Clinical Research on the Syndrome Type in TCM of Severe Craniocerebral Trauma in Acute Stage and Combined Treatment of TCM and Western Medicine

Objective To explore the syndrome type in TCM of severe craniocerebral trauma in acute stage, the mechanism and the clinical curative effect of combined treatment of TCM and western medicine. Methods The 120 patients are randomly divided into treatment group and control group. The 59 patients in control group are treatmented with western medicine synthesize method. At the same time, to differentiated and analyzed the syndrome type in TCM with the theories of TCM. The 61 patients in treatment group are treated with combined TCM and western medicine. Then analyses the syndrome type in TCM and comparisons are made between these two groups in wide awake time, complications and GOS. Results It exists Shi-type and Debility type in the TCM syndrome type of the severe craniocerebral trauma in acute stage. Among them, Shi-type includes Brain Spirit Impassabiliry, Blood Stasis Stagnate Brain, Phlegm and Stasis Stagnate Brain, Phlegm-hot Stagnate Brain, Phlegm-stasis Stagnate Brain Merge Hot Stagnate Bowel; Debility type includes Vitality of Brain Lose, Vitality of Heart-Spleen Deficiency, Vitality of Kidney Deficiency. The mortality of treatment group and control group was 16.39% and 27.12% (P0.01). The recovery of consciousness in treatment group were statistically shorter than that in control group, and the complication occurrence rate were also statistically lower than control group while increases GOS. Conclusion There are four Shi types and three Debility types in the severe craniocerebral trauma in acute stage. Application combined treatment of TCM and western medicine can significantly reduce motaliry and improve therapeutic effect.