A comparative study on the clinical differences in traditional Chinese medicine pattern in ulcerative colitis utilizing multidimensional data - Report - MDSpire
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A comparative study on the clinical differences in traditional Chinese medicine pattern in ulcerative colitis utilizing multidimensional data
Clinical Report: A Comparative Analysis of Clinical Variations in TCM Patterns for UC
Overview
This study investigates the clinical differences between two Traditional Chinese Medicine (TCM) patterns in ulcerative colitis (UC): dampness-heat in the large intestine (DCSR) and spleen deficiency with dampness accumulation (PXSY).
Background
Ulcerative Colitis (UC) is a chronic autoimmune disease with rising incidence, particularly in Asia. Traditional Chinese Medicine (TCM) employs pattern differentiation as a therapeutic approach.
Data Highlights
Parameter
DCSR Pattern
PXSY Pattern
Neutrophil-to-lymphocyte ratio
Higher (β = 1.602, adjusted-p < 0.006)
Lower
Platelet-to-lymphocyte ratio
Higher (β = 75.851, adjusted-p < 0.006)
Lower
Neutrophil-to-albumin ratio
Higher (β = 0.044, adjusted-p < 0.006)
Lower
Ulcer formation
OR = 2.429 (95% CI: 1.209–4.880, p = 0.013)
Not specified
Histological damage (RHI scores)
Higher
Lower
Key Findings
Patients with DCSR pattern showed significantly higher inflammatory markers compared to PXSY.
DCSR patients exhibited more severe endoscopic inflammation with higher scores.
Ulcer formation was identified as an independent differentiating factor between DCSR and PXSY patterns.
Histological analysis revealed more severe mucosal damage in the DCSR group.
Higher expression levels of NOX2, CD11b, and NETs were observed in DCSR patients.
Clinical Implications
Understanding these patterns may enhance the management of UC.
Conclusion
The study highlights significant clinical differences between the DCSR and PXSY patterns in UC.