The Study Of Correlation Between TCM Syndromes And Constitution Of Uterine Fibroid In Lingnan Area

ObjectiveUterine fibroid is usually treated by surgery in Western medicine field, but many patients with fertility requirements necessary to retain the uterus, so the recurrence rate is a common treatment problems. The survey research through clinical research, analyze the relationship between TCM constitution classification and clinical syndromes between genotyping analysis of physical fitness, basic syndromes, clinical classification and correlation between the incidence of uterine fibroid, identify the frequency of physical constitution, by adjusting the constitution to reduce the occurrence of the disease, reduce the incidence degree, for the development of effective preventive measures against the disease prevention and clinical resolution body-identified disease-dialectical treatment model has practical significanceMethods(1) The survey was conducted from the case group patients with uterine fibroid from January2012to April2014at the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine clinics and wards met the inclusion criteria, Collect134cases.(2) select the corresponding period in randomly selected healthy women living in Guangzhou and Hong Kong, which is by gynecological and pelvic ultrasound B in the past12months, the exclusion of healthy women as a control group of gynecological diseases, Collect174cases. Through a questionnaire, and based on:①"TCM constitution classification criteria," determining physical type medicine two persons;②"Chinese medicine clinical research guidelines,""Chinese Gynecology" and basic clinical syndromes and composite card drawn type, patients judged cases related syndromes and syndromes;③"Yellow Emperor. Elder naive theory "Ms. ages, the two parties at a specified age (Panax, 47. Fifty-seven, etc.) are classified. The above data frequency analysis and statistical process, summarize various physical type of uterine fibroid in patients with syndrome elements, complex syndromes and age correlation.ResultsThe investigation recovered a total of321questionnaires, data used in this study, a total of308questionnaires fully available, patients with uterine fibroid (case group)134cases, healthy people (control group)174cases①case group age ranged from23years to53years②clinical symptoms in patients with uterine fibroid distribution:Clinical symptoms include a rate of more than40%:the menstrual cycle in21-35days (82.84%), followed by premenstrual breast swelling (70.15%), usually chest breast tenderness (62.69%), backache (54.48%), after a block of dark color (42.54%).③TCM constitution distributionPhysical distribution frequency in descending order are:yang quality34cases (25.37%), Qi deficiency in23cases (17.16%), qi quality in19patients (14.18%), blood stasis19cases (14.18%), mild quality18cases (13.43%), phlegm6cases (4.48%), yin deficiency6cases (4.48%), hot and humid mass six cases (4.48%), special intrinsic quality3cases (2.24%)④distribution of basic syndromesFrequency distribution syndromes appear in descending order are:stasis syndrome125(26.15%), qi stagnation94(19.67%), kidney deficiency syndrome86(17.99%), spleen deficiency64(13.39%), Yin Deficiency42(8.79%), hygropyrexia33(6.90%), liver permits17(3.56%) phlegm17(3.56%). And according to different ages to compare the distribution of the syndrome of blood stasis, qi stagnation and kidney deficiency syndrome appears three rates of all ages came in the first three.⑤complex syndrome distribution characteristics:Frequency distribution of complex syndromes in descending order are: stagnation53cases (39.55%), Kidney Blood47cases (35.07%), heat stasis13cases (9.70%),10cases of deficiency and blood stasis (7.46%) liver spleen7cases (5.22%), phlegm stasis4cases (2.99%). And according to different ages to compare complex syndrome distribution to blood stasis and kidney deficiency syndrome of blood stasis two composite rates appear in the first two rows of all ages⑥syndromes associated with TCM constitution of the display, Yang quality, basic common Qi stagnation syndrome, blood stasis; complex syndromes common kidney blood stasis syndrome, blood stasis syndrome. Qi deficiency, blood stasis syndrome is more common basic syndromes, qi stagnation; complex syndromes common blood stasis, kidney and blood stasis syndrome. Qi quality, basic common syndrome of blood stasis syndrome, qi stagnation; complex syndromes common blood stasis, stagnation and spleen deficiency syndrome. Blood stasis, qi stagnation basic common syndrome, blood stasis; complex syndromes common kidney blood stasis syndrome, blood stasis syndrome. Gentleness, basic common syndrome of blood stasis syndrome, qi stagnation; complex syndromes common kidney blood stasis syndrome, blood stasis syndrome. Phlegm, basic syndromes common Qi stagnation, phlegm; complex syndromes common kidney blood stasis syndrome, blood stasis syndrome. Yin deficiency, phlegm common basic syndromes, qi stagnation; complex syndromes common deficiency and blood stasis syndrome, blood stasis syndrome. Damp-heat, blood stasis syndrome is more common basic syndromes, phlegm; complex syndromes common in kidney and blood stasis syndrome, damp stasis Special intrinsic quality, basic common syndrome of blood stasis syndrome, qi stagnation, phlegm; complex syndromes common kidney stasis syndrome, deficiency and blood stasis syndrome, damp