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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (8): 724-727.doi: 10.3736/jcim20090804

• Original Clinical Research • Previous Articles     Next Articles

Study of syndrome differentiation factor of gouty arthritis with blood stasis syndrome based on connection number

Bin Lia,Rong Xua,Fu-lun Lia,Ke-qin Zhaob,Ming Zhanga,XU Zheng-cheng Xua   

  1. a Department 〇£ Dermatology, Yueyang Hospital 〇£ Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;
    b Institute of Zhuji Connection Mathematics,Zhuji 311811,Zhejiang Province,China
  • Received:2009-03-03 Accepted:2009-06-04 Online:2009-08-20 Published:2009-08-15
  • Contact: Bin Li E-mail:drlibin88@yahoo.com.cn

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Objective

To find the related syndrome factors of gouty arthritis with blood stasis syndrome by mathematical methods of set pair analysis and connection number so as to guide the diagnosis.Methods: Seventy gouty arthritis patients diagnosed with blood stasis syndrome were analyzed according to priority by the method of connection number. Syndrome factors of gouty arthritis with blood stasis syndrome were selected according to the numerical values of dialectics connection value (DCV).
Results

In the nine observed items, the DCVs of five syndrome factors were above 0.5. These five factors were pain (0.858 0), sublingual varices and positive signs (varices and dark purple color) for palatal mucosa (0.773 1), tophus (0.723 0), varicose veins and telangiectasis (0.700 9), and squamous and dry skin (0.612 3). The DCVs of the other factors were below 0.5.
Conclusion

The main factor 1 is pain; factor 2 is sublingual varices and positive signs (varices and dark purple color) for palatal mucosa; factor 3 is tophus; factor 4 is varicose veins and telangiectasis; factor 5 is dry skin. The others are secondary factors.

Key words: Gouty arthritis, Syndrome differentiation, Blood stasis, Syndrome factor, Set pair analysis, Connection number

Table 1

Frequency of each blood stasis syndrome factor"

Code name Syndrome factor Cases Frequency （%）
Y1 Cyanotic or petechial tongue 27 38.6
Y2 Sublingual varices and positive signs (varices and dark purple color) for palatal mucosa 44 62.9
Y3 Varicose veins and telangiectasis 33 47.1
Y4 Cyanotic lips and fingers, purple black face, lips, gum and periorbital area of eyes 33 47.1
Y5 Melena, skin petechiae and abdominal ascites 15 21.5
Y6 Squamous and dry skin 28 40
Y7 Pain 49 70
Y8 Menstrual pain, black blood and cruores, and hypogastrium spasm 0 0
Y9 Visceral nodes, neoformation, and hyperblastosis 4 5.7
Y10 Tophus 24 34.3

Table 2

Constituent ratio of 2-10 blood stasis syndrome factors"

Code name Cases YQ (%)
X2 18 25.7
X3 21 30.0
X4 22 31.4
X5 8 11.4
X6 1 1.4
X7-10 0 0

Table 3

Case distribution of 2–10 indicators in each blood stasis syndrome factor"

Code name Y1 Y2 Y3 Y4 Y5 Y6 Y7 Y8 Y9 Y10
X2 0 6 6 7 1 5 11 0 0 5
X3 9 14 11 6 2 7 14 0 1 6
X4 10 18 11 12 8 12 16 0 1 8
X5 8 5 4 7 4 4 7 0 2 4
X6 0 1 1 1 0 0 1 0 0 1
X7-10 0 0 0 0 0 0 0 0 0 0
Total 27 44 33 33 15 28 49 0 4 24

Table 4

Constituent ratio and rank of 2-6 indicators in each blood stasis syndrome factor"

Code name Yxq1 Yxq2 Yxq3 Yxq4 Yxq5 Yxq6 Yxq7 Yxq8 Yxq9 Yxq10 YQ
X2 0④ 13.6%③ 18.2%③ 21.2%②③ 6.7%④ 17.9%③ 22.4%③ 0 0③④ 20.8%③ 25.7%③
X3 33.3%② 31.8%② 33.3%①② 18.2%④ 13.3%③ 25.0%② 28.6%② 0 25.0%②③ 25.0%② 30.0%②
X4 37.0%① 40.9%① 33.3%①② 36.4%① 53.3%① 42.9%① 32.7%① 0 25.0%②③ 33.3%① 31.4%①
X5 29.6%③ 11.3%④ 12.1%④ 21.2%②③ 26.7%② 14.3%④ 14.3④ 0 50.0%① 16.7%④ 11.4%④
X6 0④ 2.2%⑤ 3.0%⑤ 3.0%⑤ 0⑤ 0⑤ 2.0%⑤ 0 0③④ 4.2%⑤ 1.4%⑤

Table 5

Same-indefinite-contrary connection number of YQ and Yxqt and it's DCV"

Code name μQxqt DCV Sort by DCV Sort by factor
Y1 21/70 9/27+22/70 10/27+0/27 1/70+8/70
Y2 0.773 1+0i+0j+0k+0l 0.773 1 2 Main factor 2
Y3 0.608 7+0.184 3i+0j+0k+0l 0.700 9 4 Main factor 4
Y4 0.349 8+0.136 4i+0.175 1j+0k+0l 0.418 0 6 Secondary factor
Y5 0.117 9+0.140 7i+0.085 7j+0k+0l 0.188 3 8 Secondary factor
Y6 0.612 3+0i+0j+0k+0l 0.612 3 5 Main factor 5
Y7 0.858 0+0i+0j+0k+0l 0.858 0 1 Main factor 1
Y8 No cases
Y9 0.083 4+0.167i+0.083 4j+0.045 7k+0l 0.144 1 9 Secondary factor
Y10 0.723 0+0i+0j+0k+0l 0.723 0 3 Main factor 3
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