ABSTRACT
The pathogenesis of Sjögren's syndrome （SS） was considered to involve external dryness， internal injured essence and blood， yin-deficiency endowment， and abnormal emotion and spirit， and it was believed that SS has the characteristics of dryness and impassability， and the pathogenesis of deficiency-excess in complexity. According to the theory “upper dryness treats qi， and lower dryness treats blood” in YE Gui's monograph “Medical Records for Clinical Guidance”， the dryness was divided into upper dryness and lower dryness syndromes to be differentiated and treated. When treating dryness syndrome， the patient should follow the characteristics of the five zang organs， using soft and cool medicines， avoiding warm and dry medicines， and valuing the animal products. The upper dryness could be treated with Sangxiang Decoction （桑杏汤） to clear the qi and moisten the dryness， Qiaohe Decoction （翘荷汤） to clear the upper with pungent-cool， and Shashen Maidong Decoction （沙参麦冬汤） to nourish yin and promote the production of body fluid. The lower dryness could be treated with Fumai Decoction （复脉汤） to enrich and nourish the five kinds of fluid. Liuwei Dihuang Pill （六味地黄丸） to nourish the kidneys and supplement essence， and Wuren Pill （五仁丸） to moisten the dryness and nourish the blood， which provided a new way of thinking for differentiation of the dryness syndrome.
ABSTRACT
Objective To analyze risk factors of northwest dryness syndrome (NDS) among the patients of metabolic syndrome in Xinjiang Uygur Autonomous Region.Methods Totally 321 cases of metabolic syndrome in Kashgar, Hami and Urumqi were collected to filter 15 variables to calculate OR value and 95% CI, and evaluated by single factor and multi-factor analysis by applying conditional Logistic regression analysis.Results Single factor conditional Logistic regression analysis showed that high fat diet, addiction to hot diet, salty diet, smoking history and hypertension were the risk factors of NDS. The OR values of them were 0.387, 0.071, 0.033, 2.614 and 0.440, respectively (P<0.05). Multi-factor conditional Logistic regression analysis showed that smoking history, alcohol drinking history, high fat diet and hypertension were all entered into regression model. The OR values of them were 3.945, 4.334, 0.370 and 2.142, respectively (P<0.01).Conclusion Patients of metabolic syndrome with a high fat, salty and hot diet are suggested to adjust their diet habit by adding sour food, giving up smoking and drinking, and controlling their blood pressure. It will be helpful for them to adapt local climate and living environment, and reduce the attack rate of NDS.
ABSTRACT
Objective To analyze the correlation between Uyghur metabolic syndrome and northwest dryness syndrome in Kashgar prefecture, Xinjiang. Methods Case-control design was used to include a total of 120 cases from the First People’s Hospital of Kashgar Prefecture, Xinjiang. They were selected as the case group, and 120 cases without diseases of Western medicine were as the control group. The northwest dryness syndrome was statistically analyzed. Results The total integral of northwest dryness syndrome in case group was (11.49±0.89) and that in control group was (5.84±0.81), and the case group was higher than the control group with statistical significance (P<0.01). By comparing various accompanied symptoms, except for the fire & wind dryness syndrome of lung&heart&spleen as well as lung&stomach yin deficiency syndrome, all the other syndromes in case group were higher than those in control group (P<0.01). The attack rate of northwest dryness syndrome in case group was 24.17% (29/120), higher than that in control group (7.50%, 9/120), with significant difference (P<0.01). In the correlation analysis between the state of TCM syndrome and northwest dryness syndrome in case group, spleen yin deficiency syndrome of metabolic syndrome had the strongest correlation with damp accumulation syndrome of northwest dryness syndrome (P<0.01), followed by liver-qi stasis syndrome and heart&kidney yin deficiency syndrome (P<0.01). Conclusion Metabolic syndrome is often concomitant with northwest dryness syndrome in Kashgar prefecture, Xinjiang. Moreover, the severity of clinical symptoms of metabolic syndrome was associated with the state of northwest dryness syndrome, which provides clinical epidemiology basis for developing prevention and cure strategy of metabolic syndrome in Xinjiang from the perspective of“treating the different diseases with the same therapy”.
