A Research For The Relations Of TCM Constitution And Irritable Bowel Syndrome

Objective:To analyze the distribution of TCM Constitution in irritable bowel syndrome patients who diagnosed and treated in Gastrointestinal Department of jiangsu provincial TCM Hospital from March 2009 to January 2010; explore the relationship between irritable bowel syndrome and TCM Constitution; summarized the popular tendency of IBS, and hence to provide a new ideas for the prevention and treatment of IBS.Methods:By means of question investigations,247patients with irritable bowel syndrome are gathered. They are categorized into nine constitution types, namely, gentleness type, qi-deficiency type, yang-deficiency type, yin-deficiency type, phlegm-wet type, wetness-heat type, blood-stasis type, qi-depression type, and special inherited type. Data base was established, the relationship of TCM constitution with gender, age, residence, occupation, course of disease and IBS sub-types were analyzed by SPSS 13.0 statistical software.Results:1.The frequency of TCM Constitution types in irritable bowel syndrome in descending order is:qi-depression type(34.8%)>yang-deficiency type(28.0%)>gentleness type(10.1%)>qi-deficiency type(8.9%)>wetness-heat type(7.7%)>phlegm-wet type(6.1%) >yin-deficiency type (2.0%)>special inherited type (1.6%)>blood-stasis type(0.8%).2. IBS sub-types differences existed in the constitution in Chinese medicine of the patients with IBS. The frequency on the patients who suffered IBS diarrhea in descending order is: yang-deficiency type>qi-depression type>gentleness type>qi-deficiency type>phlegm-wet type>wetness-heat type>special inherited type>blood-stasis type=.yin-deficiency type. The frequency on the patients who suffered IBS constipation in descending order is:qi-depression type>wetness-heat type>yang-deficiency type>gentleness type=yin-deficiency type>qi-deficiency type-special inherited type>phlegm-wet type=blood-stasis type. The frequency on the patients who suffered IBS-Mixed in descending order is:qi-depression type>yang-deficiency type>gentleness type=qi-deficiency type>wetness-heat type=special inherited type>blood-stasis type=yin-deficiency type=phlegm-wet type. The frequency on the patients who suffered IBS-Unclassifiable in descending order is:qi-depression type>gentleness type=qi-deficiency type=wetness-heat type>yang-deficiency type=yin-deficiency type= blood-stasis type>phlegm-wet type=special inherited type. There was statistic difference between IBS sub-types differences and the constitution in Chinese medicine (P<0.05).3. No correlation is found between TCM Constitution types in irritable bowel syndrome and the patients'gender, age, residence, occupation and course of the disease.Conclusion:1. Irritable bowel syndrome is correlated with TCM Constitution types; abnormal constitution is common in qi-depression type, yang-deficiency type, which conforms to the pathogenesis of irritable bowel syndrome:liver stagnation and spleen deficiency.2. IBS sub-types differences existed in the constitution in Chinese medicine of the patients with IBS. The biased constitution in the patients who suffered IBS diarrhea were yang-deficiency type and qi-depression type; the biased constitution in the patients who suffered IBS constipation were qi-depression type and wetness-heat type; the biased constitution in the patients who suffered IBS-Mixed and IBS-Unclassifiable were qi-depression type.3. It is indicative by this study that the patients with irritable bowel syndrome have a certain bias TCM constitution. Therefore, by means of adjusting to the biased constitution, the effects of prevention and treatment of IBS can be attained.