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TCM Syndromes Characteristics Of CHD And Related Character Characteristic,Mental State The First Step Of The Characteristic Research

Posted on:2008-02-25Degree:DoctorType:Dissertation
Country:ChinaCandidate:L X XuFull Text:PDF
GTID:1104360215965451Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
一Research purposeCurrently, the Chinese medicine educational circles waited a research to obtain to the Chinese medicine certificate of CHD substantial of progress, at diagnosis standardize, the certificate wait norm to turn and dialectics the tiny view turn etc. all obtained bigger make progress. According to whole country 19 point of investigate result, the cardiovascular disease have already jumped to reside to die reason of first, cardiovascular paroxysm cause of death analysis medium, life style and mental state behavior factor already exceed tradition of living creature factor, become having something to do with death of first because of. Half over several centuries, local medical science boundary beginning to Chinese medicine thou plain psychology factor, such as personality cent type, feeling ambition factor etc. arrive experiment from the foundation theories clinical of overall research, body now related concept of study, outbreak theories, experiment research and clinical observation etc. aspect.This research carry on, is for acquire a coronary of the Chinese medicine certificate type distribute a characteristic, and use international in general use psychology quantity form, try to turn the Chinese medicine feeling amount of ambition, analysis coronary and cure certificate type and related character characteristic among them, mental state factor of relativity, Exertive have Chinese medicine special features of mental state the cause of disease learn research, especially five Tai personalities and coronary of Chinese medicine of occurrence whether existence connection, the former will for Chinese medicine dialectics treatment the coronary provide basis;And then mental state the cause of disease learn of research is coronary of prevention, comprehensive sex treatment with recover from illness to provide psychology basis, also is Chinese medicine psychology of research backlog data.二Research method1 syndromes characteristics of investigateThe adoption self-made TCM syndromes characteristics of CHD, It's design reference book, combine clinical experience, from topic set sieving familiar symptom with clinical coronary, the familiar TCM syndromes characteristics 14 kinds, advertise for the symptom, body that 14 kinds of TCM syndromes characteristics to bring into, the topic set carry on various argument to the article choose, to layer after layer of symptom or body advertise for to give merger, The article of same contents dissimilarity expression give norm to unify and make into a TCM syndromes characteristics four diagnose an information to collect form. Before investigate, to dissimilarity culture level of crowd sample 50 carry on trying to fill, with investigation research object to item in form of comprehension circumstance and should the usefulness of the form. Then according to try to fill a result, the feedback opinion of investigator and drive investigator of demand, through topic set argument assurance its possibility after, again form formal devotion usage. At many a little bit clinical in the meantime with same the way carried on investigate to 469 sufferer of coronary, investigate front Be to the investigator carry on unify training, again basis investigate form one by one inquire, record each investigate object of circumstance, full collections dialectics information, detailed fill in inquisition form, carry on in managing a doctor(doctor incharge or above) to check building foundation clinical first step dialectics. End is make exchange by the specially assigned to check form concentration to carry on dialectics, with expel clinical diagnose duty busy, the data collect dialectics difference etc. influence, thus decrease error margin. Dialectics data with the Excel database record into sorting, at all record importation completion after, application SPSS10.0 statistics the software package carry on Pin number to distribute etc. to statistics analysis.2 Character characteristic and mental state factor investigateThe sufferer of the study CHD and the relativity of the character characteristic and mental state appearance, usage letter degree and effect be better of five Tai personality investigate form, moxa Sen gram personality investigate form(EPQ), 90 symptom from evaluation the form(SCL-90) carry on investigate to 469 sufferer of CHD. Research main doption investigate form investigate of method, sufferer after hospitalizing to confirm, investigate hospitalize at the sufferer a with in the week implement. Lower to cultural degree or sight more bad the one who result in difficulty, from staff member pursue the item read give drive try listen to, and with neuter gender of, don't take any allusion and the way for Be partial to tell the original intention of problem it, with help completion questionnaire. Combine in certainly time completion, take back in time a dozen cent. Investigation beginning previous, first carry on to the investigator who participate research simpletraining. With let the investigator acquaint with with control data collections of request and method, explicit related responsibility, insure collections to the credibility and accuracy of data. To all recovery valid the psychology