Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy
Back to article page
OriginalPaper|Updated:2021-08-27
|
Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy
Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy
中国结合医学杂志(英文版)2013年19卷第9期 页码:656-662
Affiliations:
1. Department of Endocrinology, Hangzhou Red-Cross Hospital,Hangzhou,China
2. Dongzhimen Hospital, Beijing University of Chinese Medicine,Beijing,China
3. Zhejiang University of Traditional Chinese Medicine,Hangzhou,China
Author bio:
Funds:
Supported by the National Natural Science Foundation of China (No.30801467, No. 81273623) and the Natural Science Foundation of Zhejiang Province (No.Y2080683)
Mou, X., Zhou, Dy., Liu, Wh. et al. Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy., Chin. J. Integr. Med. 19, 656–662 (2013). https://doi.org/10.1007/s11655-013-1411-0
Xin Mou, Di-yi Zhou, Wen-hong Liu, et al. Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy[J]. Chinese Journal of Integrative Medicine, 2013,19(9):656-662.
Mou, X., Zhou, Dy., Liu, Wh. et al. Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy., Chin. J. Integr. Med. 19, 656–662 (2013). https://doi.org/10.1007/s11655-013-1411-0DOI:
Xin Mou, Di-yi Zhou, Wen-hong Liu, et al. Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy[J]. Chinese Journal of Integrative Medicine, 2013,19(9):656-662. DOI: 10.1007/s11655-013-1411-0.
Study on the relationship between chinese medicine constitutive susceptibility and diversity of syndrome in diabetic nephropathy
摘要
To explore the relationship between Chinese medicine (CM) constitutive susceptibility and syndrome diversity in diabetic nephropathy (DN). Epidemiologic investigation on constitution adopting the “Constitution in Chinese Medicine Questionnaire” (CCMQ)
and survey on syndrome type by CM syndrome scale (preliminary) were carried out in 180 DN patients. Cluster analysis on symptom items was used to determine the syndrome type
and canonical correlation analysis was used to analyze the relationship between patients’ constitution and syndrome. Baseline levels in all enrolled patients were not different statistically. Cluster analysis showed 8 syndromes existed in DN patients
namely: I
qi-yin deficiency with qistagnancy type; II
yin-yang deficiency with heat-water-blood stasis type; III
qi-yin deficiency with dampnessheat type; IV
yin-yang deficiency with blood-stasis and heat type; V
qi-yin deficiency with stagnant heat type; VI
yin-yang deficiency with inner dampness-heat stagnancy type; VII
yin deficiency with heat stagnancy type; and VIII
Kidney (Shen)-Spleen (Pi) deficiency with stagnant heat type. Correlation analysis on the 8 syndromes and the 9 constitutions showed statistical significant correlations between syndrome III and dampness-heat constitution (P=0.0001); syndrome IV and blood-stasis constitution (P=0.0001); and syndrome VII and yin-deficiency constitution (P=0.0180). Certain relationship revealed between CM constitutions and syndrome types; constitution decides the disease genesis
its syndrome type and prognosis
as well as the change of syndromes.
Abstract
To explore the relationship between Chinese medicine (CM) constitutive susceptibility and syndrome diversity in diabetic nephropathy (DN). Epidemiologic investigation on constitution adopting the “Constitution in Chinese Medicine Questionnaire” (CCMQ)
and survey on syndrome type by CM syndrome scale (preliminary) were carried out in 180 DN patients. Cluster analysis on symptom items was used to determine the syndrome type
and canonical correlation analysis was used to analyze the relationship between patients’ constitution and syndrome. Baseline levels in all enrolled patients were not different statistically. Cluster analysis showed 8 syndromes existed in DN patients
namely: I
qi-yin deficiency with qistagnancy type; II
yin-yang deficiency with heat-water-blood stasis type; III
qi-yin deficiency with dampnessheat type; IV
yin-yang deficiency with blood-stasis and heat type; V
qi-yin deficiency with stagnant heat type; VI
yin-yang deficiency with inner dampness-heat stagnancy type; VII
yin deficiency with heat stagnancy type; and VIII
Kidney (Shen)-Spleen (Pi) deficiency with stagnant heat type. Correlation analysis on the 8 syndromes and the 9 constitutions showed statistical significant correlations between syndrome III and dampness-heat constitution (P=0.0001); syndrome IV and blood-stasis constitution (P=0.0001); and syndrome VII and yin-deficiency constitution (P=0.0180). Certain relationship revealed between CM constitutions and syndrome types; constitution decides the disease genesis
its syndrome type and prognosis
as well as the change of syndromes.
