[Distribution characteristics of traditional Chinese medicine syndromes and their elements in people with subhealth fatigue].
OBJECTIVE
To investigate the characteristics of traditional Chinese medicine (TCM) syndromes and their elements in people with subhealth fatigue.


METHODS
The TCM symptoms in line with the diagnostic criteria of subhealth fatigue status were collected by clinical investigations and using information collection form based on TCM four diagnostic methods. Referred to Clinical Guidelines of Chinese Medicine on Subhealth and other related standards, the syndrome type was identified in accordance with clinical symptoms of each patient with subhealth fatigue by two physicians. The data of syndrome differentiation were analyzed by descriptive statistical analysis.


RESULTS
There were 81 syndrome types from 495 cases of subhealth fatigue. There were 24 syndrome types after separation, and the top ten were liver stagnation and spleen deficiency, stagnation of liver qi, hyperactivity of liver fire, disharmony between liver and stomach, damp obstruction due to spleen deficiency, deficiency of both heart and spleen, yin deficiency of liver and kidney, yang deficiency of spleen and kidney, stagnation of gallbladder and disturbance of phlegm, and internal disturbance of phlegm-heat. There were 17 syndrome elements, including seven disease location elements and ten disease nature elements. The disease location elements were liver, spleen, kidney, stomach, heart, gallbladder and lung. The disease nature elements were qi stagnation, qi deficiency, exuberance of fire (heat), damp obstruction, phlegm obstruction, yin deficiency, adverse flow of qi, yang deficiency, blood deficiency, and blood stasis.


CONCLUSIONS
Syndrome types of subhealth fatigue involve in deficiency syndrome, excess syndrome, and mixture of deficiency and excess syndromes. The syndrome elements of disease location involve five zang organs and two fu organs, and the liver and spleen were the most frequently involved organs. The syndrome elements of disease nature involve deficiency and excess. Qi stagnation is most frequently involved in the excess syndrome, and qi deficiency is most frequently involved in the deficiency syndrome.
Wang
Tian-fang
TF
School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. tianfangwang2000@yahoo.com.cn
Wang
Jia-jia
JJ
Xue
Xiao-lin
XL
Han
Ping
P
Zhang
Ya-jing
YJ
Li
Guan-ru
GR
Wu
Xiu-yan
XY
Zhao
Yan
Y
Tang
Li-long
LL
Liu
Yu-yue
YY
Sui
Cong-lu
CL
Fu
Chen
C
Shang
Yong-mei
YM
Zhou
Bo
B
D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care; D005221:Fatigue / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008516:Medicine, Chinese Traditional / Q000379:methods*; D008875:Middle Aged; D055815:Young Adult