stasis. Distribution of the above four areas reflects the emergence and evolution of physical syndromes including:converting attributes of cold and heat, physical and certificates from the mass change of physical fitness and physical illness and disease susceptibility, fitness and pathogenesis and outcome⑦TCM constitution and fibroid risk factors of relevance:Through case patients (case group) Contrast174cases of normal women (control group) were308cases of women’s physical type, age, clinical symptoms correlation analysis correlation analysis showed that age and uterine fibroid, there was a significant relationship (P<0.01Pearson Correlation-.184). It shows a higher age will increase the risk of having uterine fibroid. Meanwhile, multivariate logistic regression analysis showed that uterine fibroid is caused by a complex multifactorial reason but not a single reason.Physical type and age have uterine fibroid and basic syndromes affect the formation of complex syndromes. Physical distribution of frequency control group in descending order are:yang quality41cases (23.56%), Qi deficiency in26cases (14.94%), qi quality25cases (14.37%), blood stasis22cases (12.64%), yin deficiency21cases (12.07%), heat mass15cases (8.62%), special intrinsic quality of11cases (6.23%), gentleness7cases (4.02%), phlegm6cases (3.45%). Control and physical distribution of the first group of four cases are:yang quality, qi, qi quality, blood stasis. Case and control groups35-41years and42-48years of age in stages, both begin with the physical distribution of mass, led by Yang, and both at different ages, the yang quality and physical appearance of the other frequency comparison, the chi-square test, the results were significant differences (P<0.05). Physical case group and control group distributed more in the21-27years and28-34years old stage, by t test, the difference was significant (P<0.05). In the35-41year-old,42-48years old and49-55years old stage, t-test, there was no significant difference (P>0.05).⑧risk factors in patients with uterine fibroid of the total patient group yang quality, syndrome type correlation:Yang quality and patient age was positively correlated with the total patient group, both in the35-41years and42-48years old age group was the highest disease. Yang quality overall average age of the patients and each patient group was41years old and40.17years old. Yang and qualitative factors and the incidence of uterine fibroid, type syndromes positive correlation, the same syndrome distribution groups of all ages (except21-27years old), are in stasis syndrome, qi stagnation, kidney deficiency is Lord. Complex syndromes same distribution groups of all ages, are blood stasis and kidney stasis. Incidence of various age groups the percentage of positive correlation Conclusions①investigation concluded:1.1Study suggests that physical type and age have uterine fibroid and basic syndromes affect the formation of complex syndromes.1.2fibroid patients with common types of physical yang quality, complex syndromes common to stagnation and Kidney BloodWomen1.3case group and the control group,35-41years and42-48years old at the stage, begin yang quality as the main physical performance. ②theoretical study concluded:2.1lady at the age of35, yang began less, until age42Sanyang veins are true, the extent of the growing emphasis spleen deficiency, Chong Yang and physical impact of any two clock function, and any two veins are red from the cell and twelve of the blood processing system, it led to the emergence of local women’s cell performance stagnation syndrome, contributed to one of the pathogenesis of uterine fibroid, which is a concrete manifestation of the syndrome of TCM constitution and the relationship of the candidate2.2imbalance of yin and yang are favorable conditions for the onset and development of uterine fibroid, but female at age49, the red any virtual failure and menstruation stops, then the body’s yin and yang are true, they are at a low level equilibrium state, changing the lady in age35-48physiological imbalance of yin and yang, so the clinical findings lady was about49years after the emergence of the disease but fewer or less see patients tumor shrinkage phenomenon itself2.3Physical effects of the probability of onset of uterine fibroids, it does not mean people will be suffering from interstitial yang of the disease. Constitution is a susceptibility to a disease, specifically in the body’s response to certain virulence factors produced by the reaction, which affects the development of the law of certain diseases and syndromes. As the lady in35-41years and42-48years old Yang qualitative phase prone tendencies, evil is easy with the cold body of Yang, Hanning resistance network, blood stagnation, which Foot Yangming stomach and red veins gas blood stagnation situation is more serious, it made for uterine fibroids. Is this even possible with uterine fibroids and patients often see clinical phenomenon hyperplasia have a certain relationship.2.4As the study shows that the occurrence and development of qualitative Yang uterine fibroids has an important relationship, and Ms.35-41years and42-48years of age suffer from uterine fibroids stage even without qualitative tendency Yang also prone, so recommendations related to women ages when Yang and qualitative improvement of the physical biased tone the body through a variety of ways suggested to combat the disease.