The Correlated Research Between The Onset Factors And The TCM Constitution Of The Late Menstrual

[Objective]To understand the differences between the distribution of Patients with late menstrual and female with normal menstrual in type of Chinese medicine constitution, living habits and other relevant factors. To analyze the relationship between the relevant factors of constitutions in Chinese medicine and living habits of patients with late menstrual and incidence of the disease. All these provide a reference for the prevention and treatment of delayed menorrhea and combine physique of differentiation with prevention and treatment of delayed menorrhea in order to achieve better control efficacy.[Methods]To develop a questionnaire about the general situation of menstruation referring to the relevant literature and formulate a survey about the constitution of traditional Chinese medicine according to the "TCM constitution" which is edited by Professor Wang Qi. Patients with delayed menorrhea and healthy female with normal menstruation (including companion, High school and college students of the same age) were used in the investigation. All observed objects were derived from affiliated Hospital of Chengdu University of TCM gynecology clinic. A total of300people survey questionnaires included in the statistics, because some entries missing and does not meet the conditions of the study to be invalid questionnaires in22cases,278cases, case group (late menstrual patients)138cases in the control group (menstrualnormal healthy women)140. The data obtained from the survey analyzed by SPSS17.0software.[Results]1. Survey results showed:The differences in some of observed indicators in the two groups were significant, such as emotions, diet, sleep quality, family history and inheritance history, menstruation of cold-stress stimulation, exercise, body mass index and so on(P<0.05). There was no significant difference between the two groups in educational background, occupation, history of smoking, history of alcohol consumption, reduce weight, marital status and method of contraception (P>0.05).2. Physical distribution:The observation group, constitution of yin-yang harmony in26cases (18.8%), biased physique in112cases (82.2%). The Control group, constitution of yin-yang harmony in73cases (52.1%), biased physique in67cases (47.9%). The biased physical distribution of delayed menorrhea from high to low were constitution of yang asthenia in38cases (33.9%), constitution of qi stagnation in26cases (23.2%), constitution of phlegm-dampness in15cases (13.4%), constitution of qi asthenia in14patients (12.5%), constitution of yin asthenia in8cases (7.1%), constitution of damp-heat in6cases (5.4%), constitution of blood stasis in3cases (2.7%) and allergic constitution in2cases (1.8%).3. In these patients of delayed menorrhea, a significant difference was seen in the distribution of different emotional types on biased constitution (P<0.05). There was no significant difference in the distribution of other relevant factors on biased constitution, such as body mass index (BMI), diet, sleep quality, menstruation of cold-stress stimulation, family history and inheritance history, age difference, course of disease, occupation, educational background and marital status (P>0.05).4. The age of onset in14years old which maked up to71cases (51.4%) was the most common, followed by the age of onset in21years old which maked up the41cases (29.7%).[Conclusion]1. Research shows:The causes which induce or aggravate delayed menorrhea may be due to negative emotions, partiality for a kind of particular food, poor quality of sleep, family history and inheritance history, menstruation of cold-stress stimulation, Unusual BMI. Exercise may be a factor preventing the occurrence of delayed menorrhea. There was no obvious correlation between other relevant factors and the occurrence of delayed menorrhea, such as educational background, occupation, history of smoking, history of alcohol consumption, marital status and method of contraception.2. In this study, biased constitution is the most common constitution of delayed menorrhea. Constitution of yin-yang harmony was the most common constitution of female with normal menstruation. In these patients of delayed menorrhea, constitution of yang asthenia was the most common constitution of biased constitution, followed by constitution of qi stagnation, constitution of phlegm-dampness and constitution of qi asthenia.3. In these patients of delayed menorrhea, the distribution of biased physical type was associated with emotional factors. No obvious relationship was found between other relevant factors and the distribution of biased physical type, such as BMI, diet, sleep quality, menstruation of cold-stress stimulation, family history and inheritance history, age difference, course of disease, occupation, educational background and marital status. Constitution of qi stagnation was the most common constitution of patients with negative emotions.4. The age in delayed menorrhea mainly is the age of onset in14years old, followed by the age of onset in21years old. The prevention and treatment of delayed menorrhea should be started at puberty.5. The onset of delayed menorrhea was related to constitution. However, the property of constitution was its adjustability. Early intervention for susceptible constitution was one of the effective methods and approach for preventing delayed menorrhea.