| Objective:Under the guidance of TCM basic theory,this paper conducted a cross-sectional investigation on the TCM constitution of Thai type 2 diabetes population through the comparison between TCM constitution theory and TTM constitution theory and the application of Classification and Determination Table of TCM Constitution,which belongs to the research field of endocrine system diseases in internal medicine of TCM.This study consists of two parts.One is to summarize and compare the description and definition of constitution between TCM and TTM by retrieving and combing the ancient books and modern and contemporary literatures of TCM constitution theory and TTM constitution theory;The other is to conduct an epidemiological investigation on Thai type 2diabetes population through the application of existing Classification and Determination Table of TCM Constitution.According to the investigation results,the characteristics of TCM Constitution of Thai type 2 diabetes were analyzed.Meanwhile,the differential analysis of the characteristics of TCM Constitution among different groups of people were performed.This study is a cross-sectional investigation on the TCM constitution of Thai type 2 diabetes population based on the comparison between TCM constitution theory and TTM constitution theory and the application of existing Classification and Determination Table of TCM Constitution.The sample analysis of the impact of TCM constitution on Thai type 2 diabetes population contributes to the international development of TCM constitution.The preliminary exploration of the TCM constitution elements and characteristics of Thai type 2 diabetes population will provide a basis for TCM interventions,provide more effective clinical prevention of the disease,and provide a solid foundation for future TCM and TTM health management and preventative treatment services by TCM and TTM.Methods:For part I of the study,we first used CNKI,Chinese Science and Technology Periodicals Database,Chinese Medical Code,Thai Journal Online(Thai JO)and Wanfang Database to analyze the theoretical origin,concept,development,maturity,and classification of the TCM constitution theory.Then we sorted out the constitution-related theories of ancient doctors from the Yellow Emperor’s Internal Canon of Medicine to the Ming and Qing Dynasties and the literatures related to the TCM constitution in modern medical research in recent years.After that,the retrieved articles were entered into Microsoft Excel and Microsoft Word forms as required.Finally,we analyzed and compared the similarities and differences of the constitution classification between ancient(modern and contemporary)TCM doctors and ancient(modern and contemporary)TTM doctors,with a view to providing theoretical reference for the standardization of the TCM and TTM constitution classification.For part II,a cross-sectional investigation was performed.In strict accordance with the case inclusion and exclusion criteria,the selected study subjects should meet the following requirements.From January 2021 to July 2021,the 18-25-year-old subjects lived in the outpatient and inpatient departments of TCM,Public Health Service Center,Roi Et,Thailand;or Hua Laem Community and Don Thabuang Community,Nakhon Ratchasima,Thailand.They were clearly diagnosed as type 2 diabetes and treated in outpatient and inpatient departments of western medicine and TCM.Also,they should have complete clinical data.A total of 424 cases were considered as samples for investigation,including general conditions,risk factors,TCM constitution,TCM syndrome types,and the section to be completed by the investigator.Finally,Microsoft Excel was used to perform the relevant data statistics and build the database related to this study.After the records were entered and transferred into IBM SPSS Statistics 23 software,the differences in the composition ratios of the constitution groups were compared by usingχ2(chi-square),Kruskal-Wallis,and Pearsonχ~2 tests,so as to analyze factors influencing TCM constitution.Results:For part I:There are great similarities and differences in the medical thoughts and styles of traditional medicine between China and Thailand due to the differences in regional and human development.The analysis of the similarities and differences between TCM and TTM can further explore the similarities that can be intertwined between the two countries,and this study will play an important role in the progress of TCM.The individual constitution differences as a complex medical doctrine have been a hot topic in medicine since ancient times.To date,there are many studies that offer different perspectives on constitution differences,and many classical theories and academic ideas continue to serve as important references and guides for modern medicine.The innovative point of this study is to compare the differences between the ideas and styles of TCM and TTM in terms of constitution,and to explore in depth the blended ideas in traditional medicine of the two countries,so as to form a complementary effect and contribute to the progress and development of TCM and TTM in the future.For Part I I:The results of this study showed(P<0.05 for all)as follows.