Identification Of TCM Health Status Of People With Perimenopausal Insomnia Based On "Tiangui"

Objective:To carry out a study on the identification of TCM health status of perimenopausal insomnia population with "Tiangui" as the core,apply latent structure theory and cluster analysis,and demonstrate "Tiangui" as the core of the health status identification and classification technology of perimenopausal insomnia.Methods:Perimenopausal insomnia patients who were treated in the Jilin Provincial Hospital of Traditional Chinese Medicine(Changchun University of Traditional Chinese Medicine Affiliated Hospital Outpatient Clinic: Brain Disease Clinic,Prophylactic Clinic,Gynecological Clinic),Information was collected from 200 patients in the population who met the admission and exclusion criteria during the period from March 1st to December 1st,2020.The sleep quality questionnaire for people with insomnia during perimenopausal period developed by the project team was the main information collection.Apply SPSS25.0software to hierarchically cluster the frequency of information(four diagnosis information);Used Lantern 5.0(kongming lamp software)to established a lantern structure model,Interpret the lantern structure model and analyzed the data one by one.Finally,combined with the "Tiangui" theory to identified the status of the perimenopausal insomnia population.Results: The results of the four-diagnosis information frequency of the perimenopausal insomnia population is that sore waist and knees,hot flashes,night sweats,lack of breath,and red tongue are the top five symptoms,the frequencies are 39.5%,37%,37%,32.5%,30.5%.In perimenopausal women with insomnia,red tongue and white fur tongue appear more frequently,the frequency are 30.5%,30%,The higher the probability of pulse number and pulse thinning are 22%,18%.The top five symptoms,appearance of tongue and pulse condition above are mostly manifestations of deficiency of kidney essence.Analysis of the latent structure analysis in 200 patients with perimenopausal insomnia,The results show that the population of perimenopausal insomnia can be divided into 13 hidden variables and 29 hidden categories.Analyze 29 hidden categories and obtain7 types of perimenopausal insomnia population.The types were obtained:liver depression syndrome,liver depression and kidney essence deficiency syndrome,spleen deficiency syndrome,kidney essence deficiency syndrome,syndrome of inadequacy of heart and kidney,spleen deficiency and dampness syndrome,phlegm fire syndrome.Through comprehensive analysis,the above state types can be identified as liver depression state,spleen deficiency state,and kidney essence deficiency state.Through cluster analysis of 200 patients with perimenopausal insomnia,As a result,six common types of health status can be obtained: kidney essence deficiency syndrome,syndrome of deficiency of kidney essence and deficiency of spleen,spleen deficiency and dampness syndrome,syndrome of spleen deficiency and dampness and liver depression,heart and kidney failure and spleen deficiency and dampness syndrome,liver depression and spleen deficiency syndrome.Comprehensive analysis can be identified as liver depression state,spleen deficiency state,and kidney essence deficiency state.Conclusion: Compared with cluster analysis,the latent structure analysis method is more in line with the multi-dimensional analysis of TCM syndrome differentiation,and it is of great significance to the objective and standardization of TCM syndrome differentiation.The health status of people with perimenopausal insomnia is mostly liver-stagnation,kidney essence deficiency,spleen deficiency syndrome,or appear in pairs,leading to lack of Qi and blood,disharmony between Ying and Wei,and failure of yang to enter yin.A single card appears less frequently.The prevalence mechanism of perimenopausal insomnia population is mostly caused by various reasons,such as liver depression,spleen deficiency,and kidney essence deficiency,which in turn makes the viscera,qi,blood,and yin and yang imbalance and cause insomnia.