纳入标准:
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干燥综合征2012年ACR分类(诊断)标准
具有SS相关症状/体征的患者,以下3项客观检查满足2项或2项以上,可诊断为SS
1.血清抗SSA和(或)抗SSB抗体(+),或类风湿因子阳性同时伴ANA≧1:320
2.唇腺病理示淋巴细胞灶≧1个/4mm2(4mm2组织内至少有50个淋巴细胞聚集
3.干燥性角结膜炎OSS(ocular staining score):染色评分≧3(患者当前未因青光眼而日常使用滴眼液,且近5年内无角膜手术及眼脸整形手术史)
必须除外:颈头面部放疗史,丙型肝炎病毒感染,艾滋病,结节病,淀粉样变,移植物抗宿主病,IgG4相关性疾病。
中医辨证标准
根据原发性干燥综合征的病变特点及润燥饮补气生津、滋阴润燥,标本兼顾的功能特点,选择气虚津亏证作为观察证型(参照《中药新药临床研究指导原则》及卫生部《中医证候分型标准》制定)。
主要症状:口干咽燥,眼干,倦怠乏力,舌象异常(舌质鲜红少津,裂纹,少苔或无苔,或舌体胖大)。
次要症状:饮水频数、皮肤干燥、鼻腔干燥;视物模糊、纳呆,食后腹胀、排便无力,大便大便异常,或干或溏。
脉象:沉细无力。
舌象:除光红干裂外,或舌体胖,或紫暗或瘀斑。
具备主症4项;或主症2项加次症2项以上,即可诊断。
符合2012年ACR干燥综合征(诊断)标准及及2002年原发性干燥综合征诊断标准,受试者具有脾气虚及干燥的临床表现,即可诊断为pSS气虚津亏证。
病例纳入标准
1)患者年龄在18—75周岁;
2)符合上述西医诊断标准的原发性干燥综合征;
3)符合上述中医辨证分型标准原发性干燥综合征;
4)知情并签署知情同意书;
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Inclusion criteria
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Patients with SS-related symptoms/signs can be diagnosed as SS if the following 3 objective tests meet 2 or more items
1. Serum anti-SSA and (or) anti-SSB antibody (+), or rheumatoid factor positive with ANA >=1:320;
2. The pathology of the labial glands showed lymphocyte foci >=1/4mm2 (at least 50 lymphocytes gathered in the 4mm2 tissue;
3. OSS (ocular staining score) for keratoconjunctivitis sicca: Staining score >=3 (the patient is not currently using eye drops due to glaucoma, and there is no history of corneal surgery and eye and face plastic surgery in the past 5 years);
Must be excluded: history of cervical, head and face radiotherapy, hepatitis C virus infection, AIDS, sarcoidosis, amyloidosis, graft versus host disease, IgG4-related diseases.
TCM syndrome differentiation standard
According to the pathological characteristics of primary Sjogrens syndrome and the functional characteristics of Runzao Decoction to invigorate qi, nourish fluid, nourish yin and moisturize dryness, and give consideration to specimens, the syndrome of deficiency of qi and body fluid was selected as the observation syndrome type (refer to "Guiding Principles for Clinical Research of New Chinese Medicines" and hygiene The Ministry of "Traditional Chinese Medicine Syndrome Classification Standards" was formulated).
The main symptoms: dry mouth and throat, dry eyes, fatigue, fatigue, abnormal tongue (tongue is bright red with little fluid, cracked, little or no coating, or tongue is fat and large).
Secondary symptoms: frequency of drinking, dry skin, dry nasal cavity; blurred vision, appetite, abdominal distension after eating, weak bowel movements, abnormal stools, or dry or loose stools.
Pulse condition: Shen thin and weak.
Tongue appearance: Except for light red and chapped, or the tongue is fat, or dark purple or ecchymosis.
It can be diagnosed with 4 main symptoms; or 2 main symptoms plus 2 or more minor symptoms.
In line with the 2012 ACR Sjogrens syndrome (diagnostic) criteria and the 2002 primary Sjogrens syndrome diagnostic criteria, the subject has clinical manifestations of spleen-qi deficiency and dryness, which can be diagnosed as pSS Qi-deficiency syndrome.
Case inclusion criteria
1) Aged 18 to 75 years old;
2) Primary Sjogren's syndrome that meets the above diagnostic criteria of Western medicine;
3) Primary Sjogrens syndrome that meets the above-mentioned TCM syndrome differentiation criteria;
4) Be informed and sign an informed consent form.
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Exclusion criteria:
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Case exclusion criteria
1) Excluding secondary Sjogren's syndrome caused by mixed connective tissue disease, rheumatoid arthritis, and systemic lupus erythematosus;
2) Exclude those who belong to the category of Diabetes in Chinese medicine but do not meet the diagnostic criteria of Western medicine for Sjogrens syndrome;
3) Pregnant or lactating women.
4) People with allergies or allergic to the components of the medicine.
5) Patients with severe primary diseases such as heart, brain, liver, kidney, hematopoietic system, etc.
6) Mental patients.
7) It is suspected that there is a history of alcohol or drug abuse, or other medical history that reduces the possibility of enrollment or complicates enrollment according to the judgment of the investigator, such as frequent changes in the work environment, which may easily cause loss to follow-up.
8) Those who have participated in or are participating in other drug clinical trials within 1 month.
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