Study On TCM Syndromes,physique And Personality Of Premenstrual Syndrome

Objective:This paper summarizes the syndrome distribution characteristics of premenstrual syndrome in TCM literature in the past ten years,so as to provide a basis for the formulation of the questionnaire of this subject.And through the questionnaire to investigate the TCM syndrome,TCM constitution and Eysenck personality of PMS patients,to explore PMS TCM syndrome,TCM constitution and the correlation between them,and to analyze the correlation between patients’ personality characteristics and PMS and TCM syndrome types,in order to provide a basis of theory for its prevention and treatment from the point of view of constitution and personality.Methods:Search the literature related to premenstrual syndrome in the past ten years,and select the required literature based on the inclusion and exclusion criteria,carry out statistical analysis according to its syndrome,and complete the questionnaire project design at the same time.A questionnaire survey was conducted on those who met the criteria,including the general situation of patients,TCM clinical symptoms questionnaire survey,TCM constitution type and Eysenck personality questionnaire survey.The questionnaire results were processed by Epi Data software and analyzed by SPSS25.0 statistical software.The results of the study are as follows:1 Literature research1.1 After the standardized selection of literature,there are 7 main syndrome types(that is,the frequency is greater than or equal to 10).The frequency from high to low is: liver qi stagnation syndrome(37 times,19.07%),qi stagnation and blood stasis syndrome(29 times,14.95%),liver stagnation and fire syndrome(27 times,13.92%),liver depression and spleen deficiency syndrome(23 times,11.86%),liver yang hyperactivity syndrome(17 times,8.76%),liver and kidney yin deficiency syndrome(12 times,6.19%),heart and spleen deficiency syndrome(10 times,4.64%).1.2 The results of literature research show that the viscera involved in this disease include liver,spleen and kidney,mainly liver,accounting for 52.89%,spleen 20.00%,kidney18.67%,and the cumulative frequency of the three is 91.56%.1.3 The top three frequency of diseases were qi stagnation(87 times,29.39%),fire / heat(41 times,13.85%)and yin deficiency(31 times,10.69%).2.Clinical research2.1 The results of literature research show that the TCM syndrome types of PMS are liver qi stagnation,liver depression and spleen deficiency,liver depression and fire,qi stagnation and blood stasis,hyperactivity of liver yang,yin deficiency of liver and kidney,deficiency of both qi and blood,deficiency of heart and spleen.2.2 In the investigated population,the symptom degree of PMS patients was mainly mild to moderate.2.3 The TCM syndrome types of PMS were liver qi stagnation in 93cases(27.19%),liver depression and spleen deficiency in 75 cases(21.93%),liver stagnation and fire in 53 cases(15.50%),qi stagnation and blood stasis in 45cases(13.16%),hyperactivity of liver yang in34cases(9.94%),yin deficiency of liver and kidney in 17 cases(4.97%),yang deficiency of spleen and kidney in 16 cases(4.68%),and deficiency of both heart and spleen in 4 cases(1.17%).2.4 Physical distribution of traditional Chinese medicine,qi depression(105,30.70%),phlegm-dampness(59,17.26%),blood stasis type(44,12.87%),yin deficiency type(38,11.11%),damp-heat type(36,10.53%),qi deficiency type(29,8.48%),yang deficiency type(18,5.26%),peaceful type(9,2.63%),special type(4,1.17%).2.5 The correlation analysis between TCM syndrome type and TCM constitution showed that there was a strong positive correlation between qi stagnation and blood stasis type and qi stagnation type,between liver qi stagnation syndrome and qi depression type,between liver qi stagnation and spleen deficiency syndrome and qi deficiency type,phlegm dampness type and qi depression type,and between liver depression and fire syndrome and dampness-heat type and qi depression type.There was a strong positive correlation between liver-yang hyperactivity syndrome and yin deficiency type,and between liver-kidney yin deficiency syndrome and yin deficiency type.The syndrome of yang deficiency of spleen and kidney has a strong positive correlation with the type of yang deficiency and qi deficiency,and the syndrome of deficiency of both heart and spleen has a strong positive correlation with the type of qi deficiency.2.6 The symptom degree of premenstrual syndrome was correlated with education level,occupation and stress.2.7 The correlation analysis between personality and physique showed that bile quality(extroversion-instability)was related to liver depression fire syndrome and hyperactivity of liver yang syndrome;depressive quality(introversion-instability)was related to liver qi stagnation syndrome,liver depression and spleen deficiency syndrome,qi stagnation and blood stasis syndrome;multiple blood quality(extroversion-stability)was related to qi stagnation and blood stasis syndrome of premenstrual syndrome.Conclusion:1 The results of literature research show that the TCM syndrome types of PMS are liver qi stagnation,liver depression and spleen deficiency,liver depression and fire,qi stagnation and blood stasis,hyperactivity of liver yang,yin deficiency of liver and kidney,deficiency of both qi and blood,deficiency of heart and spleen.2 The results of literature research showed that the main sites of the disease were liver,spleen and kidney,and the main diseases were qi stagnation,fire / heat and yin deficiency.3 The main TCM symptoms of PMS in the surveyed population were irritability,breast pain,abdominal pain,waist and knee weakness,inattention,rib pain,depression,fatigue,insomnia and dreaminess.4 In the investigated population,the disease grades of PMS patients were mainly mild to moderate.The degree of education,occupation and stress were correlated with the severity of premenstrual syndrome.5 Most of the TCM syndromes of PMS were liver qi stagnation syndrome,followed by liver depression and spleen deficiency syndrome,liver depression and fire syndrome,qi stagnation and blood stasis syndrome,liver yang hyperactivity syndrome,liver and kidney yin deficiency syndrome,spleen and kidney yang deficiency syndrome,heart and spleen deficiency syndrome.6 According to the constitution distribution of traditional Chinese medicine,the majority of people were qi depression type,followed by phlegm-dampness type,blood stasis type,yin deficiency type,dampness-heat type,qi deficiency type and yang deficiency type.7 There is a certain correlation between TCM syndrome type and TCM constitution.Qi stagnation and blood stasis syndrome is mainly related to blood stasis type and qi stagnation type;liver qi stagnation syndrome is mainly related to qi stagnation type;liver depression and spleen deficiency syndrome is mainly related to qi deficiency type,phlegm dampness type and qi depression type;liver depression and fire syndrome is mainly related to damp-heat type;hyperactivity of liver-yang syndrome is mainly related to yin deficiency type;liver-kidney yin deficiency syndrome is mainly related to yin deficiency type.The syndrome of yang deficiency of spleen and kidney is mainly related to the constitution of yang deficiency and qi deficiency,while the syndrome of deficiency of both heart and spleen is mainly related to the constitution of qi deficiency.8 There is a certain correlation between personality types and TCM syndrome types: bile quality is related to liver depression fire syndrome and liver yang hyperactivity syndrome;depression quality is related to liver qi stagnation syndrome,liver depression and spleen deficiency syndrome,liver depression fire syndrome,qi stagnation and blood stasis syndrome.