Objective:With the " Dynamics-Immobility-Order-Succession and Eight Therapies" thinking method, to get to know the inherent law of occurrence and development of type2diabetes, and what are the etiological factors of the onset of type2diabetes, can it be summarized into which categories, which main etiology is corresponding to the8core pathogenesis, what is the relationship between them, and how do they influence each other? It will get more profound and comprehensive understanding of the TCM etiology of type2diabetes, let the doctor of traditional Chinese medicine for type2diabetes to causes a profound and comprehensive understanding, to provide data and theoretical support for the guide of the clinical syndrome differentiation of traditional Chinese medicine for type2diabetes and the prevention and control work of type2diabetes.MethodsThis research is a cross-sectional study, collecting the patients with type2diabetes from the in-patient department and the ambulant clinic; collecting their demographic data, anthropometric data, history and life habits, environmental and social psychological factors etc. Screening, sorting, data entry, export, create a database for SPSS, using SPSS18.0statistical software to descriptive statistical analysis of data, analyze the pathogeny of the eight card type, using the chi-square statistics and the multi factor Logistic regression analysis for the correlated factors.ResultsThis study collected the data of260cases of type2diabetic patients, including108cases of male (43.1%),152cases (56.9%) of female; the average age is61.07±11.8years old, mostly in the elderly. The main study group of patients are from the Guangdong Province Hospital of TCM, and are the Han in Guangzhou City, and married with children with type2diabetes; patients education level is mainly in scholars by77cases (29.6%),68cases (26.2%) of senior high school or technical secondary school.85cases (32.7%) of occupation for workers, and61cases (23.5%) of the retired or unemployed are the top two. The family per capita monthly income concentrated in the1001-3000yuan is115cases (44.2%),3001-5000yuan is75cases (28.8%).The patients’average BMI was23.90±3.98kg/m2, there are109cases (41.9%) in overweight or obese; the average systolic blood pressure is128.7±13.41mmHg; the mean diastolic blood pressure is73.38±8.56mmHg; the average of heart rate is74.87±9.17/min..Hypertension of the past history is suffering the most, with105cases (40.4%); followed by hyperlipidemia with59cases (22.7%). A family history of first-degree relatives with diabetes is the most, with83cases (31.9%); followed by hypertension with61cases (23.5%). The patients’aberage duration of type2diabetes is7.14±7.67years; with diabetic eye disease (19.6%), diabetic peripheral neuropathy (16.2%). Most patients denied to have the low birth weight.Most patients think that the environment in which they live is without special or dry (65.4%), a part of the patients think the living or working environment is bad with much dust or noise.The patients’staple food in daily food intake is with an average of153.8±93.63g; vegetables for200.25±133.78g; meat for62.28±56.74g; fruit for39.0±61.99g; snacks for6.36±14.28g. The difference for the total food intake each day than the standard diabetes diet is on the average of10.09±13.45components, the carbohydrate difference for every day to eat is on the average of222.05±231.89g; the protein difference is25.82±48.22g; the fat difference is-14.52±32.07g. Most of the patients eat3meals every day in211cases (81.2%). Most patients eat warm food in149cases (57.3%); most patients eat on time in the143cases (55.0%);56.5%of the patients’feeding speed is in general, but there are69cases (26.5%) are eating fast; about half of the patients eat with watching TV or talking habits.Patients with type2diabetes has the average working time length of8.23 ±2.04hours; the average time of the voluntary movement is43.29±49.285minutes, with120(46.15%) cases of exercise time less than30min;51.5%of the patients’modes of exercise is walking. The sleep time length has an average of6.96±1.48hours, the sleep quality for good or better is only29.6%of the patients,with14.6%with poor or very poor sleep quality.Patients with a total of88cases (33.8%) have the Kidney deficiency syndrome; multi factor Logistic regression analysis show that the kidney deficiency syndrome is significantly affected by gender; at the same time by the complication with hypertension, sleep duration and the selection of the morning exercise. Deficiency of both Qi and Yin Syndrome is in the92cases (35.4%), influenced by the carbohydrate intake, eating noodles and the morning exercise; Depression of liver-QI syndrome is in62cases (23.8%), influenced by the mood of anger; Lung and stomach heat syndrome is in the40cases (15.4%), influenced by the exercise of swimming and the effect of sleeping habit; Endoretention of damp heat syndrome is in68cases (26.2%), influenced by gender and fat intake; Collaterals by blood stasis syndrome is in.91cases (35%), by the impact of obesity; Turbid dampness spleen syndrome is in49cases (18.8%), affected by the first-degree relatives of family history of diabetes and the step behavior mode of motion. Blood heat stagnation syndrome (13cases,5%) and Mind dystrophy syndrome (11cases,4.2%) failed to the multi factor Logistic regression analysis to find the important influence factors, need further study.ConclusionThis study showed that type2diabetes is closely related with age, obesity, hypertension, innate deficiency, obstruction of collaterals by blood stasis, intemperance of taking food, overwork or excessive idleness, emotional factors and other factors. And the factors which influence each other with the era background, occupation, income level, regional differences, customs, knowledge level, etc.Sex, hypertension and the family history of the diabetes is the important risk factor of kidney deficiency syndrome; eating noodles continually and being exciting frequently is the risk factor of the syndrome of deficiency of both qi and yin; family income level and being angry frequently is the risk factor of depression of liver-QI syndrome; the frequency of the use of health care products, smoking and obesity is the risk factor of the syndrome of lung and stomach heat; the addiction of acid food and obesity is the risk factor for endoretention of damp heat syndrome; eating fruit continually, the intake of carbohydrates, working strength and the course of disease is the risk factor for obstruction of collaterals by blood stasis syndrome; drinking is the risk factor for the syndrome of turbid dampness spleen. Walking for the mode of exercise is the protective fator for the syndrome of deficiency of both qi and yin and the syndrome of turbid dampness spleen. |