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Study on distribution characteristics of traditional Chinese medicine syndrome types in recurrent abortion based on syndrome element analysis
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DOI   10.11656/j.issn.1672-1519.2023.06.04
Key Words   recurrent abortion;traditional Chinese medicine;syndrome element;syndrome type
Author NameAffiliationE-mail
LIN Kaili Department of Gynecology, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
GUO Jie Department of Gynecology, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
ZHANG Wei Department of Gynecology, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
SONG Dianrong Department of Gynecology, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China songdr58@126.com 
Abstract
    [Objective] To explore the distribution characteristics of recurrent abortion (RSA) syndromes based on syndrome element analysis. [Methods] Patients with RSA who met the inclusion criteria in the department of Gynecology of our hospital from September, 2019 to March,2021 were selected as research objects,and their disease locations and syndrome elements were studied by syndrome differentiation method,and cluster analysis was conducted. [Results] A total of 329 patients with RSA were included. The main syndrome elements of RSA are kidney,cell palace,liver and spleen. 21≤age<28 years old,28≤age<35 years old,35≤age<42 years old RSA patients were the most important site syndrome elements were kidney;Kidney was also the most important syndrome element in RSA patients with two abortions. In the patients with 3 abortions and >3 RSA,the most important syndromes were cell palace. The main syndromes of RSA are qi deficiency,blood stasis,dampness,yang deficiency,heat,qi stagnation and blood deficiency. The age and the number of abortion were different,and the pathogenesis was changed. The main pathogenesis was heat in RSA patients aged 21≤age< 28 years. Dampness was the main pathogenic factor in RSA patients aged 28≤age<35 years;Qi deficiency was the main symptom of RSA patients aged 35≤age<42 years. Qi deficiency was the main symptom of RSA patients with two abortions. Blood stasis was the main pathogenic factor in patients with 3 abortions and >3 RSA. [Conclusion] The traditional Chinese medicine syndromes of RSA include kidney deficiency syndrome,dampness-heat stasis syndrome,spleen and kidney yang deficiency syndrome,liver qi stagnation syndrome, qi and blood deficiency syndrome. Its main disease sites are kidney,cell palace,liver,spleen. With the increase of the number of abortion,the position of the disease was mainly in the cell palace,which had nothing to do with age. The main diseases of RSA are qi deficiency,blood stasis,dampness,yang deficiency,heat,qi stagnation and blood deficiency. The etiology varies by age. Heat is the main cause of RSA between 21 and 28 years old,dampness is the main cause of RSA between 28 and 35 years old and qi deficiency is the main cause of RSA between 35 and 42 years old. With the increase of abortion,blood stasis becomes the main cause of RSA in all ages.

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