The relationship between Yin-Yang pattern and several disease severity scoring systems in shock patients

Background/Purpose. To propose a diagnostic criterion based on yin and yang patterns in shock patients and to compare these patterns with the LOD, APACHE II, and APACHE III severity scoring systems. Methods. The study group comprised 116 shock patients recruited from the medical intensive care unit of the Far Eastern Memorial Hospital in Taiwan. The yin-yang patterns and severity scoring systems (LOD, APACHE II, APACHE III) were simultaneously recorded in order to analyze their correlation. Results. Low LOD scores corresponded with the yin-yang mixed pattern; moderate LOD scores correlated with a yang pattern; and high LOD scores were associated with a yin pattern. Low APACHE II and APACHE III scores corresponded with a yang pattern; moderate APACHE II and APACHE III scores correlated with a yin-yang mixed pattern; and high APACHE II and APACHE III scores were associated with a yin pattern. The yin pattern corresponded with greater severity of illness than the yang pattern in all severity scoring systems. The kidney function parameters, including BUN, creatinine, and urine output, correspond with the yin-yang pattern identification. Conclusion. The yin-yang pattern correspond with the LOD, APACHE II, and APACHE III severity scoring systems.