| Objective:This study is to explore TCM literature in recent 10 years premenstrual syndrome(PMS) syndromes distribution characteristics, provide reference basis for compiling questionnaire; Preliminary discussion on the PMS of female college students of shanxi college of traditional Chinese medicine, incidence of a disease and the clinical syndromes of traditional Chinese medicine distribution, standardization of female college students is important foundation for evidence-based medicine and clinical diagnosis and treatment.Methods : By retrieving nearly 10 years literature of premenstrual syndrome,according to the into and excluding standard, in literature, statistics, analysis is made to the syndrome, the combination of the PMS etiology and pathogenesis of TCM,western medicine etiology pathology, summary of TCM syndrome differentiation and clinical diagnostic classification the required data, design project of the questionnaire.Age of shanxi college of traditional Chinese medicine questionnaire survey was conducted in female college students aged 18-25 years, preliminary screening out of accord with the PMS diagnostic criteria of the subjects. For the screening of the subjects, the signs and symptoms of premenstrual syndrome, fill in the questionnaire,the results of the questionnaire respondents after serious review, all the data entry Epi Data3.1 software, And then exported as SPSS format, using SPSS17.0 statistical software for the secondary data for statistical analysis, the analysis of relevant data whether there is statistical significance.Results:1. Literature research1.1 Literature research data through standardized extract, the disease appeared the main syndrome types(frequency of 10 or higher), a total of seven;, in the frequency of frequency from more to less diseases with ease(35, 16.2%), spleen and kidney Yang deficiency syndrome(14 times, 6.48%), liver and kidney Yin deficiency syndrome(13, 6.02%), qi and blood stasis(11 times, 5.09%), liver fire certificate(10times, 4.63%), diseases with inverse certificate(10 times, 4.63%), liver depression spleen deficiency(10 4.63%).1.2 Literature research results showed that the disease involving the zang-fu organs including the liver, spleen, kidney, which are mainly composed of liver, the proportion is 53.13%, followed by the spleen, the proportion is 20.54%, again for the kidney, the proportion is 18.30%, and among the cumulative frequency of 91.97%.1.3 Literature research results show that the disease in the top three factors of sexual frequency frequency from high to low, in turn, are respectively and qi(85, 28.81%),fire/hot(43 times, 14.58%) and Yin deficiency(37, 12.54%). Solid syndrome elements is given priority to with and qi stagnation, virtual syndrome elements is given priority to with Yin deficiency.2. clinical research2.1 The investigation of female college students of shanxi college of traditional Chinese medicine, 972, found that patients with PMS 406 people, the prevalence of PMS is 41.77%.2.2 Female college students premenstrual syndrome peak age of 23 to 25 years old,high grade as the big five, has nothing to do with expertise.2.3 Clinical syndrome research results showed that the main card from more to less, in order to move against the 168 cases(45.16%), and move within the 96 cases(25.81%),liver fire certificate 63 cases(16.94%), liver depression 30 cases(8.06%), spleen deficiency and qi stagnation blood stasis 15 cases(4.03%), liver and kidney Yin deficiency syndrome 0 cases, spleen and kidney Yang deficiency syndrome in 0. Time card from more to less, followed by liver depression syndrome, 88 cases of pixu(spleen deficient), accounts for about 33.72%; Change the fire certificate of 53 cases,accounting for 20.31%; Move within the 35 cases, accounting for 13.41%; Spleen and kidney Yang deficiency syndrome 29 cases, accounting for 11.11%; Qi and blood stasis 28 cases, accounting for 10.73%; Diseases with inverse the 21 cases, accounting for 8.05%; Liver and kidney Yin deficiency syndrome in 7 cases, accounting for2.68%. This ill main license and certificate time distribution of the various syndromes have significant difference(P < 0.05).2.4 Clinical research results show that the investigation of the symptoms of premenstrual syndrome, a total of 36, mental symptoms frequency among the two is:irritable 262 cases 143 cases(70.43%), depression(38.98%). Behavior change symptoms frequency among the two is: inattention, 278 cases(77.73%), ability to learn, fall 236 cases(63.44%); Somatic symptoms in the top 10 statistical frequency is:the lower abdomen pain, 293 cases of 256 cases(78.76%), fatigue(68.82%), breast tenderness, 242 cases(65.05%), 203 cases(54.57%), insomnia often abdominal distension full 196 cases(52.69%), headache, 188 cases(50.54%), 176 cases(47.31%), chest tightness, chest pain about 167 cases(44.89%), upset, 137 cases(36.83%), 125 cases(33.60%). The disease symptoms mild, moderate, severe degree distribution has a significant difference(P < 0.05).Conclusion:1. Literature research data through standardized extract, the disease syndrome types in diseases with stasis syndrome, spleen and kidney Yang deficiency syndrome, liver and kidney Yin deficiency, qi and blood stasis, liver depression qi syndrome, liver fire inverse certificate, change the certificate. This disease in liver and spleen, kidney and other viscera, mainly composed of the liver. In a word, pathological nature of the actual situation. The empirical is given priority to with smooth; Is given priority to with Yin deficiency syndrome.2. The results showed: the survey population PMS incidence of 41.77%, consistent with the literature.3. Master card. The results show that: the disease mainly qi(45.16%) and liver diseases with inverse card within syndrome(25.81%) is given priority to, so the master card is given priority to with liver pathogenesis is evidence type, time of syndrome mainly to change(33.72%), liver depression qi fire syndrome(20.31%) and liver within syndrome(13.41%) is given priority to, so the time card most liver depression change certificate is in evidence.4. The results showed: the lower abdomen pain(78.76%), concentration(77.73%),irritability(70.43%) is the most common symptoms of patients with the crowd the PMS. |
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