| ObjectiveThrough a questionnaire survey on the current status of Malaysian women,the TCM physique of Malaysian patients with hypomenorrhea was assessed.Discuss the distribution characteristics of their physique types and various related factors that affect individual differences,so as to provide a basis for the prevention,diagnosis and treatment,rehabilitation and health preservation of hypomenorrhea patients in Malaysia,and to improve the health status of Malaysian women.MethodsPatients who were diagnosed with hypomenorrhea in various regions of Malaysia from January 2019 to December 2019 were selected as the survey subjects.According to the diagnostic criteria,inclusion criteria,and exclusion criteria of hypomenorrhea,female patients who meet the criteria and the age range of 16-45 years old were selected as the survey subjects.The questionnaire includes general condition questionnaire,menstrual condition questionnaire and Chinese medicine five-shaped body constitution questionnaire.Patients with hypomenorrhea fill in the questionnaire according to their current situation.The questions include fill-in-the-blank,single-choice and multiple-choice questions."Chinese Medicine Five-Shape Body Constitution Questionnaire" summarizes the answers to each question in accordance with the TCM Five-Shape Body Constitution Standard.Summarize the answer options with the most types to determine the five element attributes of the human body,namely water-shaped people,golden-shaped people,earth-shaped people,wood-shaped people,and fire-shaped people.If there are the same number of options for the two types of physique in the answer,it will be judged as a combination of physique,such as water and soil shape,earth wood shape,etc.Since the official language of Malaysia is Malay,Chinese and Malay will be used for the questionnaire design.Use Microsoft Office 2007 Excel software to build a database.The collected questionnaire data is processed into data,and then the data is imported into the SPSS23.0 system software for data analysis.General information such as age,race,place of residence,occupation,education level,marital status,living environment,dietary preferences,eating habits,dieting and weight loss,exercise habits,defecation habits,etc.are analyzed by frequency analysis,and symptoms and five forms of experience The classification of people is analyzed by multiple response frequency analysis,and the five-shaped body constitution and related factors are analyzed by pearson test analysis.The test standard a is 0.05,P<0.05,indicating that the difference is statistically significant.ResultsA total of 704 questionnaires were successfully collected in this survey,65 of which were unqualified,and 639 valid questionnaires were collected.In this study,639 patients with hypomenorrhea were aged between 16-45 years old,and most of them were patients aged 26-30,accounting for 22.40%.The age of menarche in patients with hypomenorrhea is mainly concentrated in 11-14 years old,a total of 520 people,accounting for 81.40%,while only 33 people aged 16-18 accounting for 5.20%.The menstrual regularity of hypomenorrhea patients is mainly based on regularity,accounting for 72.60%.The menstrual cycle of hypomenorrhea patients is mainly 28-30 days,accounting for 44.30%,and the menstrual days are mainly 1-2 days,accounting for 50.10%.The menstrual color is mainly dark red,accounting for 35.80%,and patients with dysmenorrhea account for 57.70%.The main symptoms associated with menstruation in patients with hypomenorrhea are breast tenderness during menstruation,backache during menstruation,poor mood during menstruation,headache during menstruation,and body pain during menstruation.These 5 symptoms account for 83.70%.In this study,there were 313 hypomenorrhea patients without pregnancy history(49.00%),341 hypomenorrhea patients(53.40%)without fertility history,and 538 hypomenorrhea patients without history of abortion(84.20%).Due to Malaysia's eugenic protection law and the protection of abortion crimes,the frequency of abortion is significantly less.There are 538 patients without history of abortion,and only 15.00%of patients have a history of abortion.The results of the study show that multiple pedestrian flow and uterine cavity operations are not the main causes of hypomenorrhea in Malaysia.The results of the study suggest that the general menstrual cycle and the number of days of menstruation in patients with low menstrual periods are basically normal,and the menstrual flow is significantly reduced.Menarche is mainly concentrated in the age of 11-14,and only 5.20%of patients are 16-18.The total number of patients with pregnancy and more than 3 births was a minority,only 78(12.20%).There are not many patients who have had more than 3 births,only 48(7.50%).Only 29(4.50%)had two or more abortions.Symptoms associated with menstrual bleeding in menorrhagia patients are mainly menstrual breast tenderness and poor mood during menstruation.These two symptoms account for 43.70%.Therefore,it is considered that the patients with hypomenorrhea in Malaysia have little relationship with congenital insufficiency,but the main cause of liver depression and qi stagnation.In this study,the majority of patients with hypomenorrhea were Chinese and Malays,a total of 602 people,accounting for 94.20%.The living environment of the patients is mainly in cities,accounting for 90.50%,mostly from Johor,Kuala Lumpur Federal Territory,Penang,Malacca and Selangor,accounting for 81.00%.There are 460 patients(72.00%)with education background mainly from universities or colleges,suggesting that the majority of patients with high education in Malaysia.They are mainly engaged in clerical work(24.40%),professionals(23.60%),students(20.60%),other industries,such as beauty,sales and service,etc.,accounting for 16.70%,and at least 27 housewives(12.40%).The living environment of patients with hypomenorrhea is mainly in the city,so their living habits are relatively irregular(51.80%),and they often stay up late(75.10%)and eat irregularly(59.80%).This suggests that Malaysian women live in big cities,work busy,work longer hours,and have relatively high living standards and pressures.Malaysia is located in Southeast Asia and has a tropical rain forest climate,with hot and humid weather all year round,with an average temperature of 22?