ABSTRACT
Objective To investigate academic thoughts of physicians in the treatment of dryness syndrome in Jin, Yuan, Ming and Qing Dynasties. [Methods] With learning the ancient medical works, etiology-pathogenesis and principle-method-recipe-medicines of dryness syndrome were analyzed, and characteristic of the treatment of dryness syndrome was summarized. [Results] Liu Wansu summarized that blood exhaustion and body fluid deficiency were the pathology of dryness syndrome, and zang and fu organs and skin dry manifestation were the clinical symptoms, and he proposed 11 prescriptions. Yu Jiayan put forward the name of autumn-dryness disease, summarized clinical characteristics was thirsty. He proposed the rule to treat the dryness syndrome from lung and liver, and also created Qingzao Jiufei decoction to treat the warm and dryness pathogen attacking lung syndrome. Fei Boxiong raised dryness syndrome could be divided into warm dryness and cool dryness, treated from five zang organs, and emphasized the application of harmonization method to mild treatment. Ye Tianshi raised dryness syndrome could be divided into internal injury and exogenous disease, to treat upper dryness from QI and lower from blood based on Wei qi camp blood and Sanjiao syndrome differentiation . Wu Jutong treated autumn-dryness in Sanjiao syndrome differentiation, and pointed out the progression of autumn-dryness could be along upper jiao, middle jiao and lower jiao. He created Xingsu powder, Sangxing decoction and Shashen Maidong decoction. [Conclusion] There were al kinds of innovation of syndrome differentiation and treatment of dryness syndrome in Jin, Yuan, Ming and Qing Dynasties, and it is instructive to diagnosis and treatment for later physician.
ABSTRACT
[Objective] To inquire the national distribution of the Xinjiang residents of Northwest Dryness Syndrome's (NDS) rate.[Methods] To study the national distribution of NDS's rate at Yili,Hami,Urumqi in Xinjiang using the Scale Investigation of NDS.[Results] The NDS's rate of the rural residents has the regulation which Han or Kazakans is higher than Uighur in above the three areas,and the cities have the regulation which Han is higher than Uighur in above the three areas.The NDS's rate has the regulation which the city residents are higher than the rural's.The three nations have no difference.[Conclusion] The NDS's rate of the residents in Xinjiang has the regulation which Hami is higher than Urumqi or Yili in above three areas.Maybe,the national difference of eating habits leads the national difference of the NDS's rate and the living environment difference of urban and rural leads the national difference of the NDS's rate.
ABSTRACT
Objective:To understand the difference of prevalence rate and main symptoms of northwest dryness syndrome(NDS) of the long staying and temporary residents at Xinjiang by comparing the cotton workers in Shihezi come from mainland with inhabitant of Xinjiang,under the environment of NDS.Methods:To design questionnaire according to the Chinese medicine theories and modern epidemiology method,and carry out sampling questionnaire in cotton workers of Shihezi,Hetian,Urumqi,Yili and Leshan,then carry out syndrome differentiation with computation and statistical analysis about NDS.Results:The distributing date,syndromic types and main symptoms scores of NDS in the cotton workers in Shihezi and other areas were obtained from 3658 questionnaires.The highest attack rate of NDS on cotton workers was in Hetian.The attack rate in Sichuan was higher than that in Shizihe(P0.05).The higher scores,symptoms of DNS in Shizihe were the main symptoms of dryness syndrome,but the higher scores,symptoms of NDS in Hetian,Yili and Urumqi were the characteristic symptoms.The external-dryness score of cotton workers in Shihezi was obviously higher than that in other areas(P
ABSTRACT
Hypertension is one of the high prevalence diseases in Xinjiang,which severely affect the body-mind heath of the people.In Northwest area,particularly in xinjiang,dryness syndrome is prevailed owing to environmental factor.Therefore,dryness syndrome of climacteric hypertension in xinjiang is more prevalent than that in other areas.Discussion on the effect of environmental factors on climacteric hypertension is a main aspect of Northwest dryness syndrome study.It may provide reliable and helpful basis of prevention and treatment of climacteric hypertension in xinjiang.