Abstract:

Objective

To analyze the distribution patterns of pathogenesis syndrome elements in patients with vertigo， based on the principles of syndrome differentiation and diagnosis.

Methods

Retrospective collection of questionnaire survey data from 235 patients with vertigo in the Department of Cerebrology of Jiangyin Traditional Chinese Medicine Hospital from March 2021 to March 2023 was conducted. χ² tests were utilized for statistical analysis of the distribution of pathogenesis and syndrome elements across different age and gender groups， and the patterns of disease location and syndrome element combinations were examined.

Results

The frequency of syndrome elements in pathogenesis appeared in the following frequency: yin deficiency （25.96%）， blood stasis （16.60%）， phlegm turbidity （16.60%）， qi deficiency（13.62%）， blood deficiency （10.64%）， wind （6.81%）， hyperactivity of yang （5.11%）， fire （2.89%）， and qi stagnation （1.70%）. There were no significant differences in the rates of yin deficiency， phlegm turbidity， qi deficiency， blood deficiency， wind， hyperactivity of yang， fire， and qi stagnation between the younger group and the middle-aged and elderly group （P＞0.05）. However， the rate of blood stasis in the young group was significantly lower than that in the middle-aged and elderly group （5.38% vs 23.94%， χ²=13.996， P＜0.001）.The rates of yin deficiency， blood stasis， phlegm turbidity， qi deficiency， blood deficiency， wind， hyperactivity of yang， fire， and qi stagnation in men were not statistically significant compared with those in women （P＞0.05）. The frequency of disease location syndrome elements is kidney （45.66%）， spleen （21.39%）， liver （19.65%），gallbladder （6.94%）， heart （2.89%）， stomach （2.31%）， and lung （1.16%） in turn. The combination of syndrome elements mainly focuses on the combination of two syndrome elements and three syndrome elements. The first three syndromes are single pathogenesis syndrome element+single target （40.85%）， two pathogenesis syndrome elements （21.70%） and single syndrome element+two target （17.87%） in turn.

Conclusion

The pathogenesis syndrome elements of vertigo are mainly yin deficiency， blood stasis， phlegm turbidity， and qi deficiency， and the disease location syndrome elements are mainly kidney， spleen and liver. Dual and triple syndrome element combinations are the most frequent， and blood stasis is more prevalent in middle-aged and elderly patients.

Key words: Dizziness, Syndrome differentiation and diagnosis scale of vertigo, Pathogenesis syndrome elements, Syndrome elements of disease location, Syndrome element combination