Study On TCM Syndrome Types,TCM Constitution And Related Influencing Factors In Patients With Functional Dyspepsia

Purpose: The method of cross-sectional analysis was used to analyze the TCM syndrome types,TCM constitution and related influencing factors of patients with functional dyspepsia,and to investigate the relationship between the onset of functional dyspepsia and the type of constitution.Through the analysis of the relationship between different syndrome types of functional dyspepsia and the type of constitution,in order to achieve the organic combination of "disease differentiation","syndrome differentiation" and "body differentiation",To prevent and treat functional dyspepsia.Methods: Patients with functional dyspepsia who met RomeⅣ diagnostic criteria and were confirmed by gastroscopy were collected by questionnaire.Basic information,medical history and gastroscopy results of the patients were collected.Instruct the patient to fill in the TCM physique scale,calculate the score of the physique scale and evaluate the patient’s physique.Fill in the TCM syndrome type analysis table,determine the TCM syndrome type with the help of the tutor,summarize the collected data and conduct statistical analysis.Results: 1.Among 306 patients with FD,there were 112 male patients(36.60%)and 194 female patients(63.40%).The ratio of male to female was 1:1.73,and women were more than men.The middle-aged group(44.12%)had the most FD patients,followed by the young group(35.95%),aged 18-75 years,with an average age of 46.74 years.2.FD patients had the highest frequency of eating disorders,accounting for 54.9%,followed by mood,accounting for 16.01%.In the improper diet,the proportion of cold and raw was 17.97%,followed by excessive satiety(14.71%).One to three years(31.70 percent)was the most common course of disease,followed by six months to one year(31.05 percent).In terms of HP infection,the HP positive infection rate was 42.16%,and the HP positive infection rate was 44.95% when 6.21% was excluded.In terms of sleep conditions,poor sleep(40.85%)was the most common,followed by average sleep(32.68%).From the distribution of Western medicine subtypes,PDS(50.00%)was the most,EPS(29.41%),and EPS combined PDS(20.59%)was the least.3.The frequency of TCM syndrome types in 306 FD patients was spleen and stomach deficiency cold syndrome(32.35%)> liver and stomach disharmony syndrome(24.51%)> spleen deficiency qi stagnation syndrome(22.55%)> spleen and stomach dampness-heat syndrome(15.03%)> cold and heat mixed syndrome(5.56%).The distribution of TCM syndrome types in FD patients had statistical significance with gender,age,pathogenesis,course of disease,sleep and Western medicine subtype(P < 0.05),but had no statistical significance with HP infection(P > 0.05).4.Among 306 FD patients,19 cases had mild quality,accounting for 6.21%,275 cases had biased quality,accounting for 89.97%,and 12 cases had double quality,accounting for 3.92%.In 294 cases of single constitution,the proportions of constitution types were Yang deficiency(28.10%)> Qi stagnation(19.28%)> Qi deficiency(15.69%)> dampness-heat(11.44%)> phlegm-dampness(7.19%)> peace and calm(6.21%)> Yin deficiency(3.59%)> blood stasis(3.27%)> characteristic(1.31)%).The distribution of TCM constitution had statistical significance with gender,age,pathogenesis and Western medicine subtype(P < 0.05),but had nothing to do with the course of disease,sleep and HP infection.5.Among 294 FD patients with single constitution,Yang deficiency and cold syndrome of spleen and stomach were most common,accounting for 53.7%,followed by Qi deficiency(22.1%).The syndrome of disharmony between liver and stomach was mainly characterized by qi stagnation,accounting for 58.3%.Qi deficiency was the most common syndrome of spleen deficiency,accounting for 22.7%,followed by Yang deficiency(21.2%).Dampnessheat of spleen and stomach was more common,accounting for 54.5%;Yang deficiency was the most common syndrome of mixed cold and heat,accounting for 47.1%.6.Among 294 TCM syndrome types of Yang deficiency in FD patients with single constitution,spleen and stomach deficiency cold was the most,accounting for 59.3%,followed by spleen deficiency qi stagnation syndrome(16.3%).Liver-stomach disharmony syndrome was the most common syndrome of qi stagnation,accounting for 71,2 %;In Qideficiency,spleen and stomach deficiency cold was the most common,accounting for 43.8%,followed by spleen deficiency qi stagnation syndrome(31.3%).Dampness-heat syndrome of spleen and stomach was the main substance,accounting for 68.6%;Spleen deficiency and Qi-stagnation syndrome were the most common in patients with peace and quality,accounting for 52.6%.In phlegm-dampness,spleen deficiency Qi stagnation syndrome and spleen and stomach deficiency cold syndrome accounted for 31.8%.7.TCM syndrome type and TCM constitution of FD patients had statistical significance,P < 0.05.Conclusion: 1.The incidence of FD is higher in females than in males,mainly in young and middle-aged patients(18-59 years old).2.The distribution of TCM syndromes are mainly spleen and stomach deficiency cold syndrome,liver and stomach disharmony syndrome and spleen deficiency qi stagnation syndrome.3.The distribution of TCM syndrome types is correlated with gender,age,pathogenesis,course of disease,HP infection and Western medicine subtypes.4.The most common types of TCM constitution are Yang deficiency,Qi stagnation and Qi deficiency.5.The morbidity of TCM constitution is related to gender,age,morbidity inducement and Western medicine subtype.6.There is a significant correlation between TCM syndromes and TCM constitution.