Distribution Of TCM Syndromes In Patients With Hashimoto’s Thyroiditis Based On Cluster Analysis

Objective:The purpose of this study is to develop a syndrome element scale through literature research.By using the method of "syndrome elements differentiation" and combining with cluster analysis to understand the distribution law of disease location syndrome elements and the nature of disease syndrome elements in hashimoto thyroiditis patients,the relevant indexes and influencing factors of the syndrome elements diagnosis in hashimoto thyroiditis patients were explored,in order to obtain the distribution of TCM syndromes of this disease,and provide a basis for the syndrome differentiation and diagnosis of hashimoto thyroiditis.Methods:From December 2018 to December 2019,287 patients with hashimoto thyroiditis were collected from Kunming Hospital Of Traditional Chinese medicine and Yunnan Provincial Hospital Of traditional Chinese Medicine.After filling in the syndrome element scale,the ward method,namely the dispersion squared method,was used for systematic cluster analysis,and the syndrome element scale of syndrome element dialectics was used to preliminarily calculate the corresponding syndrome element of each syndrome,and the syndrome element whose threshold value exceeded [20] 100 was included in the statistical analysis,so as to obtain the common TCM syndrome element of hashimoto thyroiditis.Result:1.Of 287 patients with Hashimoto’s thyroiditis,the average age was 51.75 years old,and male and female ratio of 1:16.Systemic symptoms,low complexion,tiredness,,insomnia,lethargy;Emotional factors have a greater impact on the disease;Tongue reddish,oily,based tooth edge of the tongue;Pulse with slip,fine,string account for more.2.Through statistical analysis,it was concluded that liver,spleen,kidney and dampness,phlegm,stagnation of qi,deficiency of Yin,deficiency of Yang and deficiency of qi were the pathogenic syndromes of hashimoto thyroiditis in kunming,yunnan.3.The common basic syndromes of hashimoto thyroiditis patients in kunming are liver stagnation and qi stagnation,liver Yin deficiency,spleen Yang deficiency,spleen qi deficiency,kidney Yang deficiency,kidney qi deficiency,kidney Yin deficiency,phlegm dampness,and qi stagnation and phlegm coagulation.Conclusion:This study applies the method of cluster analysis,the use of TCM syndrome factor scale in kunming region hashimoto thyroiditis patients with the syndromes of cross-sectional investigation and study,combined with clinical expertise in kunming region of hashimoto thyroiditis patients with factor analysis,found in kunming area TCM syndrome distribution regularity of hashimoto’s thyroiditis.The main symptoms were liver,spleen and kidney,dampness,phlegm,qi stagnation,Yin deficiency,Yang deficiency and qi deficiency,and the main symptoms were liver stagnation and qi stagnation,liver Yin deficiency,spleen Yang deficiency,spleen qi deficiency,kidney Yang deficiency,kidney qi deficiency,kidney Yin deficiency,phlegm and dampness,qi stagnation and phlegm stagnation and spittoon.It provides research support and theoretical basis for improving the accuracy of syndrome differentiation of hashimoto’s thyroiditis.