The Study On TCM Syndrome Of Deficiency Of Qi And Blood In The Theory Of “Flow-Stasis-Stagnancy”

Objective: The theory of "Flow-Stasis-Stagnancy" is a discriminatory theory proposed by professors of orthopaedics in Foshan hospital of Traditional Chinese Medicine through the efforts of several generations.By summarizing the pathogenesis of treatments for traumatology of our hospital,this theory improved,which requires conducting more indepth research and applications of modern medicine for explanations of its scientific rationalities.This experiment was conducted to investigate the proportion of patients with "TCM syndrome of deficiency of qi and blood" after fracture,the time of appearance,and the relationship with the severity of injury,and to quantify the "TCM syndrome of deficiency of qi and blood" pattern and correlate it with two clinical test indexes,hemoglobin and platelet,so as to initially investigate and verify the "TCM syndrome of deficiency of qi and blood" pattern in the "flow" part of "Flow-Stasis-Stagnancy" theory,which is beneficial for guidance of clinical diagnosis,treatment and medication.Research methods:1.In this study,we started from the TCM syndrome patterns after fracture.We set out the diagnostic criteria,inclusion criteria and exclusion criteria of this test,referring to the diagnostic criteria of fracture in Surgery(People’s Medical Publishing House,8th edition,edited by Chen Xiaoping),and according to the ISS(Injury Severity Score)made by AAAM(Association for the Advancement of Automotive Medicine).Besides,we perform standard TCM syndrome identification referring to the three stages of TCM syndrome identification after fracture in Orthopedics and Traumatology of Chinese Medicine(China Press of Traditional Chinese Medicine,10 th edition,edited by Huang Guicheng)and the "Flow-Stasis-Stagnancy" theory from our hospital.2.A total of Two hundred patients with fractures who attended and were hospitalized at Foshan Hospital of Traditional Chinese Medicine from March 2022 to September 2022 were selected as the research subjects.The final TCM syndrome identification was performed by two experts in orthopedics and traumatology of Chinese Meidicine(Associate chief rank and above)to ensure that the patients involved in this study met the diagnostic criteria of the disease.3.After being involved in this study,the age,gender,fracture type,hemoglobin value,and platelet value of the subjects were collected,and the proportion,the occurrence time and the fracture types of the patients be indentified as TCM syndrome of deficiency of Qi and Blood were analyzed.We scored them using the scale of TCM syndrome of deficiency of Qi and Blood,and statistical analysis was performed using software SPSS 21.0.Research results:1.Among the 200 patients with fractures in this study,there were 129 males and 71 females,and the age distribution ranged from 18 to 94 years old,with an average of(55.04±17.31)years old.The patients ranging from 50 to 70 years old being more common and it is more common in males.TCM syndrome identifications were preformed,and a total of 63 patients were identified as TCM syndrome of deficiency of Qi and Blood,among which there were 33 males and 30 females,with the age ranging from 18 to 94 years old,the average of which is(62.37±17.07)years.2.According to TCM identifications,the patients were divided into two groups,among which the one was patients with TCM syndrome of deficiency of Qi and Blood,the other was patients without TCM syndrome of deficiency of Qi and Blood.There were significant differences in gender,age,HGB values,and scores of the scale of TCM syndrome of deficiency of Qi and Blood,but no significant differences in fracture types and PLT values.3.Multivariate Logistic Regression Analysis was performed by including gender,age,HGB values and PLT values.The result showed that HGB values were statistically significant for the occurrence of TCM syndrome of deficiency of Qi and Blood after initial injury(OR=0.887,95%CI 0.857-0.918,P<0.01).However,gender,age and PLT values showed no statistical significance for the occurrence of TCM syndrome of deficiency of Qi and Blood.4.The fracture types of patients identified as TCM syndrome of deficiency of Qi and Blood were mostly hip fracture and multiple fracture.5.The occurrence time of TCM syndrome of deficiency of Qi and Blood in fracture patients identified as TCM syndrome of deficiency of Qi and Blood was mostly the first and the second day after initial injury.6.Spearman correlation analysis showed a significant negative correlation between scores of the scale of TCM syndrome of deficiency of Qi and Blood and HGB values(P<0.05),but no correlation between scores of the scale of TCM syndrome of deficiency of Qi and Blood and PLT values.Research conclusion:The proportion of patients identified as TCM syndrome of deficiency of Qi and blood after fracture was 31.5%;The occurrence time of TCM syndrome of deficiency of Qi and Blood in fracture patients was mostly the first and the second day after initial injury.Patients with hip fracture and multiple fractures are more likely to show TCM syndrome of deficiency of Qi and Blood after injury;There was a correlation between the TCM syndrome of deficiency of Qi and Blood and HGB values,while there was no correlation between the TCM syndrome of deficiency of Qi and Blood and platelet values in patients after initial injury.Therefore,based on the three-stage TCM syndrome identification from the textbook,the TCM syndrome identification after fractures should fully understand the early "variable syndrome" situations,combine the time after initial injury,the severity of initial injury,and the hemoglobin value to further identify the TCM syndrome type for treatment.