm and wet.ConclusionSpleen deficient play an important role in the attack of chronic diseases.In this study,three kinds of chronic diseases are closely associated with spleen deficiency.As for patients with chronic diseases,its duration is long,repeated attacks,and the pathogenesis is complicated.Based on syndrome differentiation,we shoud attach great importance to the treatment of tonify qi and strengthen the splee.In addition,we should pay attention to the spleen and stomach health care in the prevention of chronic diseases.