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Clinical relevance of Chinese syndrome factors and thromboelastography levels in patients with phlegm-heat and fu-organ excess syndrome
- Source :
- Journal of Traditional Chinese Medical Sciences, Vol 6, Iss 3, Pp 211-217 (2019)
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Objective: Syndrome differentiation is a unique part of traditional Chinese medicine (TCM). Syndrome factors play an important role in the diagnosis and treatment of TCM syndromes. Thromboelastography (TEG) intuitively reflects the blood status of patients with acute ischemic stroke (AIS) and is important in the treatment and prognosis of AIS. To identify the relationship between TCM syndrome factors and TEG in AIS patients and standardize TCM syndrome differentiation and treatment objectives, we designed a prospective cohort study of 103 AIS patients. Methods: We used the diagnostic criteria for AIS in the Chinese Guideline for Diagnosis and Management of Acute Ischemic Stroke 2010. Diagnosis of phlegm-heat and fu-organ excess syndrome was based on the TCM Scale for the Syndrome of Phlegm-heat and fu-organ Excess. The ischemic Stroke TCM Syndrome Factor Diagnostic Scale was used to identify and diagnose syndrome factors. General information, scores of syndrome factors and values of TEG parameters of all enrolled patients were recorded. Results: There were significant differences in internal fire and phlegm-dampness scores between patients with and without phlegm-heat and fu-organ excess syndrome (P .05) or between both syndrome factors and TEG parameters in patients without phlegm-heat and fu-organ excess syndrome. Conclusion: The syndrome factor internal fire is a potential predictor of increased platelet function and fibrinogen activity in AIS patients with phlegm-heat and fu-organ excess, and a potentially important predictor of blood hypercoagulability in TCM. Keywords: Clinical relevance, Phlegm-heat and fu-organ excess syndrome, Syndrome factors, Thromboelastography
- Subjects :
- 0303 health sciences
medicine.medical_specialty
medicine.diagnostic_test
business.industry
Phlegm
Guideline
Traditional Chinese medicine
lcsh:RZ409.7-999
030226 pharmacology & pharmacy
Thromboelastography
03 medical and health sciences
0302 clinical medicine
Complementary and alternative medicine
Internal medicine
medicine
In patient
Clinical significance
medicine.symptom
business
Prospective cohort study
lcsh:Miscellaneous systems and treatments
Syndrome differentiation
030304 developmental biology
Subjects
Details
- ISSN :
- 20957548
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of Traditional Chinese Medical Sciences
- Accession number :
- edsair.doi.dedup.....976d1b21f44161637b9a403f366e7b5d