Font Size: a A A

A Comparative Study On The Types And Correlations Of TCM Constitutions In Patients With Functional Dyspepsia In China And South Korea

Posted on:2018-03-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:S G LiFull Text:PDF
GTID:1314330515489159Subject:TCM clinical basis
Abstract/Summary:PDF Full Text Request
At present,functional dyspepsia(Funtional Dyspepsia,FD)has become the world’s common concern about human health problems.Because of its etiology and pathogenesis is still not clear,the effect is not good,resulting in patients repeatedly medical treatment,and even seriously affect people’s quality of life and consumption of a large number of medical resources,and long duration of disease lead to organic digestive diseases.According to the 2008 World Epidemiological Survey,there were 35.8%of FD symptoms in the general healthy population。In the perspective of Western medicine,the pathogenesis of FD is not fully elucidated,the main point of view that bloating dynamic disorders,increased visceral sensitivity,Helicobacter pylori infection,etc.,but any kind of disease theory can not summarize all the clinical manifestations of the disease.So the main treatment is symptomatic treatment.Such as gastric motility-type propellant drugs,Helicobacter pylori(Helicobacter Pylori,Hp)caused by the correlation should be Hp eradication therapy,but the efficacy of instability,and easy to relapse and other shortcomings。In the perspective of traditional Chinese medicine on the pathogenesis of FD were mainly spleen and stomach,cold and heat mixed,liver and spleen and not,diet stagnation,stomach yin deficiency,stomach stasis,spleen and stomach,etc.,in the traditional Chinese medicine treatment point of use,The patient’s clinical symptoms,with unparalleled advantages,but in the traditional Chinese medicine treatment with a certain effect,the FD disease in the patient’s personal life,diet,health control aspects,etc,will still again Recurrence,in addition to the patient’s quality of life to bring the same change will affect the patient’s family and family life burden。Traditional Chinese medicine physique that physical fitness is associated with the disease,physical condition determines the body of a causative factor susceptibility and the type of disease tendencies.The daily life style has an important factor in the formation of the constitution.Healthy lifestyle can correct pathology and can be applied to the prevention of disease.According to the relevance of pathology and specific diseases,a high-risk population of a disease is found for active prevention and early treatment.This paper focuses on the three themes of "TCM constitution type","functional dyspepsia and related factors","TCM constitution type and relatedity of functional dyspepsia patients" in Chinese and Korean functional dyspepsia patients The study of the two parts of literature research and investigation。The first part of the literature research is the understanding of Western medicine FD,diagnostic criteria and pathogenesis,treatment.The second part of traditional Chinese medicine on the understanding of FD,discusses the modern Chinese medicine on the origin of the disease,etiology and pathogenesis,and physical relationship,treatment and so on.The third part is the Korean medicine on the understanding of FD,and the relationship between physical and therapeutic aspects of treatment。The survey was divided into three parts.The distribution of FD related factors in FD patients was analyzed,and the correlation between FD type factors and FD related factors was analyzeda。objective:Chinese and Korea as the two major Asian countries,the incidence of FD are high.Therefore,FD patients from different countries,the type of Chinese medicine constitution and its related factors are more meaningful.In addition,through the FD patients with a long history of physical and cultural history of China and South Korea to carry out research also has international significance.Through the analysis of the actual case data of FD patients in China and South Korea,this paper explores the distribution of physical types and their correlations of FD patients in China and Korea,and communicates and promotes the academic exchange and common development of Chinese and Korean fields on FD in Chinese medicine research,With more meaningful。methods:1.Through the literature research methods,access to functional dyspepsia and the distribution of traditional Chinese medicine physical and related factors,mainly from age,sex,duration,predisposing factors,eating habits,hobby drinking habits,occupational distribution,family history,TCM And other aspects of the comparative analysis,the initial study of FD patients between the two types of Chinese medicine between the physical types and related factors。