关键词
diabetic nephropathyChinese medicine constitutionsyndromatologic study
Keywords
diabetic nephropathyChinese medicine constitutionsyndromatologic study
references
Meetoo D, McGovern P, Safadi R. An epidemiological overview of diabetes across the world. Br J Nurs 2007;16:1002–1007.
Yang WY, Lu JM, Weng JP, Jia WP, Ji LN, Xiao JZ, et al. Prevalence of diabetes among men and women in China. N Engl J Med 2010;362:1090–1101.
McDonald S, Excell L, Livingston B. Appendix II, in ANZDATA (Australia and New Zealand dialysis and transplant) registry report. Peritional Dial; 2008:499–518.
Yamagata K, Iseki K, Nittak K, Imai H, Iion Y, Matsuo S, et al. Chronic kidney disease perspectives in Japan and the importance of urinalysis screening. Clin Exp Nephrol 2008;12:1–8.
Lysaght M. Maintenance dialysis population dynamics: current trends and long term implications. J Am Soc Nephrol 2002;13:37–40.
Chinese Diabetes Society of Chinese Medical Association. China guideline for diabetes preventions and treatment. Chin J Prevent Control Chron Non-communic Dis (Chin) 2004;6:46–48.
Mogensen CE. Early diabetic renal involvelent and nephropathy. Amsterdam: Elsevier Science Publishers; 1987:306.
Wang Q, Zhu YB, Xue HS, Li S. Primary compiling of constitution in Chinese medicine questionnaire. Chin J Clin Rehabilit (Chin) 2006;10(3):20–22.
Zhu YB, Wang Q, Orikasa Q. Evaluation for reliability and validity of constitution in Chinese medicine questionnaire. Chin J Behav Med Sci (Chin) 2007;16:651.
Mou X, Zhou DY, Zhao JX. Exploration of the research method for Chinese medicine syndrome questionnaire of diabetic nephropathy. China J Tradit Chin Med Pharm (Chin) 2007;22:787.
Zhu YB, Wang Q, Xue HS, Orikasa Q. Preliminary assessment on performance of constitution in Chinese medicine questionnaire. Chin J Clin Rehabilit (Chin) 2006;10(3):15–17.
Wang Q. Three key problems in study of Chinese medicine constitution. J Tradit Chin Med (Chin) 2006;47:329.
Zhao Y, Tong XL, Chen L. Discussion on the relationship between evolvement of β cell function of type 2 diabetes and difference syndroms of TCM. Shandong J Tradit Chin Med (Chin) 2006;25(1):3–5.
Kuang DY. Several problems in study of constitution. J Beijing Univ Tradit Chin Med (Chin) 1986;9:18.
Jing H. Relationship between constitution and Chinese medicine syndrome. J Liaoning Coll Tradit Chin Med (Chin) 1992;6:18.
Song HP. Analysis on constitution and differentiation and treatment of Chinese medicine syndrome. Tradit Chin Med Res (Chin) 1998;11(4):11–14.
Chen JX. Significance of constitution in Chinese medicine diagnosis. Gansu Coll Tradit Chin Med (Chin) 1996;3(1):1.
Wang Q. Chinese medicine constitution. Beijing: China Medical Science Press; 1995:297.