title: Relationship between Chinese medicine pattern types, clinical severity, and prognosis in patients with acute cerebral infarct.
abstract: We investigated the relationship between Chinese medicine pattern (CMP) types, their severity, and prognosis in patients (n = 187) with acute cerebral infarct (ACI). Six CMPs (wind, phlegm, fire-heat, blood stasis, qi deficiency, and yin deficiency and yang hyperactivity) were evaluated according to inspection, listening and smelling, inquiry, and palpitation. The severity and prognosis of each pattern type was determined according to the Glasgow Coma Scale (GCS), Modified Rankin Scale (MRS), National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), and Functional Independence Measure (FIM), recorded at stroke onset and 12 weeks after stroke onset. The phlegm pattern (PP) patients displayed lower GCS, BI, and FIM scales scores, and higher MRS and NIHSS scales scores, than the nonphlegm pattern (N-PP) patients at, and 12 weeks after stroke onset, suggesting the clinical severity is greater and the prognosis is worse in PP patients with ACI than in non-PP patients with ACI.
authors.affiliation: Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Mao-chi
authors.initials: MC
authors.lastname: Jhong
authors.forename: Nou-Ying
authors.initials: NY
authors.lastname: Tang
authors.forename: Chung-Hsiang
authors.initials: CH
authors.lastname: Liu
authors.forename: Wei-Hsih
authors.initials: WH
authors.lastname: Huang
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Hsu
authors.forename: Yen-Liang
authors.initials: YL
authors.lastname: Liu
authors.forename: Tsai-Chung
authors.initials: TC
authors.lastname: Li
authors.forename: Ching-Liang
authors.initials: CL
authors.lastname: Hsieh
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D020520:Brain Infarction / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008516:Medicine, Chinese Traditional / Q000379:methods*; D008875:Middle Aged; D011379:Prognosis; D012720:Severity of Illness Index
keywords: Pattern type of Chinese medicine; acute cerebral infarct; prognosis; severity