Objective

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To explore the distribution patterns of traditional Chinese medicine （TCM） syndromes in elderly sarcopenia patients in communities of Pudong New area， Shanghai.

Methods

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From May to October 2023， elderly sarcopenia patients from four communities in Pudong New area， Shanghai， were selected. The TCM syndrome scale for sarcopenia was used to survey the patients. TCM syndrome identification and statistical analysis were conducted by professional TCM orthopedic doctors.

Results

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①A total of 340 sarcopenia patients were included. Over 40% of the patients showed symptoms such as white tongue coating （86.5%）， tooth loss （75.9%）， thick tongue coating （61.2%）， blurred vision （55.9%）， preference for hot drinks （53.5%）， fatigue （46.8%）， a swollen tongue （43.8%）， a red tongue （43.5%）， and soreness in both knees （40.9%）. ②The main TCM syndromes included spleen and kidney yang deficiency syndrome （26.8%）， spleen and kidney qi deficiency syndrome （18.2%）， kidney yang deficiency syndrome （12.7%）， kidney qi deficiency syndrome （6.8%）， spleen qi deficiency syndrome （6.5%）， and kidney yin deficiency syndrome （5.6%）. The majority of diagnoses were deficiency syndromes （95.1%）， with few cases of mixed or excess syndromes. ③Cluster analysis showed five distinct syndrome categories for sarcopenia： spleen and kidney yang deficiency syndrome， kidney essence insufficiency syndrome， lung and spleen qi deficiency syndrome， liver and kidney yin deficiency syndrome， and liver and gallbladder damp-heat syndrome.

Conclusions

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Spleen and kidney deficiency syndrome is the basic syndrome， whereas lung and spleen qi deficiency syndrome， liver and kidney yin deficiency syndrome， and liver and gallbladder damp-heat syndrome are primary ones. In elderly sarcopenia patients in Shanghai communities， deficiency syndromes are predominant with few cases of excess syndromes， and blood stasis syndrome may coexist as a concurrent condition.