Study On The Distribution Of "Deficiency Of Both Qi And Yin" Syndrome In Diabetic Lower Extremity Arteriosclerosis Disease

Objective:The purpose of this study was to discussion the distribution of deficiency of both Qi and Yin Syndrome and its combination syndrome in diabetic arteriosclerosis of lower extremities,to comb the Meridian of syndrome transformation,and to find the correlation between the syndrome and some physical and chemical indexes.Methods:Combined with previous literature,the clinical symptoms and signs of diabetic lower limb angiopathy mentioned were sorted out,and the"Diagnostic Scale for Diabetic Lower Limb Angiopathy"was formulated.The data of 400 patients who met the requirements were collected from the outpatient department or inpatient department of the four centers,and the syndrome differentiation and typing were entered into EXCEL table,and the database was established.The statistical data were analyzed by SPSS 23.0 to draw a conclusion.Results:（1）LEAD with simple deficiency of both qi and yin was less,accounting for 28.8%,with phlegm,blood stasis,and sputum stasis accounting for 71.2%.（2）The age,sex and course of disease of the four groups of syndromes were statistically significant（p<0.05）,and the age and course of disease of blood stasis and phlegm stasis were higher（p<0.01）.The proportion of men and women in the groups of blood stasis,phlegm and phlegm stasis is higher than that of women（p<0.01）.（3）BMI of phlegm-dampness syndrome was significantly higher than that of the other three groups（p<0.01）.FBG and Hb A_1Cin the groups with blood stasis and phlegm stasis were higher than those in the other two groups（p<0.05）.LDL-c was higher in the group with blood stasis（p<0.01）.（4）The ABI index of deficiency of both qi and yin with phlegm was higher in the group of deficiency of both qi and yin alone（p<0.01）.（5）There was no significant difference in TC,TG,LDL-C and HDL-C between ABI（≤0.9）group and ABI（>0.9）group（p>0.05）.FBG and Hb A_1C were significantly different（p<0.05）.Logistic regression analysis showed that FBG was an independent risk factor for ABI reduction（p<0.05,B=0.42）.Conclusion:（1）LEAD has the basic pathological characteristics of"deficiency of positive energy and emptiness of collaterals,sputum stasis in collaterals".（2）The distribution of simple deficiency of both qi and yin syndrome and its concurrent syndrome is not the same in different ages and sexes.（3）There were some differences in blood glucose index and blood lipid index between deficiency of qi and yin and its combination.（4）ABI index of qi and yin deficiency with blood stasis and phlegm stasis is lower.（5）FBG is a risk factor for the decrease of ABI index.