Study On TCM Syndromes Of Female Chloasma And Related Influencing Factors

Objective The study is mainly to study the distribution of the TCM syndromes of ch-loasma,the type of skin lesion with chloasma and the patients’ score of self-reporting i nventory(SCL-90),and the correlation between the type of chloasma and menstruationa nd skin type.In order to offer better diagnostic and therapeutic medication and psycho-logical guidance for the patients with chloasma.Method We get the detailed information of the 210 cases of female patients with chloasma from Dongzhimen Hospital from 2016 to 2017 through the form of questionnaire which involve the basic information,skin care habits and so on.Then we establish database of Excel and use SPSS20.0 to process and analysis data and to get the corresponding conclusions.Results1.Age of onest and course of diseaseIn the study 210 cases are included,the youngest patient is 16 years old,the oldest patient is 51 years old.And the age of onest is 32.74(32.74±6.37).Half of the patients’ onest age is between 30 and 39.The shortest course of chloasma is one month,the longest is 21 years and the mean duration of the disease was 5.82 years(4.95 5.82±4.95).The patients with 1-5 years account for 44.29%.2.Skin care habitsPatients who pay attention to the SPF/PA value when purchasing skin care products accounts for 71.90%.Patients who use sun cream daily and use it only 3-6 days per week both only count for 20.95%,and half of the patients use sun cream solely for one or two days per week.3.Menstrual cycleMost of the patients’ menstrual cycle is 25 to 38 days,one to twenty of patients’menstrual cycle is over 38 days,and the other is less than 25 days.In the study,half of the patients suffer from dysmenorrhea.4.Skin typesPeople with dry,tolerable and wrinkly type are susceptible to chloasma.5.Color spotsPatients with a butterfly type skin lesion accounts for 58.10%,22.38%of the patients’ skin lesions are distributed in the middle,patients who suffer from pan facial skin lesion counts for 13.81%and the other is mandibular type.Patients with a butterfly type skin lesion are distributed in different age and different courses of the disease.6.TCM syndromesThe TCM syndromes are mainly distributed in stagnation of liver-qi(47.1%),defici-ency of liver and kidney(23.3%),phlegm-dampness due to deficiency of the spleen sy-ndrome(20.0%)and stagnation of qi and blood stasis(9.5%).Patients with stagnation of liver-qi are mainly under 40 years old,and patients with deficiency of liver and kidney are over 40 years old(P<0.05).Patients who suffer from the disease for less than 5 years are stagnation of liver-qi(44.09%),followed by the phlegm-dampness due to deficiency of the spleen syndrome(23.66%).And patients with more than 5 years are mainly stagnation of liver-qi(56.00%),followed by deficiency of liver and kidney(22.00%).Patients with normal menstrual cycle are mainly stagnation of liver-qi and abnormal menstrual cycle are phlegm-dampness due to deficiency of the spleen syndrome(P<0.05).Patients with dysmenorrhea are more likely to suffer from stagnation of liver-qi(56.38%),followed by phlegm-dampness due to deficiency of the spleen syndrome(21.28%).7.Symptom self-rating scaleIn the study,the mean each factor score of SCL-90 scale of the patients with chl-oasma are higher than the normal adult SCL-90 assessment results,and somatization,ob-sessive-compulsive symptoms,depression,anxiety,hostility,terror,spiritual factors hav-e significant difference compared with domestic norm.Patients with chloasma are prone to physical discomfort,forced,depression,anxiety,hostility,fear,and mental symptoms.The deficiency of liver and kidney is prone to physical discomfort,compulsion,depression,anxiety,and mental symptoms.The phlegm of the spleen is prone to physical discomfort,compulsion,depression,and mental symptoms.Patients with qi and blood stasis are less likely to be antagonistic and paranoid.Patients with liver qi stagnation syndrome are more likely to exhibit behavioral ho-stility than other syndromes.The deficiency of liver and kidney is more likely to sho-w the discomfort of the body and the disorder of diet and sleep.Conclusion1.According to the skin type of Baumann,the tolerance,color,and wrinkle type skin is susceptible to chloasma.2.1n different age groups,the course of disease was more common in the stagnation of liver-qi.3.The TCM syndromes of chloasma patients have the relativity with the age course of disease,menstrual cycle and dysmenorrhea.4.The mean value of SCL-90 in the study is higher than that in the normal adults 1986 years.5.All TCM syndromes of chloasma have different mental and psychological symptoms.It is easier to show the antagonistic phenomena in the stagnation of liver-qi.The deficiency of liver and kidney is more likely to show physical discomfort and diet,sleep disorders.