The distribution of TCM syndromes in 464 patients with stage 3-5 chronic kidney disease without alternative treatment with objective information of four diagnostic instruments of traditional Chinese medicine
10.3760/cma.j.cn115398-20230422-00301
- VernacularTitle:中医四诊仪客观观测464例慢性肾脏病3～5期非替代治疗患者的中医证型分布规律
- Author:
Liang ZHANG
1
;
Liqun HE
;
Qidan ZHENG
;
Gang CHEN
Author Information
1. 上海中医药大学附属曙光医院肾病科，上海 201203
- Keywords:
Renal insufficiency, chronic;
Four diagnostic instruments of Chinese medicine;
TCM syndrome type
- From:
International Journal of Traditional Chinese Medicine
2024;46(4):439-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study was designed to explore the distribution pattern of TCM syndrome types in patients with Chronic Kidney Disease (CKD) stage 3-5 without alternative treatment after objective collection of TCM quad-diagnostic instruments.Methods:The four-diagnostic instruments of Chinese medicine were used to collect the four-diagnostic information of patients with stage CKD 3-5 non-alternative treatment for syndrome determination, and the correlation between TCM syndrome and basic disease characteristics of patients was analyzed.Results:The distribution of TCM syndrome types in 464 patients with CKD 3-5 stage non-substitution therapy was based on deficiency syndrome, and had both standard and solid syndrome. Qi-deficiency syndrome was the most common type, accounting for 24.6% (114/464), followed by kidney-yang deficiency syndrome, heart-qi deficiency syndrome, kidney-yin deficiency syndrome, heart-blood deficiency syndrome, spleen-yang deficiency syndrome and lung-yin deficiency syndrome. The positivism type of this deficiency is blood stasis, dampness-heat, moisture, turbidity and turbidity toxicity. There was no significant difference in gender and age distribution among patients with different CKD stages ( P>0.05), but the proportion of deficiency syndrome gradually increased with the increase of age. There were differences in the distribution of primary deficiency syndrome in different CKD stages ( χ2=57.48, P<0.001), but no difference in the distribution of primary deficiency syndrome ( χ2=2.59, P=0.957). Conclusions:According to the four diagnostic instrument of traditional Chinese medicine, the distribution of TCM syndrome types in patients with stage CKD3-5 non-alternative treatment is based on deficiency syndrome, combined with deficiency of primary and solid syndrome. The syndrome types in CKD3 stage were mainly qi deficiency and kidney qi deficiency, while the TCM syndrome types in CKD stage 4 were qi deficiency and kidney Yang deficiency. With the progression of the disease, the TCM syndromes of stage 5 CKD were mainly heart-qi deficiency and kidney-yang deficiency.