(1)Gender distribution:Of the 424 subjects,41.04%were male;58.96%were female.(2)Age distribution:The age of the subjects was up to 65years old,at least 20 years old,and the largest number of cases in age distribution was"46-55 years old",accounting for 48.58%.(3)Blood type distribution:The largest number of cases in blood type distribution was"O type",accounting for 44.81%.(4)BMI distribution:The largest number of cases in BMI distribution was"high BMI",accounting for 55.42%.(5)Distribution of residence type:The largest number of cases in distribution of residence type was"rural",accounting for 79.25%.(6)Distribution of educational attainment:The most cases of educational attainment distribution were“bachelor degree and above”,accounting for 39.86%.(7)Occupational distribution:The largest number of occupational distribution cases was"farmer",accounting for 26.93%.(8)Distribution of occupational type:The most cases of distribution of occupational type were"both manual workers and mental workers",accounting for 56.37%.(9)Shift distribution:the largest number of cases in the shift distribution is"no shift",accounting for 82.08%.(10)Distribution of night shift:The highest number of cases in the distribution of night shifts was"not night shift",about 94.34%.(11)Family history of diabetes:The most cases of family history of diabetes were"having family history of diabetes",accounting for 61.56%.(12)Distribution of disease duration:The largest number of cases was"3-4 years",accounting for 42.92%.(13)Distribution of diagnosis and treatment:100%of the patients received medical diagnosis and treatment and had regular visits.(14)Distribution of patients’control of blood glucose:The results showed that 53.54%of patients had poor control of blood glucose(not reach the standard).(15)Distribution of patients’knowledge of type 2 diabetes and diabetic complications:The results of this study showed that 63%were"not understand very well".(16)Distribution of concomitant disease:The results showed that there were more concomitant hypertension,hyperlipidemia and peripheral neuropathy.(17)Taste distribution:The largest number of cases in taste distribution was"loving sweets(sweet food)",accounting for 41.9%.(18)Distribution of diet type:The largest number of cases of diet type distribution is"loving fried food",accounting for32.5%.(19)Distribution of alcohol consumption:The largest number of cases was"no alcohol",about 60.61%.(20)Smoking distribution:The largest number of cases of smoking distribution was"non-smoking",accounting for 75.71%.(21)Physical exercise:The largest number of cases of physical exercise was"no exercise",accounting for 71.93%.(22)Sleep distribution:The largest number of cases of sleep distribution was"not staying up late",accounting for 78.30%.(23)Distribution of sleep time:The most cases were in"9to 10 o’clock",accounting for 45.52%.(24)Distribution of sleep duration:The most cases were"5 to 6 hours",accounting for 54.72%.(25)Distribution of personality and mental state:The most cases of distribution of personality and mental state were"peaceful and cheerful",accounting for 54.7%.(26)Constitution distribution:The largest number of cases was"constitution with Yin-deficiency",accounting for 30.2%.(27)Distribution of syndrome type:The largest number of cases was"deficiency of Qi and Yin Syndrome",accounting for 39.7%.Conclusion:1.Based on the literature search of this study,there are many studies that present different views on constitution theory,and many classical theories and academic ideas still play an important reference as well as guiding role in modern medicine.The innovative point of this study is to compare the differences between the ideas and styles of TCM and TTM in terms of constitution,and to explore in depth the interacted ideas in traditional medicine of the two countries,so as to form a complementary effect and contribute to the progress and development of TCM and TTM in the future.2.A summary of the TCM constitution of type 2 diabetes in Roi Et and Nakhon Ratchasima of Thailand,showed that the residents of the two places were more susceptible to damp-heat constitution,constitution with Yin-deficiency,Qi-insufficiency constitution and normal constitution.3.For type 2 diabetes patients in Nakhon Ratchasima and Roi Et of Thailand,the susceptibility syndromes with high incidence were summarized as follows:deficiency of Qi and Yin syndrome,phlegm-heat syndrome,syndrome of consumption of fluid due to intense heat,Qi Yin deficiency with phlegm-turbidity Syndrome,and Yin deficiency of liver and kidney syndrome.4.Factors influencing the biased constitution of type 2 diabetes patients included BMI,education,gender,and diet and age.At the same time,the risk factors for Qi deficiency constitution were high school degree,as well as above Bachelor degree and below high school diploma,and its protective factor was male in terms of gender.In terms of diet,the high-risk factors were spicy and sweet eating habits,while BMI was the protective factor.Finally,the risk factor for blood stasis constitution was age. |
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