Based On The Literature Analysis Of The Changes In The Distribution Of TCM Syndromes Of Chronic Heart Failure In The Past 30 Years

Objective: The literature related to chronic heart failure in China in the past 30 years is analyzed,and the cases in the literature are divided into two groups according to 1992-2006 and 2007-2021.They are compared and analyzed from gender,age,cardiac function classification,TCM syndrome,syndrome and primary disease,so as to provide a basis for clinical treatment.Methods: Retrieve the literature on chronic heart failure in the past 30 years,and select and sort it out according to the scheduling criteria to establish Excel.In the literature database,the cases in the literature are grouped according to the two time periods of 1992-2006 and 2007-2021,and each group of cases.Gender,age,primary disease,cardiac function classification,syndrome name,syndrome and number of cases are entered into the SPSS software,and the SPSS software is used to.Each group of data is analyzed descriptively,and finally,whether the distribution of TCM syndromes in the two groups has changed.Results:1.General situationA total of 252 gender cases were involved in 1992-2006,including 131 men and 121women: a total of 9876 cases were gender-related in 2007-2021.Among them,there were 5,126 men and 4,750 women.2.Distribution of primary diseaseFrom 1992 to 2006,there were 252 cases involving primary disease,including 139 cases of coronary heart disease,69 cases of hypertension,28 cases of wind heart disease and pulmonary heart disease.There were 11 cases and 5 cases of heart disease;there were 7,255 cases involving primary disease from 2007 to 2021,including 3,854 cases of coronary heart disease and 1221 cases of hypertension.There were 709 cases of heart disease,576 cases of cardioidiasis,253 cases of pulmonary heart disease,74 cases of congenital heart disease,47 cases of senile valvular disease,and 521 other cases.3.Grading distribution of cardiac functionFrom 1992 to 2006,there were a total of 252 cases involving cardiac function classification,with 60 cases of central function level Ⅰ,113 cases of level Ⅲ and 79 cases of level Ⅳ;From 2007 to 2021,there were 7,530 cases involving cardiac function classification,with 2,168 cases in central function level Ⅱ,3,281 cases in level Ⅰ and 2081 cases in level Ⅳ.4.Distribution of TCM syndromesThere are a total of 15 types of TCM syndromes involved in the 1992-2006 literature,with a total frequency of 1372 syndromes.There are a total of 42 kinds of TCM syndromes involved in the 2007-2021 literature.Except for the syndromes that are not analyzed,the total appearance of the remaining syndromes frequency is 8532.5.Distribution of TCM syndromesDistribution of disease element: The disease element extracted from the literature of 1992-2006 and 2007-2021 is the heart,lung,kidney is in the top three.The frequency of the disease in the two periods is: heart 329 times,lung 155 times,kidney 191 times,heart 2834 times,lung 1090 times,kidney 565 times.Distribution of pathological elements: the total frequency of pathological elements extracted from syndromes in the literature of 1992-2006 and 2007-2021 is 2315 and 15249.Conclusion:1.There is no gender difference in patients with chronic heart failure.2.The common primary diseases of patients with chronic heart failure in the past 30 years are coronary heart disease,hypertension and rhemic heart disease.However,in recent years,the proportion of feng’s heart disease has decreased,and the proportion of swelling heart disease has increased.3.In patients with chronic heart failure,the qi and yin deficiency syndromes are mostly distributed in cardiac function level Ⅱ,qi deficiency and blood stasis syndrome,heart kidney yang deficiency syndrome,phlegm drinking obstruction lung syndrome is mostly distributed in cardiac function level Ⅲ,yang deficiency water syndrome,yin exhaustion syndrome is mostly distributed in cardiac function level Ⅳ.4.The most common syndrome in 1992-2006 cases is qi and yin deficiency,and 2007-2021 cases are qi deficiency and blood stasis.Over time,the proportion of cardiopulmonary qi deficiency syndrome has increased slightly,while the proportion of cardiac and kidney yang deficiency syndrome has decreased.5.The pathogenic factors of patients with chronic heart failure are the heart,lung and kidney as the top three.Among the pathogenic factors: qi deficiency,yin deficiency,yang deficiency,blood stasis,phlegm turbidity,and water drinking have always been more common.With the change of time,the proportion of yang deficiency decreased significantly,and the proportion of phlegm and water drinking increased slightly.