[Distribution characteristics of common syndrome types and syndrome elements extracted by experts' experience in perimenopausal and postmenopausal women].
OBJECTIVE
To compare the distribution characteristics of common syndrome types and syndrome elements of menopause syndrome in perimenopausal and postmenopausal women on the basis of standardized syndrome differentiation extracted by experts' experiences.


METHODS
A total of 1 582 outpatients with menopause syndrome who met with the diagnosis and inclusion criteria in seven grade 3 hospitals from October 2006 to June 2007 were included. A clinical epidemiological survey in the patients was carried out. The syndrome elements of disease location and characteristics were extracted and analyzed statistically by standardizing the syndrome differentiation of experts' experience in traditional Chinese medicine.


RESULTS
There were 105 syndrome types after initial standardization, and the common syndrome types were kidney yin deficiency, deficiency of liver and kidney yin, stagnation of liver qi, and deficiency of both kidney yin and yang. Six syndrome elements of the disease location were extracted, among which the common elements were kidney, liver, spleen and heart. Seventeen syndrome elements of the disease characteristics were extracted, among which the common elements were yin deficiency, qi stagnation, qi deficiency, yang deficiency and deficiency. Syndrome types of stagnation of liver qi, deficiency of spleen and kidney, and qi stagnation were more frequently diagnosed during perimenopausal period, while the syndrome type of kidney yin deficiency was more frequently diagnosed during postmenopausal period, and the kidney was the main disease location. The distribution characteristics of the other syndrome types and elements were similar during the two periods.


CONCLUSIONS
The syndrome type distribution in women with menopause syndrome is complex, while the syndrome element distribution is simple. Generally, the syndrome type and syndrome element distributions during perimenopausal and postmenopausal periods are similar, but there are significant differences in some syndrome types and syndrome elements between the two periods. All of these can give support for revealing the distribution rule of the common syndrome types and syndrome elements and give a theoretical basis for clinical treatment of menopause syndrome.
Xin
Yi
Y
Huilongguan Community Health Service Center, Changping District, Beijing 100096, China.
Wang
Tian-Fang
TF
Du
Cai-Feng
CF
Li
Li
L
Ren
Jie
J
Jin
Zhe
Z
Zhao
Hong
H
Jing
Yan
Y
Zou
Xiao-Juan
XJ
Liu
Hong-Qi
HQ
Chen
Ying
Y
Wang
Li-Na
LN
Liu
Rui-Fen
RF
Wang
Qing-Guo
QG
D002979:Climacteric / Q000502:physiology; D003937:Diagnosis, Differential; D005104:Expert Testimony / Q000379:methods*; D005260:Female; D006801:Humans; D008516:Medicine, Chinese Traditional / Q000592:standards*; D008875:Middle Aged; D047648:Perimenopause / Q000187:drug effects / Q000502:physiology*; D017698:Postmenopause / Q000187:drug effects / Q000502:physiology*; D016710:Yin Deficiency / Q000175:diagnosis