The Preliminary Investigation On Correlation Between Female Infertility And Constitution Of TCM

Objective:Guidance by the theory of TCM constitution, use the clinical epidemiology investigation methodology to discuss the distribution of TCM constitution in female infertile patients and susceptible constitution, discuss the relationship between constitution factors and female infertility, in order to offer new ideas for female infertility treatment and prevention.Methods:To investigate 160 cases of female infertile patients (case group) and 70 cases of normal reproductive women without infertility history (control group) with the self-made general questionnaire and classification and determination of TCM constitution table that created by Professor Qi Wang. Analyze the distribution of TCM constitution in two groups and clinical datas.Results:1.The frequency of each TCM constitution in case group(160 cases of female infertile patients)was as follows:Yang deficiency constitution (42.0%)>Qi stagnation constitution (40.0%)>Qi deficiency constitution (27.5%)>Blood stasis constitution (25.6%)> Damp-heat constitution (23.1%)>Yin deficiency constitution(18.8%)> Phlegm-dampness constitution(17.5%)>Normal constitution(11.9%)>Special constitution (5.6%). Yang deficiency constitution and Qi stagnation constitution occupied the highest percentage.2.The frequency of each TCM constitution in control group(70 cases of normal reproductive women without infertility history) was as follows:Normal constitution (51.4%)>Yang deficiency constitution (25.7%)>Qi deficiency constitution (24.2%)>Yin deficiency constitution(17.1%)>Qi stagnation constitution(15.7%)>Damp-heat constitution (11.4%)>Blood stasis constitution(10.0%)>Phlegm-dampness constitution (5.7%)> Special constitution (4.3%).Normal constitution occupied the highest percentage.3.Comparing the distribution of TCM constitution in two groups, there were significant difference in Normal constitution, Yang deficiency constitution, Phlegm-dampness constitution, Damp-heat constitution, Blood stasis constitution, Qi stagnation constitution(P<0.05).4. Blood stasis constitution showed significant difference in female infertile patients with different age groups, different courses, different types(P<0.05).5.The frequency of frenquent clinical symptoms was as follows:distending pain of breasts accompanying menstruation(73.1%)>Menstrual blood clots(63.1%)>soreness of waist accompanying menstruation(52.5%)>dysmenorrhea(48.8%)>Emotional depression(46.9%)>extreme chilliness(45.0%).6. Physical characteristics showed significant difference between case group and control group(P<0.05).7.In all kinds of dietary habits, cool and cold dietary habits showed significant difference between case group and control group(P<0.05). Although spicy and baked dietary habits showed no significant difference between two groups, it occupied much higher proportion in case group than control group.8.In sleep habits, sleep quality was very significant difference between case group and control group(P<0.01).Although sleep patterns showed no significant difference between two groups, sleep late occupied much higher proportion in case group than control group.9. Exercise habits showed significant difference between case group and control group(P< 0.05).10. The menstrual phenomenon of case group and control group, there were very significant difference in menstrual cycle, menstrual amount, menstrual texture, symptoms accompanying menstruation.11.Sexual life showed significant difference between case group and control group(P<0.05).Conclusion:1.There were certain correlation between constitution factors and female infertility. Biased constitution women are more prone to infertility than Nomal constitution women. 2.The susceptible constitution of female infertile patients were Yang deficiency constitution and Qi stagnation constitution.3.Female infertile patients of elder in age, longer in course, secondary infertility were more likely to form Blood stasis constitution.4.Physical underweight or overweight, cool and cold dietary, spicy and baked, poor quality of sleep, sleep late, lack of exercise had certain correlation with female infertility.5.Menstrual disorders, abnormal sexual life is common in Female infertile patients.6.Combined with differentiation of individual embodies, establish individual scheme of constitution conditioning have positive significance on infertility treatment and prevention.