[Essentials of the differentiation and standardization of syndromes for male impotence in Xu Fu-song's clinical experience].

OBJECTIVE: To analyze the essentials of the differentiation and standardization of syndromes for male impotence in Xu Fu-song's clinical practice. METHODS: We conducted a randomized survey of 183 cases of male impotence diagnosed and treated at Professor Xu Fu-song's Clinic. We collected the data on the four diagnostic methods of traditional Chinese medicine (TCM), namely, observation, auscultation and olfaction, inquiry, and pulse feeling and palpation, and subjected them to principal component and factor analyses. RESULTS: Eleven common factors were extracted in the principal component and factor analyses, which were in accordance with Xu Fu-song's clinical practice. Based on the results of the analysis of the 11 factors, male impotence is differentiated as 11 syndrome types as follows: damp-heat syndrome, with the manifestations of bitter taste, scrotal moisture, reddish yellow urine, dribbling urination, frequent urination, urgent urination, sticky stool, red tongue, yellow greasy fur, rapid pulse, slippery pulse, and soggy pulse; kidney-yin deficiency syndrome, featured by polyhidrosis of hands and feet, night sweating, cold drink preference, dry mouth, red tongue, less fur, thready pulse, and rapid pulse; liver-qi stagnation syndrome, presented as depression, anxiety, introvert, dark tongue, and stringy pulse; phlegm turbidity syndrome, shown as sticky mouth, phlegmy mouth, throat discomfort, chest congestion, gastric fullness, low sexual desire, white greasy fur, and slippery pulse; kidney-yang deficiency syndrome, manifested as intolerance of cold, mental fatigue, lower abdominal cold, nocturnal enuresis, hot drink preference, pale tongue, and deep pulse; lung and spleen deficiency syndrome, with the presentations of cough, easy cold, spontaneous sweating, nasal stuffiness, pale tongue, and thready pulse; qi stagnation and blood stasis syndrome, characterized by lower abdominal pain, perineal or testicular prolapse, purple tongue, and deep pulse; heart-kidney disharmony syndrome, distinguished by insomnia, gonobolia, premature ejaculation, red tongue, and thready pulse; heart and spleen deficiency syndrome, featured by palpitation, amnesia, pale complexion, pale tongue, and deep pulse; spleen and kidney deficiency syndrome, manifested as dizziness, pale complexion, pale tongue, deep pulse, and thready pulse; lung and kidney deficiency syndrome, characterized by five-center dysphoria, tinnitus, general heaviness, pale tongue, less fur, and thready pulse. CONCLUSIONS: The syndromes of male impotence are regularly differentiated and standardized in Xu Fu-song's clinical practice, each with its core symptoms and typical tongue and pulse manifestations.

The present situation and development tendency of syndrome of traditional Chinese medicine / 中华中医药杂志

The study on syndrome of TCM is a key topic on basic research of TCM. Among the whole system of TCM, the syndrome of TCM is in the core position. It is the bridge which connecting the clinic with the basic theories. This paper has carried on the discussion from the study of syndrome standardization and essence of syndromes. We reviewed and analyzed the present situation of syndrome, and explored the development and tendency of the research on syndrome. The following suggestions have been put forward:extracting the syndrome elements is the precondition and the comparison of diseases and their relevant syndromes is the main idea to establish the standardization of criterion of syndromes in clinical diagnosis. studying the essence of syndrome on the basis of system biology by methods of proteomics and metabolism to explore the scientifi c connotation of TCM syndrome.

Preliminary Establishment of the Quantified Standard of Spleen-stomach Damp-heat Syndrome in Chronic Superficial Gastritis / 广州中医药大学学报

【Objective】 To establish the quantified standard of spleen-stomach damp-heat syndrome(SSDHS) in chronic superficial gastritis(CSG).【Methods】Based on the epidemiological survey,the factors related to SSDHS and non-SSDHS were quantified and scored,and then the quantified standard was set up and used for the degree grading of SSDHS.【Results】The diagnostic threshold value of SSDHS in chronic superficial gastritis was 49 points.The results of retrospective examination showed that the sensitivity,specificity,accuracy and likelihood ratio of qualified SSDHS standard are 90.91%,90.57%,90.72% and 9.64 respectively.The graded criteria of SSDHS were as follows:49～57 points for the mild syndrome,58～65 points for the moderate syndrome,and over 65 points for the severe syndrome.【Conclusion】It is indicated that the qualified SSDHS standard in chronic superficial gastritis is practical for its preciseness and rationality,and is worth of further study.