within questionnaire measure quantity watch adoption psychology quantity form calculator test software(from Hui in Shanghai truly computer software company and long sand every day new software company design development) for test tooI. EPQ. SCL-90 the test of two form contents importation computer, direct carry on first step statistics analysis. Use Pin number, percentagedescription CHD of the sufferer and the CHD dissimilarity Chinese medicine certificate wait of of general data, counteract X~2 examination more each research object general the difference of data. Use all number and Sigma respectively description CHD and whole country often of the mold and the sufferer of the CHD and dissimilarity the Chinese medicine certificate wait of of each quantity get a goal of form circumstance. Use a t examination to CHD and whole country often mold, CHD dissimilarity the sufferer's and dissimilarity the certificate wait the sufferer's of five Tai personalities get a goal, each degree of latitude of EPQ get a goal, each factor of SCL-90 cent of get a goal a circumstance to carry on comparison respectively. Use t examination or square bad analysis analysis not of an age, sex, dissimilarity the sufferer of the occupation CHD be each quantity form to get a goal a circumstance of comparison.三Investigate result1. TCM syndromes characteristics to investigate Drive investigate of the male in the sufferer of CHD many in female; The age distribute a 66-75 years old ge segment tallest; The occupation distribute a mental work many in manual labor.This time investigate a type from the Chinese medicine certificate quantity form of statistics result manifestation, The main of TCM syndromes characteristics type one by one in order is: The debility phlegm muddy certificate, debility blood Yu certificate, spirit Yin two falsely the muddy out-of-the-way certificate of the certificate, phlegm certificate, phlegm, spirit the blood Yu certificate, strenuous effort certificate, heartsun don't flap a certificate, yin and yang two falsely certificate, cold heart vein certificate, spirit mind certificate. Elucidation the certificate of the CHD wait a characteristics for origin falsely mark solid, the truth or falsity mix up, clip to falsely clip Yu. With the sufferer's age segment, sex but variety。Yin and yang two falsely, cold Ning heart the average age of the vein all in other certificate type. The average ge of the spirit mind is low in other certificate type. The≥of CHD is 76 years old, 56-65 years old sufferer Chinese medicine certificate type with debility phlegm muddy is lord; 66-the 75-year-old sufferer regard debility blood Yu as principle; 46-55-year-old sufferer with spirit Zhi blood Yu is lord; The phlegm is muddy out-of-the-way the male in the sufferer obvious Gao in female, and have statistics to learn difference(p>0.05), spirit Zhi mind the female in the sufferer big in male, it result not statistics learn meaning. See from basic certificate type, in CHD three greatest certificates, spirit Yin two falsely is the basic certificate type of certificate falsely, debility phlegms being muddy is mutually a truth or falsity and the basic certificate type of certificate, but substantial evidence in take the phlegm as a basic certificate type。2. Character characteristicFive personality factor in, the suffere personality characteristic of hint CHD incline toward yin and yang two pole type, namely with Taiyin, Taiyang type personality for main outside show mode. The person of the Taiyang the person of SY, Chinese medicine dialectics cent the type is much the phlegm type; The person of SY person of TY Chinese medicine dialectics many is spirit Yin two falsely type. Regardless the Chinese medicine certificate wait how, the sufferer of the CHD widespread existence the phenomenon of Yin gravamen, Taiyang And not of an age, dissimilarity sex five Tai personality the characteristic be each tohave difference, male the person of the CHD more female patient more obvious of the yin and yang personality qualities/The Ty, Tyin two kinds of CHD suffererses of personality all have more obvious age zone, age under 50 years of age the sufferer of CHD of the set, there is development trend of Be partial to the Ty personality, age over 50 years of age set then Be partial to yin personality of development trend.The EPQ investigate a hint: The sufferer of CHD with extrovert, motion unsteady is its character characteristic. And male more female more obvious of extrovert and the motion unsteady and stronger dissimulation. The sufferer qualities type of CHD is with the gall quality and many blood quality much see. Rest two kinds of qualities type compare less. Spirit Yin two falsely set sufferer obvious of suppress Yu, on the qualities type, the phlegm set qualities type with many blood quality and gall quality is lord. The phlegm set more other two sets of obvious introverted and the motion unsteady, on the debility phlegm muddy qualities type, the phlegm set qualities type with many blood quality, gall quality. Spirit Yin two falsely set qualities type still with many blood quality with suppress Yu quality to much see. Dissimilarity certificate the personality type of the type distribute comparison, still with extrovert unsteady sex(gall quality) personality characteristics.3. mental state appearanceThe set of the CHD sufferer its SCL be total cent, total divide equally and masculine gender item number, masculine gender symptom divide equally all obvious Gao in often mold, have to show Zhao difference very