Dissertation
Dissertation > Medicine, health > Chinese Medicine > Chinese medicine practitioners of other disciplines > TCM neurology and psychiatry

Syndrome of observation of 88 cases of narcolepsy patients

Author DongCongCong
Tutor WangShaoJie
School Beijing University of Traditional Chinese Medicine
Course Chinese medicine
Keywords Narcolepsy Sleepiness Syndromes
CLC R277.7
Type Master's thesis
Year 2008
Downloads 102
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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 .

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