| Objective:with the rapid economic development, environmental pollution is increasingly serious, climate change and air quality problems directly affect people's health. The incidence of many factors, four climate abnormal change, breed and spread, resulting in disease conditions, forming a seasonal disease. With the seasons change, yin and Yang of the human body also has difference in different seasons can appear different susceptible pathogens and susceptibility to disease. The study of 597 cases of menstruation were retrospective investigation and analysis of the past three years late menstruation in different seasons of onset and TCM syndrome type distribution and seasonal. Preliminary study Late menstruation and the relationship between the seasons, to provide a reference for the prevention and treatment of disease.Methods:This study collected in January 2013 and 2015 December in records of the supervisor of Department of gynaecology clinic of the Affiliated Hospital of Chengdu University of traditional Chinese medicine in patients with menstrual disease later. By means of questionnaire, find the original records and telephone search, way, collect diagnosed late menstruation patients general information, menstruation, systemic symptoms and tongue, pulse etc., and the syndrome differentiation of, establish database, analysis of menstruation various syndromes in different seasons constitute ratio is the same, relationship of the syndrome of menstruation and season; frequency analysis method of menstruation every syndrome type distribution and chi square using the chi square test To test and analyze the composition ratio of each syndrome type in different seasons, and to explore the distribution law of different syndrome types in different seasons.Result:(1) this study show that the distribution of different seasons menstruation has certain regularity.2013 in 173 cases of menstruation in patients with spring 43 cases (24.9%), summer in 38 cases (21.9%), fall 43 cases (24.9%), winter 49 cases (28.3%); 2014 203 cases of delayed menorrhea in spring season in 60 cases (29.6%), summer 33 cases (16.3%), fall in 52 cases (25.6%), winter 58 cases (28.5%); in 2015 221 patients with late menstruation spring 56 cases (25.3%) summer 51 cases (23.1%), fall 50 cases (22.6%). winter in 64 cases (29.0%); nearly three years,597 cases of menstruation in patients with spring 159 cases (26.6%), summer 122 cases (20.4%), autumn 145 cases (24.3%), winter in 171 cases (28.7%). Routinely number how many sorted winter> spring> autumn> summer. Thus tips, menstrual late in winter and spring, rare in the summer.(2) the research shows, late menstruation every syndrome type distribution has certain regularity.2013 in 173 cases of menstruation in patients with excess heat card 46 cases (26.6%), virtual heat syndrome 30 cases (17.3%), cold syndrome 36 cases (20.8%), Asthenia Cold Syndrome in 61 cases (35.3%); 2014203 patients with late menstruation excess heat syndrome in 67 cases (33.0%), virtual heat syndrome in 35 cases (17.2%), cold syndrome in 41 cases (20.2%),60 cases of Asthenia Cold Syndrome (29.6%); in 2015221 patients with late menstruation excess heat syndrome in 64 cases (29.0%), Virtual heat syndrome in 42 cases (19.0%), cold syndrome in 46 cases (20.8%), Asthenia Cold Syndrome in 69 cases (31.2%). For nearly three years, 597 cases of menstruation in patients with excess heat syndrome of 177 patients (29.7%), virtual heat syndrome of 107 cases (17.9%), cold syndrome 123 cases (20.6%),190 cases of Asthenia Cold Syndrome (31.8%). Routinely number sort of Asthenia Cold Syndrome> real heat syndrome> real cold syndrome> deficiency heat syndrome. Thus tips, menstruation to Asthenia Cold Syndrome and heat syndrome more common, followed by cold syndrome and deficiency heat syndrome. The late spring the late spring.(3) the research shows,2013 the spring late menstruation every syndrome type distribution has certain regularity in the spring of 43 cases of menstrual late the syndromes of excess heat syndrome was 18 cases (41.9%), deficiency heat syndrome in 5 cases (11.6%), cold syndrome in 6 cases (14.0%), Asthenia Cold Syndrome in 14 cases (32.5%); 201460 cases of menstrual syndrome type in real heat syndrome in 27 cases (45.0%), deficiency heat syndrome 7 cases (11.7%), cold syndrome in 9 cases (15.0%), Asthenia Cold Syndrome in 17 cases (28.3%); 201556 cases of menstrual syndrome type in real heat syndrome in 25 cases (44 Followed by 15.6%), deficiency heat syndrome 7 cases (12.5%), cold syndrome in 8 cases (14.3%), Asthenia Cold Syndrome in 16 cases (28.6%); nearly three years 159 cases of spring late menstruation every syndrome type in real heat syndrome of 68 cases (42.8%), deficiency heat syndrome in 22 cases (13.8%), cold syndrome in 24 cases (15.1%),Asthenia Cold Syndrome in 45 cases (28.3%). In the spring the late every syndrome type by composition than the size of the excess heat syndrome> deficiency permit> excess cold syndrome> deficiency heat syndrome. This prompts, spring late menstruation each card type to excess heat syndrome, followed by Asthenia Cold Syndrome, cold syndrome and deficiency heat syndrome were less. Late summer of 33 cases.