much( P<0.01).The clinical mental state symptom of the set of CHD with often module existence show Zhao difference. (p<0.05)One by one in order there is body turn factor cent, force factor cent, social interaction factor cent, suppress Yu factor cent, worry anxiously factor cent, antagonism factor cent, terror factor cent. Force among them and worry anxiously symptom more and more show Zhao difference. (p<0.01)Each factor of men and women get a goal comparison, female worry anxiously and suppress Yu to get a goal obvious Gao in maleset, have statistics to learn difference. (P<0.05)30-55-year-old set, its body turn factor cent, worry anxiously factor cent, suppress Yu factor clear show Gao in 76 years old above andhave statistics to learn meaning. (P<0.05)Twokinds of cultural degree compare, its worryanxiously, suppress Yu and terror symptom cent mental work set to more show severity, the set relatively have already shown Zhao difference. (p<0.05)The phlegm Yu Zu Zhi set more the other be two sets of comparison, its body turn factor cent, force factor cent, worry anxiously factor cent have already shown Zhao difference. (P<0.05).Spirit Yin two falsely set antagonism factor cent, terror cent, the mental illness be clear to show Gao in other 2 set, and antagonism symptom cent have already shown Zhao difference. (p<0.05)Debility phlegm muddy set bigotry's being clear to show Gao be 2 sets at the other and have to show Zhao difference. (p<0.05)四Research conclusion1 Chinese medicine certificate with the most appear CHD the type be numerous and disorderly and much have and certificate, the truth or falsity mix up, clip phlegm to clip Yu, with the sufferer's age, sex but variety. Yin and yang two falsely, cold Ning heart the average age of the vein all Gao in other certificate type. The average ge of the spirit mind is low in other certificate type. Elucidation the sufferer of the CHD be young clinical more easy performance spirit ymptom. The phlegm is muddy out-of-the-way the male in the sufferer obvious Gao in female, spirit mind the female in the sufferer big in male. See from basic certificate type, in CHD three greatest certificates, spirit Yin two falsely is the basic certificate type of certificate falsely, debility phlegm being muddy is mutually a truth or falsity and the basic certificate type of certificate, but substantial evidence in take the phlegm as a basic certificate type. The machine that is from the cause of disease disease dialectics, with phlegm muddy is lord with and have phlegm the muddy certificate type is many.2 The relativity of CHD and character mental state factorIs higher for moon personality from the factor of five personality study coronaries but TY personality be low. Namely the sufferer of CHD take TYin TY personality as main outside show mode, and not of an age, dissimilarity sex, dissimilarity Chinese medicine certificate type five Tai personality the characteristic be each to have difference. EPQ the sufferer who measure a result manifestation CHD with extrovert, motion unsteady is its character characteristic. This with five Tai personality test likeness, result is authentic, and male more female more obvious of extrovert and the motion unsteady and stronger dissimulation. The sufferer qualities type of CHD is with the gall quality and many blood quality much see. Dissimilarity certificate type character characteristic and personality type be each to have difference. At mental state appearance, the sufferer of the CHDwith worry anxiously, suppress Yu and sleep obstacle etc. for its characteristics, female more easy performance suppress Yu and worry anxiously symptom, and dissimilarity certificate type, not of an age stage and dissimilarity occupation again performance dissimilarity of characteristics. Age of increment, ability acquire opposite health of mental state appearance, surface cultural degree of exaltation have never acquire mental state character of exaltation, contrary more easy performance abnormality mental state appearance, mental work have more obvious of worry anxiously, suppress Yu and terror symptom. The sufferer more normal person of CHD have abnormality of mental state appearance, their heart usually to paroxysm seriousness and possibility of the result was full of worried, add of outside body symptom and night of sleep the obstacle make they carried on the back top severity of mental state burden. Its body turn factor cent, force factor cent, social interaction factor cent, suppress Yufactor cent, worry anxiously factor cent, antagonism factor cent, terror factor cent Gao in normal person. And the sufferer of the CHD abnormality mental state appearance concentration the performance is in the aspects of suppressing Yu, worry anxiously, terror wait. Enunciation the sufferer of the CHD be widespread existence abnormality of mental state appearance, female more easy performance suppress Yu and worry anxiously symptom. And not of an age stage and dissimilarity occupation again performance dissimilarity of characteristics. Age of increment, ability acquire opposite health of mental state appearance, surface cultural degree of exaltation have never acquire mental state character of exaltation, contrary more easy performance abnormality mental state appearance. The mental work have more obvious of worry anxiously, suppress Yu and terror symptom.
Keywords/Search Tags:CHD heart disease, Chinese medicine certificate type, Character characteristic, Mental state appearance
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