Syndrome of observation of 88 cases of narcolepsy patients
|School||Beijing University of Traditional Chinese Medicine|
|Keywords||Narcolepsy Sleepiness Syndromes|
Objective: statistical analysis of our hospital , 88 cases of narcolepsy patients with TCM characteristics, so as to provide a scientific basis for future clinical syndrome differentiation . Method : the case selection criteria included in the cases of narcolepsy Syndromes Observation table fill . Record clinical data and Chinese clinics have symptom data analysis . Qualitative indicators of the frequency table , percentage or constitute more than describe . Initial explore type of attack narcolepsy TCM . Results: 88 patients have episodes of irresistible sleepiness , more than occurred in the case of patients with resting , sometimes movement or attack while driving ; 63 patients a day at least episode 1 , 21 patients a week at least episode 1 onset time of different lengths , short , less than 10 minutes , more than half an hour long . All patients are self drowsiness than other ordinary people . 73 patients with myasthenia gravis occurrence can be laughing , excited , angry , sports , exercise , tense , frightened attack , attack site in the knee leg , arm and shoulder and neck , the attack time is mostly less than 10 seconds , seriously when accompanied by cataplexy ( 38 cases ) or convulsions ( two cases ) . The sleep hallucinations (29 patients ) and sleep paralysis (27 ) attack was relatively small. Dialectical analysis of the 88 cases of narcolepsy patients classified as Class 7 card type . Spleen wet storm certificate for the major syndromes ( 53 cases ) , and the remainder to the hot and humid and spleen -type (n = 9 ) , Spleen liver Wang ( eight cases ) , spleen and kidney ( four cases ) , phlegm Mongolia orifices ( 6 cases ) , the stasis brain orifices ( 4 cases ) , heat lamps sputum interference ( five cases ) . Conclusions : ( 1 ) excessive daytime sleepiness , muscle weakness ( cataplexy ) , sleep paralysis , and before going to sleep hallucinations typical characteristic symptoms of the disease , part of the core symptoms , can be used to diagnose the disease . ( 2) of this disease as the vacuity of the virtual spleen involving the renal spleen deficiency can cause the performance of the standard real qi stagnation , phlegm , damp, phlegm, blood stasis , involving organs mainly spleen , liver , kidneys, gall bladder , brain .