2 research methodsUsing the cross-sectional research method,the Chinese and South Korea’s 300 cases between 18 years old to 80 years of age in the Chinese patient group,the use of "Chinese physical fitness scale","FD TCM syndrome table",,the patient’s basic situation questionnaire,And then the two countries on the FD patients with physical types and related factors data collation and statistical analysis.In accordance with the Guidelines for Clinical Research on Traditional Chinese Medicine(Trial Implementation)(2002),the observation indicators(TCM four clinics,demographic data,incentives,hobbies,etc.)included in the questionnaire were compiled and quantified(according to symptoms Frequency,duration,nature and the relationship between the external stimulus and other four aspects of comprehensive quantification,divided into no,light,medium and heavy 4,were quantified to 0,1,2,3;difficult to graded into the emergence and Does not appear,as 0,1)by the professionals according to the clinical survey scale objective fill out the site survey form。3 data collationStatistical analysis was performed using complete data.Using the Excel software to build the database,the whole process using two independent input data,and the data check and logic check to ensure that the data is correct after locking the database。4 Statistical analysisAll the data of the questionnaire were reviewed and the questionnaire was compiled.All the data were analyzed by Spss18.0 statistical software.The distribution of TCM constitution and the correlation between the Chinese and Korean FD patients were compared。Social census as a variable grouping,using X2 test(chi-square)to compare the composition of the differences in the constitution。5 pairs of Chinese and foreign patients with FD FD and their relevance to determine the results of the corresponding analysis methods to further explore the Chinese and South Korea on FD patients with TCM type and FD-related factors between the corresponding relationship between the comparison。Results:1 For functional dyspepsia in patients with physical type distribution(1)Chinese functional dyspepsia patients with traditional Chinese medicine physical type distribution:traditional Chinese medicine typical physical and folder and physical quality of 300 cases of Chinese medicine physical types of distribution,the quality of the plains accounted for 12.7%,leaving eight kinds of biased physical accounted for 87.3%.Comparable physical condition was 10.3%,11.3%,7.3%,11.0%,12.7%,respectively,and the quality of qi deficiency,yang deficiency,yin deficiency,phlegm and dampness,8.6%,13.6%and 11.3%respectively.There were significant differences in the composition of TCM constitution between different sex and allergic history(P<0.05)。(2)Korea functional dyspepsia patients group of traditional Chinese medicine physical type distribution:South Korea typical simple physical and folder and physical total of 300 cases of Chinese medicine physical type distribution situation,the plain quality accounted for 6.3%,leaving eight partial physical accounted for 93.7%.Comparable physical condition was 10.3%,11.3%,4.0%,10.3%,21.0%,respectively,and the quality of qi deficiency,yang deficiency,yin deficiency,phlegm and dampness,6.0%,27.3%,3.0%.There were significant differences in the composition of TCM constitution between different sex and allergic history(P<0.05)。(3)The results of distribution of TCM constitution types in patients with functional dyspepsia in Korea were compared with those of patients with functional dyspepsia in China,and some differences were found in Chinese patients such as functional dyspepsia(12.7%),phlegm-dampness(11.3%),qi deficiency(11.3%),the proportion was relatively small and the Korean function(13.6%)was the most common,Patients with dyspepsia were the most common type of qi stagnation(27.3%),followed by damp heat(21.0%)and yang(11.3%)。2 The functional dyspepsia patients with the distribution of the relevant factors(1)The proportion of men and women in patients with functional dyspepsia was 39.6%:60.3%.The proportion of male to female patients with functional dyspepsia was 46.0%:54.0%。(2)The age ratio of patients with functional dyspepsia in China was 50%(50~59)(42.3%).The age ratio of patients with functional dyspepsia in Korea was To 50 years(50~59)for the most common(33.0%)。(3)The distribution of the course of patients with functional dyspepsia was the highest in 1 to 5 years(46.0%).The distribution of the course of patients with functional dyspepsia was 5 to 10 years Up to(38.6%)。