Correlation between pattern elements of disease nature and common pulse manifestation in 801 patients with viral hepatitis cirrhosis
10.3969/j.issn.1006-2157.2017.08.012
- VernacularTitle:801例肝炎肝硬化患者病性类证候要素与常见脉象的相关性分析
- Author:
Lihong ZHAO
1
;
Tianfang WANG
;
Xiaolin XUE
;
Xiuyan WU
;
Ning LI
;
Yonggang LI
;
Xin LI
;
Shengduo CHEN
;
Fengxia SUN
;
Xiuhui LI
;
Dewen MAO
;
Yanling LIU
;
Chang ZHANG
;
Wen LIU
;
Qiuyun ZHANG
Author Information
1. 北京中医药大学 北京 100029
- Keywords:
viral hepatitis cirrhosis;
pulse manifestation;
pattern elements of disease nature
- From:
Journal of Beijing University of Traditional Chinese Medicine
2017;40(8):693-698
- CountryChina
- Language:Chinese
-
Abstract:
Objective To enrich the clinical meanings of common pulse manifestations,and to explore mechanisms of those pulses by analyzing the correlation between pattern elements of disease nature and common pulse manifestations in patients with viral hepatitis or cirrhosis based on the combination of pat-tern and diseases.Methods A national multicenter cross-sectional epidemiological survey was conduc-ted to collect TCM symptoms,tongue manifestations and pulse conditions(including depth,frequency, width,length,hardness,and frequency of pulse)of patients with viral hepatitis or cirrhosis.The survey questionnaire used the Information Collection form of Vital Hepatitis Cirrhosis drafted by the research group.Standard ofHepatitis Cirrhosis Pattern Elements Differentiation was made to identify patterns and pattern elements.Descriptive statistics such as frequency and rate,Chi-square test,and correlation analy-sis were used.Results Pulses of 801 patients were collected.Pulses with occurrence rate above 20%was defined as common pulse manifestations,in which wiry pulse accounted for 75.2% (n =602);thready pulse,29.0 % (n =279);deep pulse 29% (n =232);and slippery pulse,23.1% (n =185). There was positive correlation between wiry pulse and blood stasis and qi stagnation (correlation coefficient was 0.141 and 0.166 respectively,P <0.05).There was positive correlation between slippery pulse and yin deficiency and damp heat (correlation coefficient were 0.093 and 0.131 respectively,P <0.05).There was positive correlation between deep pulse and qi deficiency and yang deficiency(correlation coefficient was 0.099 and 0.111 respectively,P <0.05).There was positive correlation between thready pulse pulse and yin deficiency,qi deficiency,yang deficiency and water retention(correlation coefficient was 0.089,0.109, 0.105 and 0.075 respectively,P <0.05).Conclusion There is a certain correlation between pattern ele-ments and common pulse manifestations in viral hepatitis cirrhosis patients.