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Chronic renal failure renal B , hemoglobin, electrolytes and TCM Deficiency Syndromes Correlation

Author: LiLi
Tutor: ZhangXinYu
School: Chengdu University of Traditional Chinese Medicine
Course: Diagnostics of Chinese Medicine
Keywords: chronic renal failure (CRF) Deficiency Syndrome pattern kidney type-B ultrasonic hemoglobin blood calcium blood phosphate
CLC: R277.5
Type: Master's thesis
Year: 2007
Downloads: 83
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Abstract


Objective:Through relative researches of TCM deficiency of chronic renal failure and kidney type-B ultrasonic,hemoglobin, electrolyte changes,trying to find some specific objective indexes and leading them to the TCM differentiation of CRF.These indexes which make differentiation more objective and provide a reliable basis for Treatment and prognosis.Methods:Totally 93 patients with TCM deficiency of chronic renal failure are divided into five group according to the standardization of syndrome of the guide book of new TCM pharmaceutic clinical research(2002 version ).Dividing the patients by differentiation standard and collecting their kidney ultrasound,hemoglobin,electrolyte test results to analyze the distribution regularity of TCM patterns of CRF and its relationship to the levels of these tests results.Results:1,The distribution of chronic renal failure Deficiency Syndromes and Western stage renal function are closely related.Among Qi-deficiency of both Spleen and Kidney group,Qi and Yin-deficiency of both Spleen and Kidney group, Yin-deficiency of both liver and kidney group,renal function in patients with decompensated based;among Yang-deficiency of both spleen and Kidney group and deficiency of both Yin and Yang group,renal function in patients with renal failure period and uremia period based.2,The research of the topic found that Yang-deficiency of both spleen and Kidney group and deficiency of both Yin and Yang group with Renal parenchyma Moderate and severe Shrinking mained;while Qi-deficiency of both Spleen and Kidney group,Qi and Yin-deficiency of both Spleen and Kidney group,Yin-deficiency of both liver and kidney group,with Renal parenchyma mild Shrinking or unchanged mained,the difference was statistically significant.3,The evidence of chronic renal failure with Yin-deficiency of both liver and kidney group hemoglobin was significantly higher than in the other four groups,Yang-deficiency of both spleen and Kidney group lower significantly compared with the three groups,the difference was statistically significant.4,Yang -deficiency of both spleen and Kidney group compared with the other three groups of Qi-deficiency of both Spleen and Kidney group,Qi and Yin -deficiency of both Spleen and Kidney group, Yin-deficiency of both liver and kidney group,the lower level of blood calcium and the higher level of blood phosphate; deficiency-of both Yin and Yang group compared with the two groups of Qi -deficiency of both Spleen and Kidney group and Yin -deficiency of liver and kidney group,the lower level of blood calcium and the higher level of blood phosphate,the difference was statistically significant.Conclusions:1,The distribution and change of Deficiency Syndromes of CRF is regular.2,Yang-deficiency of both Kidney and spleen group and deficiency-of both Yin and Yang group compared with Qi-deficiency of both Spleen and Kidney group, Qi and Yin-deficiency of both Spleen and Kidney group, Yin-deficiency of both liver and kidney group,Renal parenchyma Shrinking is severer.Ultrasound examination showed the kidney size classification to CRF Deficiency Syndrome Differential and Treatment can be used a point of reference.3,The evidence of CRF the highest hemoglobin to Yin-deficiency of both liver and kidney group,Yang -deficiency of both spleen and Kidney Group is relatively low,which also be used as a reference indicator for Differential and Treatment in Clinical.4,Blood calcium,blood phosphorus can be used as a reference of TCM Syndromes patterns of CRF.It also reflects TCM Syndrome patterns is changing constantly in the progress of CRF

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