Theoretical Study On Epigastric Pain Caused By Emotional Factor

Background:Epigastric pain is a common and frequently-occurring disease,and emotional factors are the first cause of stomach diseases,and various emotional factors are generally deviated from the syndrome types causing stomachache.There are many narrations about the relationship between emotional factors and stomachache in TCM literature.Since ancient times,the research on the correlation between emotional factors and stomachache thinks that there is a certain correlation between emotional factors and stomachache,but the specific related factors are not clear,so we try to further study the correlation between emotional factors and stomachache.Purpose of the study:Textual research on emotional factors and epigastric pain,collecting and summarizing the theoretical theories of emotional factors and epigastric pain by physicians of all ages;To study the distribution law of general data(including emotional factors,gender,age,TCM syndrome types,etc.)of patients with epigastric pain caused by emotional factors in ancient and modern medical records,At the same time,the distribution of emotional factors(anger,surprise,thought,sorrow)in general data was analyzed,and the correlation between emotional factors and stomachache was discussed,which provided some reference for the follow-up study of epigastric pain caused by emotional factors.Research methods:Through literature collation,summarized the past dynasties of physicians for emotional factors and epigastric pain theory research and the relationship between the two.Using data mining,116 cases of epigastric pain caused by emotional factors were included,and Excel database was established;The statistical method of frequency analysis is used to make statistics on relevant data;According to the statistical results,the relationship between emotional factors and epigastric pain was analyzed and discussed.Research results:1.Through combing the research and understanding of ancient physicians on emotion and emotion pathogenesis,it is found that emotion is closely related to the five internal organs,which is a manifestation of the externalization of viscera function.Emotion depends on the essence produced by viscera,but it can also affect the corresponding viscera functions.The cause of emotional disease is due to the extreme seven emotions,which are closely related to external stimuli,and its internal factor is due to the difference of physical endowment.The mechanism of emotional pathogenesis is mainly to destroy the stability of human internal environment,which can damage the corresponding viscera,affect qi activity,damage essence and blood,and cause imbalance of yin and yang,which can not only hurt the mind,but also hurt the shape.According to the theory of Five Elements,this paper summarizes the method of winning emotions in Neijing,that is,winning thoughts with anger,winning sorrow(sorrow)with joy,winning fear with thought,winning anger with sorrow and winning happiness with fear.2.Through combing the research on epigastric pain by physicians in past dynasties,this paper summarizes the etiology,pathogenesis,diagnosis and syndrome types of epigastric pain,and finds that emotional factors are also important causes of epigastric pain,which can involve liver-qi invading stomach,liver-stomach stagnation heat and other syndrome types.By analyzing the relationship between emotional factors and epigastric pain,it is found that emotional factors such as anger,panic,thinking and sorrow are closely related to epigastric pain,which are the causes of epigastric pain,and the syndrome types and nature of epigastric pain are all related to it.3.Through data mining,in 378 cases with etiological records,116 cases of epigastric pain caused by emotional factors accounted for 30.68%;There were 74 cases of epigastric pain caused by improper diet,accounting for about 19.57%.There were 55 cases of epigastric pain caused by physical factors,accounting for about14.55%.There were 41 cases of epigastric pain caused by exogenous factors,accounting for about 10.84%.There were 38 cases of epigastric pain caused by blood stasis,accounting for about 10.05%.There were 37 cases of epigastric pain caused by phlegm dampness,accounting for 9.78%.There were 12 cases of epigastric pain caused by parasites,accounting for 3.17%.There were 5 cases of epigastric pain caused by metrorrhagia and leakage of pregnancy,accounting for about 1.32%.Among the emotional factors causing epigastric pain,"anger" accounts for about45.68%;Secondly,epigastric pain caused by "sorrow" accounted for about 24.13%;Epigastric pain caused by "thinking" accounted for 15.51%;The epigastric pain caused by "shock" is the least,accounting for about 12.93%;Among the medical records collected,the syndrome of liver-qi invading stomach is the most common epigastric pain caused by emotional factors,accounting for 42.24% of the total,with a total of 49 cases;Followed by diet injury to stomach syndrome 17.24,a total of 20cases;15.51% of the syndrome of phlegm and blood stasis blocking stomach,18 cases in total;10.34% of spleen and stomach weakness syndrome,12 cases in total;The syndrome of stagnation of heat in liver and stomach was 7.75%,with 9 cases in total.The syndrome of cold pathogen invading stomach was 6.89%,with 8 cases in total.Among the medical records collected,the proportion of epigastric pain caused by emotional factors in 40-49 and under 30 years old is the largest,the former accounts for 26.26%,the latter accounts for 25.25%,and the proportion of epigastric pain caused by emotional factors over 60 years old is the smallest,accounting for13.13% of the total.Among the medical records,72 females had epigastric pain due to emotional factors,accounting for 63.16% of the total,and 42 males had epigastric pain due to emotional factors,accounting for 36.84% of the total.Research conclusions:1.Emotional factors are the most important factors leading to epigastric pain.2."Anger" is the most common emotional factor causing epigastric pain.Besides,medical cases of epigastric pain caused by two emotional factors("anger + worry")have been found,which deserve further study.3.There are more cases of epigastric pain caused by emotional factors under 60 years old than those over 60 years old.4.There are more women than men in the medical cases of epigastric pain caused by emotional factors...