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A preliminary study in acute stroke Syndromes

Author: ZhongWeiSen
Tutor: ChenZhiGang
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Acute Ischemic Stroke TCM Syndrome Syndrome fact
CLC: R255.2
Type: Master's thesis
Year: 2010
Downloads: 139
Quote: 1
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Abstract


Dialectic of governance characteristics and advantages of Chinese medicine, which is a dialectical syndrome central part of treatment is a human disease pathophysiology general state of the overall response. Standardization of syndrome and the syndrome reveals the essence of Chinese medicine research is currently a hot and difficult, especially in the stroke syndrome research at the forefront and has been standardized in the diagnosis, symptom rules in such areas as extensive, in-depth research. Stroke Syndromes through research, diagnosis and treatment for stroke, the dialectical law of mining and treatment programs on the basis of verification.Objective:Acute stroke patients through clinical observation, clinical information collected at different time points dynamically, and have been on the stroke of the basic elements of syndrome, explored the distribution of stroke syndrome and the evolution law.Methods:A prospective study of the subject method, the structured, standardized clinical data collection platform support, use the "clinical diagnosis and treatment of stroke patients dialectical law mining and verification of the program of treatment" cases,70 cases of Observation Records acute stroke patients clinical diagnostic messages for dynamic acquisition, collection point is:three days before admission, a daily survey 1,7 days after admission,10 days,14 days and 21 days of investigation at each time point 1 to hospital aged 21 days or discharge end of the day. Finally using the SAS 8.0 software on the clinical data collected for statistical analysisResults:①feng card 3 days after admission was significantly decreased, remaining at low level; within the Huo permits decreased in the pathogenesis; phlegm in 7 days before admission, remained at a high level, the first 7 days then gradually decreased, but still maintain a certain level; xueyu significant increase from the first two days, to maintain a high level of 10-14 days,14 days after the fall; Qixu increased gradually after onset,7 days later to maintain a certain level; and Yinxu in the pathogenesis of little change, and always maintain a certain level.②The syndrome distribution, with phlegm always living in the first onset of stroke. Huo in the first three days living in the first two, the first seven days living in the first three, the first 10 days of living in the first four, the first 14-21 days of living in the 5th. Although xueyu within the first 3 days than those who live in the huo certificate No.3, but after all time points in the first two. Qixu in one day live in last, just 2,3 days living in the 5th, in the first seven days living in the first four, but the first 14-21 days of living in the first three. The Yinxu is not changed much, hovering in 4-5.③Two card combination during the acute stage of the main form of phlegm+huo, and then compared to phlegm+qixu, xueyu+qixu. Combination of the three cards are mainly within the first three days of huo+xueyu+phlegm, huo+phlegm+yinxu, at day 7 th phlegm+Yinxu+xueyu are mostly Huo+phlegm+xueyu second.10 days later phlegm+qixu+xueyu, phlegm+Yinxu+xueyu syndrome based. Combination of four cards in 3 days phlegm+huo+Yinxu+xueyu syndrome based,phlegm+huo+qixu+Yinxu increased gradually, but the first 7-14 day of the huo+phlegm+qixu+xueyu at the top, inside the huo+phlegm +yixu+xueyu followed.14 days later, xueyu+phlegm+qixu+Yinxu rose to the top, but within the huo+phlegm+qixu+xueyu followed.④The syndrome NIHSS scores showed no difference

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CLC: > Medicine, health > Chinese Medicine > TCM Internal Medicine > General Syndrome > Stroke
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