Distribution Of TCM Constitution Types And Analysis Of Related Factors In Functional Constipation Patients In Lingnan Region

ObjectiveThe incidence rate of Functional Constipation(FC)is increasing with the accelerating pace of life and the changing dietary pattern.Through cross-sectional observational study,this study analyzed the distribution of TCM Constitution Types and related factors of patients with functional constipation in Lingnan region,and explored the possible correlation between them,so as to provide new ideas for the prevention and treatment of Functional Constipation.MethodsFrom November 2020 to March 2021,the patients who met the diagnostic criteria of FC in the First Affiliated Hospital of Guangzhou University of Chinese Medicine were investigated by questionnaire.The 《TCM Constitution Classification And Judgment Table》and general data collection were completed.The database was established by Microsoft Excel and the data were analyzed by SPSS software.ResultsA total of 136 valid questionnaires were collected in this study,including 85 females and 51 males,with a male to female ratio is 1:1.67.In terms of age distribution,the minimum age was 16 years old,the maximum age was 81 years old,and the average age was(41.56 ±14.82)years old.In the distribution of BMI,the average BMI of 136 patients was 21.5 ± 2.8,of which the minimum was 15.9 and the maximum was 29.1.The longest and shortest history of constipation was about 25 years and 1 year respectively,with an average of 5.8 years.There were 44 cases with family history of constipation and 92 cases without family history.72 people used laxatives to help defecate,64 people did not use laxatives.125 people live in cities and 11 in rural areas.In the distribution of educational background,46 people are highly educated,90 people are low educated.There are 72 people engaged in mental work,37 people engaged in manual work,27 people have retired or no work.In the distribution of living habits,28 people had a history of smoking,the rest 108 people did not smoke;6 people often drank alcohol,the rest 130 people did not drink alcohol or occasionally;71 people had good sleep quality,65 people had poor sleep quality;26 people preferred spicy food,28 people preferred sweet food,the rest 82 people had no diet preference;115 people usually ate more vegetables and fruits,21 people ate less vegetables and fruits;38 people often drank cold tea,98 people do not often drink cold tea;99 people sit more time,the rest 37 people sit less time;36 people have normal exercise,100 people exercise less.In the distribution of mental and psychological status,52 people felt that they often had anxiety or depression,while 84 people did not.The distribution frequency of TCM constitution types from high to low is Damp-heat type,Qi-deficiency type,Yang-deficiency type,Gentleness type,Qi-depression type,Yindeficiency type,Phlegm-dampness type,Blood-stasis type and Special-inherited type.Most of them were Damp-heat type,Qi-deficiency type and Yang-deficiency type,accounting for70.5%.Correlation analysis showed that Damp-heat type was more common in men.Those who often drink cold tea were more common in Qi-deficiency type,those with family history of constipation were more common in Qi-deficiency type and Damp-heat type,and Bloodstasis type are more common in low weight patients.ConclusionsFunctional Constipation in Lingnan region mostly occurs in women,and the incidence is high among young and middle-aged groups.Many patients have different degrees of depression and anxiety psychological disorders.It is most common in the three TCM constitutions: Damp-heat type,Qi-deficiency type,and Yang-deficiency type.Damp-heat type is more common in men.Those who often drink cold tea are more common in Qideficiency type.And those with a family history of constipation is more common in Qideficiency type and Damp-heat type,Blood-stasis type are more common in low weight patients.