(4)In China,the predisposing factors of functional dyspepsia patients were overtaken(32.6%)。;Korea on the functional dyspepsia patient group predisposing factors,to the most emotional(39.6%)。(5)The dietary habits of patients with functional dyspepsia were the highest(28.6%)。;Korea on functional dyspepsia in patients with dietary habits of the diet to the largest section(69.60%)。(6)China’s functional dyspepsia patients group of drinking habits factors,to the most liquor(27.6%)。;Korea on the functional dyspepsia patient group drinking habits factors,to the most beer(45.6%)。(7)China has a career in functional dyspepsia patients(31.3%)。;Korea on the functional dyspepsia patient group for the most white-collar workers(27.6%)。(8)The family history of patients with functional dyspepsia was the highest(29.0%)in chronic gastritis。;Korea on functional dyspepsia patients with family history factors,with chronic gastritis as the most(41.3%)。(9)Chinese patients with functional dyspepsia syndrome group,the spleen and stomach damp heat for the most(31.0%);Korea on functional dyspepsia patients with TCM syndromes,with liver and stomach is not the most(27.6%)。3 Comparison of the relationship between TCM constitution type and FD related factors in patients with functional dyspepsia(1)Chinese patients with functional dyspepsia and the sex ratio of male and female were the highest(16.6%)of male and female with the highest amount of hot and humid(17.6%)。The prevalence of male sterility in the patients with functional dyspepsia in Korea was the highest(33.4%)for women who had the highest calorie(33.5%)。(2)Chinese patients with functional dyspepsia in the physical constitution type and age of the situation for the 50-year-old(50~59)wet and heat the most(29.9%);Korean patients with functional dyspepsia TCM constitution type and Age score was 50 years(50~59)qi stagnation of the most(35.3%)。(3)Chinese patients with functional dyspepsia patients with physical constitution and duration of the situation to 5 to 10 years yang deficiency the most(37.8%);Korean patients with functional dyspepsia TCM constitution and duration of the situation to 5~10 years;(4)The TCM type and predisposing factors of functional dyspepsia patients in China were overly exertional(26.5%);The TCM constitution and predisposing factors of functional dyspepsia patients in Korea were(Qi yu accounted for 31.9%)the most。(5)China’s functional dyspepsia patients with traditional Chinese medicine physical and dietary habits to hobby fried(wet and heat accounted for 23.3%)for the most;Korean patients with functional dyspepsia TCM constitution type and diet to diet section(qi stagnation Accounting for 28.2%)。(6)The TCM constitution and TCM syndromes of patients with functional dyspepsia in China were the most common in the spleen and stomach(27.9%of the spleen and stomach);The TCM constitution and TCM syndromes of the patients with functional dyspepsia were divided into liver and spleen(Qi stagnation accounted for 33.7%)for the most。Conclusion:1 Korea functional dyspepsia patients with traditional Chinese medicine physical distribution of the results showed that compared with the FD group in China has a certain difference,suggesting that foreign FD patients and the distribution of Chinese physical types are different,for the establishment of FD patients Of the international standards of Chinese medicine to provide a basis for reference。2 A comparative analysis of the factors related to FD patients in China and Korea showed that the sex,age,course of disease,predisposing factors,eating habits,drinking habits,occupation,family history,TCM syndromes distribution and FD disease Of the relevance,especially the occurrence of FD disorders and adverse eating habits,lifestyle,occupational differences are closely related to the guiding significance。3 This study was conducted to study the correlation between the factors of FD patients and the types of TCM constitution.It was found that there was a close correlation between the factors of FD patients and TCM constitution,which laid a theoretical foundation for the correlation analysis The Chinese and Korea FD patients in the TCM type and FD-related factors between the correlation analysis showed that a number of FD patients with TCM syndromes and traditional Chinese medicine type has a strong consistency,suggesting that Chinese and Korea FD patients with traditional Chinese medicine There is a non-one-to-one relationship between the two types of physical condition,and a new entry point for the study of the correlation between FD and other TCM types。...
Keywords/Search Tags:traditional Chinese medicine, functional dyspepsia, correlation, epidemiology
PDF Full Text Request
Related items