| Objective:Based on the mentor’s experience in the diagnosis and treatment of pulmonary nodules,this study explores the clinical syndrome characteristics of traditional Chinese medicine in 18 6 patients with pulmonary nodules,explores the relationship between factors related to pulmonary nodules and the distribution of syndrome types,and provides reference and assistance for the differentiation and treatment of pulmonary nodules in traditional Chinese medicine.Methods:By collecting 186 cases of outpatients from the Respiratory Department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,collecting relevant information,summarizing the main symptoms,judging the patient’s syndrome types based on the patient’s four diagnostic information and combining the clinical experience of the tutor,inputting the data into an Excel table,establishing a database,and then importing the data into SPSS26.0 for statistical analysis,the results and conclusions were obtained.Results:1.A total of 186 eligible cases of pulmonary nodules were included in this study,including 86 male patients(4 6.2%)and 100 female patients(53.8%),with the youngest being 25 years old and the oldest being 77 years old,with an average age of 50.79 years.The middle-aged group had the most patients(97 cases).2.According to the frequency,the distribution of TCM syndrome types in order is liver stagnation and spleen deficiency and phlegm dampness syndrome(2 9.0%),lung spleen deficiency syndrome(24.7%),phlegm heat stasis syndrome(2 0.4%),liver stagnation and qi stagnation and blood stasis syndrome(15.1%),lung qi and yin deficiency syndrome(10.8%).The distribution of TCM syndrome types of pulmonary nodules is related to gender,age,and whether there is a basic pulmonary history(P<0.05),but not related to personal and family history(P>0.05).3.The 10 most common symptoms are listed in order of frequency:cough(including yellow sputum,white sputum,and dry cough),poor sleep at night,chest tightness,loose stools,shortness of breath,dry mouth,foreign body sensation in the throat,fatigue,bitter mouth,and irritability.The distribution of tongue texture is light red tongue(52.7%),red tongue(24.7%),dark red tongue(16.1%),and light white tongue(6.5%);The distribution of tongue coating was thin white coating(4 5.2%),thin yellow coating(7.5%),yellow greasy coating(17.2%),white greasy coating(19.9%),and little coating(10.2%).There were also 21 cases of dentate tongue,9 cases of sublingual ecchymosis,and the pulse patterns were smooth pulse(4 6.8%),fine pulse(39.8%),stringed pulse(34.4%),count pulse(27.4%),deep pulse(14.0%),astringent pulse(3.8%),and weak pulse(3.8%).Conclusion:1.The most common syndrome type is liver stagnation,spleen deficiency,and phlegm dampness syndrome,followed by lung spleen deficiency syndrome and phlegm heat stasis syndrome.2.There is no correlation between personal and family history and the distribution of lung nodules.3.There are statistically significant differences in the distribution of syndrome types among patients with pulmonary nodules based on age,gender,and whether they have a history of basic lung diseases.Among them,the male and young groups are more likely to have phlegm heat stasis syndrome,the female and middle-aged groups are more likely to have liver depression and spleen deficiency phlegm dampness syndrome,and the elderly group and patients with a history of basic lung diseases are more likely to have lung spleen deficiency syndrome.4.There are often symptoms such as coughing,poor night sleep,chest tightness,and loose stools.The tongue is more common with a light red tongue and thin white fur,while the pulse is more common with smooth and fine veins. |