-28?.Malaysians like to use some spicy ingredients for cooking,such as chili,turmeric,cinnamon,star anise,curry leaves,etc.These spices can help everyone increase appetite,promote digestion and absorption in the hot summer.Therefore,Malaysian dishes are more intense,spicy and sour.The results of the study showed that the majority of patients with hypomenorrhea who liked spicy food,207(32.40%),and 143(22.40%)who liked sour food.Malaysians also like to eat spicy food with cold drinks.Affected by these living and eating habits,the defecation habits of patients are generally loose and sticky,and the feeling of uncleanness is more,accounting for 50.70%.The weight of patients with hypomenorrhea is mainly in the range of 41-60kg,accounting for 64.80%.It can be seen that Malaysian patients are still more concerned about their weight and keep them within a healthy range.There were 332 patients(52.00%)whohad dieting habits.There are 149 patients(23.30%)without exercise habits,240 patients(37.60%)who exercise once a month,and only 40 patients(6.30%)who insist on exercisingevery day.Because modern women are influenced by the weight-loss culture,they mistake weight loss as an excuse and choose diet to lose weight,but ignore the health benefits of exercise.In addition,women are busy at work and have to take care of their career and family.They have insufficient free time and neglect to exercise.Most patients sleep between 7-8 hours,353(55.20%)and 252(39.40%)sleep less than 6 hours.Modern women's lives are irregular,and they often have the habit of staying up late,forming a life that is reversed day and night.Sometimes and often,89.20%of patients feel the pressure of work and study,suggesting that many women in Malaysia are in a stressful environment for a long time.This is related to Malaysia's busy life,fierce competition and busy work.Nowadays,most patients think that 7-8 hours of sleep is normal sleep,but everyone ignores the harm to the body by staying up late.The bad habit of staying up late destroys the normal body functions of the human body.”Gezhi Yu Lun,Yang has surplus but Yin deficiency theory" says:"The person who occludes the reservoir,the kidneys,the Si Shuxie,and the liver." The dredging effect of liver qi plays an important role in coordinating the movement of qi in the viscera and meridians effect.Human lying blood returns to the liver.Sleep at night enables the liver to be fully nourished by yin and blood to ensure that the liver's function of dredging and regulating functions is normal.If there is insufficient sleep for a long time and the liver cannot be nourished,the liver yin is insufficient,the liver does not store blood,and the body fluid is insufficient,leading to the occurrence of low menstrual flow.Nowadays,social life is fast-paced,mental consumption is high,coupled with frequent staying up late and lack of sleep,can affect endocrine function,leading to menstrual disorders and the performance of menorrhagia.Adequate sleep can reduce the occurrence of hypomenorrhea.Studies have shown that sleep is closely related to Chinese medical physique.Declining physical fitness and poor sleep quality often form a vicious circle,which seriously affects women's physical and mental health.Therefore,irregular life,diet to lose weight,staying up late,and lack of sleep are all important factors leading to hypomenorrhea.Among the 639 patients with hypomenorrhea in this study,there were 182 people(26.00%)in the form of soil-shaped people in traditional Chinese medicine,followed by 176 people(25.10%)in wood-shaped people,137 people in water-shaped people(19.50%),and gold-shaped people.There are 107 people(15.30%)and 99 people(14.10%)in the shape of fire.It can be seen that the traditional Chinese medicine physique of patients with hypomenorrhea is dominated by earth-shaped people and wood-shaped people,accounting for 51.10%.Five-shaped body constitution and race(P=0.010),age(P=0.000),occupation(P=0.000),dietary preferences(P=0.000),staying up habit(P=0.000),regularity of life(P=0.000),exercise habits(P=0.000),defecation condition(P=0.002)and symptoms associated with menstruation(P=0.000)were correlated,P<0.05,all of which were statistically significant.There is no correlation between the five-shaped body constitution' of the hypomenorrhea patients in Malaysia with eating habits(P=0.085),dieting(P=0.990),dysmenorrhea(P=0.263)and the number of births(P=0.209),P>0.05,no statistics Learn meaning.This study shows that Chinese patients are mainly wood-shaped people,and Malay patients are mainly earth-shaped people.Patients aged 26-30 are mainly wood-shaped people;31-35-year-old patients are mainly earth-shaped people;21-25-year-old patients are mainly gold-shaped people.The civilian staff are mainly wood-shaped people;the students are mainly earth-shaped people;the professionals are mainly wood-shaped people.People who love spicy food are mainly golden-shaped people,those who love sweet food are mainly earth-shaped people,and those who love sour food are mainly wood-shaped people.The patients with the habit of staying up late are mainly wooden-shaped people,and the patients with irregular living habits are mainly wooden-shaped people.The patients who exercise only once a month are mainly earth-shaped people,and those who have no exercise habits are mainly wood-shaped people.People with sticky stools and unclean feelings are mainly wood-shaped people,and those with loose stools are mainly earth-shaped people.The patients with breast tenderness and menstrual distress during menstruation are mainly wood-shaped people and earth-shaped people.Conclusion1.In Malaysia,patients with hypomenorrhea generally have a normal menstrual cycle,with the number of menstrual days and menstrual volume being significantly reduced.2.The main causes of hypomenorrhea in Malaysia are liver depression and spleen deficiency.3.The main Chinese medicine five-shaped body physiques for hypomenorrhea patients in Malaysia are earth-shaped people and wooden-shaped people.4.The five-shaped body constitution of patients with hypomenorrhea is related to race,age,occupation,dietary preferences,staying up habit,life pattern,exercise habits,defecation status and symptoms associated with menstruation. |
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