(4) 2013 the research shows, the summer menstruation every syndrome type distribution has certain regularity in the summer of 38 cases, menstruation every syndrome type in real heat syndrome in 4 cases (10.5%), deficiency heat syndrome in 13 patients (34.2%), excess cold syndrome of 12 cases (31.6%), Asthenia Cold Syndrome in 9 cases (23.7%); 2014 Summer menstruation every syndrome type in real heat syndrome in 4 cases (12.1%), deficiency heat syndrome in 13 cases (39.4%), cold syndrome in 13 cases (39.4%), Asthenia Cold Syndrome in 33 cases (16.3%); 201551 cases of menstrual syndrome type in real heat syndrome in 5 cases (9. Followed by 38%), deficiency heat syndrome in 19 cases (37.2%), cold syndrome in 16 cases (31.4%). Asthenia Cold Syndrome in 11 cases (21.6%). In the past three years and a 122 cases of summer menstruation every syndrome type in real heat syndrome in 17 cases (13.9%), deficiency heat syndrome in 44 cases (36.1%), cold syndrome (31.1%), Asthenia Cold Syndrome in 23 cases (18.9%). Summer menstruation every syndrome type by composition than the size of the virtual thermal permit> cold permit> deficiency permit> excess heat syndrome. This prompts, summer menstruation every syndrome type deficiency heat syndrome and cold syndrome, followed by Asthenia Cold Syndrome and heat syndrome.(5)2013 the research shows, the autumn menstruation every syndrome type distribution has certain regularity in 43 cases of late menstruation syndrome type in real heat syndrome in 13 cases (30.2%), deficiency heat syndrome in 8 cases (18.6%), cold syndrome in 6 cases (14.0%), Asthenia Cold Syndrome in 16 cases (37.2%); 201452 cases of menstrual syndrome type in real heat syndrome in 18 cases (34.6%), deficiency heat syndrome in 10 cases (19.2%), cold syndrome in 5 cases (9.6%), Asthenia Cold Syndrome in 19 patients (36.6%); 201550 cases of menstrual syndrome type in real heat syndrome in 17 cases (34 Less common to 145%), deficiency heat syndrome in 11 cases (22.0%), cold syndrome in 5 cases (10.0%), Asthenia Cold Syndrome in 17 cases (34.0%). In the past three years cases of autumn delayed menstruation every syndrome type in real heat syndrome in 50 cases (34.5%), deficiency heat syndrome,29 cases (20.0%), cold syndrome in 15 cases (10.3%), Asthenia Cold Syndrome in 51 cases (35.2%). In the fall of menstruation every syndrome type according to the constituent ratio of the size of the order of deficiency cold syndrome> excess heat syndrome> deficiency heat permit> excess cold syndrome. This prompts and Autumn period at the later stage of the syndrome of Asthenia Cold Syndrome and heat syndrome, and secondly as a virtual heat syndrome, cold syndrome.(6) the research shows,2013 the winter late menstruation every syndrome type distribution has certain regularity in the winter of 49 cases, menstruation every syndrome type in real heat syndrome in 11 cases (22.4%), deficiency heat syndrome in 4 cases (8.2%), excess cold syndrome of 12 cases (24.5%), Asthenia Cold Syndrome in 22 cases (44.9%); the 2014 Winter late menstruation every syndrome type in real heat syndrome in 18 cases (31.0%), deficiency heat syndrome in 5 cases (8.6%), cold syndrome in 14 cases (24.1%), Asthenia Cold Syndrome in 21 cases (36.2%); 2015 64 cases of menstrual syndrome type in real heat syndrome in 17 cases (26 Less common to menstruation in 71 patients (15.6%), deficiency heat syndrome in 5 cases (7.8%), cold syndrome in 17 cases (26.6%), Asthenia Cold Syndrome in 25 cases (39.0%); nearly three years in 171 cases of winter late menstruation every syndrome type in real heat syndrome in 42 cases (24.6%), deficiency heat syndrome of 12 cases (7.0%), cold syndrome in 46 cases (26.9%). Asthenia Cold Syndrome (41.5%). The winter months by the late every syndrome type of constituent ratio of the size of the order of deficiency cold syndrome> excess cold syndrome> excess heat syndrome> deficiency heat syndrome. This prompts that winter, at the later stage of the syndrome of Asthenia Cold Syndrome, followed by real cold syndrome and heat syndrome and deficiency heat syndrome.(7) not menstruation syndromes in patients of different ages, different occupations, different cultural level, number of pregnancies, abortion, contraceptive distribution of different. Don't think menstruation every syndrome type in patients with different marital status, body mass index, age of menarche, sexual life distribution is different. Late menstruation.Conclusion:This study shows that different seasons menstruation the distribution of certain regularity, menstrual late winter and spring, rare in the summer; menstruation every syndrome type distribution has certain regularity, menstrual late Asthenia ColdSyndrome and heat syndrome, followed by real cold syndrome and deficiency heat syndrome; spring late menstruation every syndrome type distribution has certain regularity in the spring, the card type to excess heat syndrome, followed by Asthenia Cold Syndrome, cold syndrome and deficiency heat syndrome were less; summer menstruation every syndrome type distribution has certain regularity, summer menstruation every syndrome type deficiency heat syndrome and cold syndrome, followed by Asthenia Cold Syndrome and heat syndrome; autumn menstruation Less common to less common in every syndrome type distribution has certain regularity and Autumn period at the later stage of the syndrome of Asthenia Cold Syndrome and heat syndrome, and secondly as a virtual heat syndrome, cold syndrome; winter late menstruation every syndrome type distribution has certain regularity, the winter period at the later stage of the syndrome of Asthenia Cold Syndrome, followed by real cold syndrome and heat syndrome and deficiency heat syndrome, menstruation every syndrome type in patients with different ages, different occupations, different cultural level, the number of pregnancy, abortion, contraceptive distribution. Don't think menstruation every syndrome type in patients with different marital status, body mass index, age at menarche, sexual life distribution is different. This paper studied for the first time menstruation syndrome type and Seasonal relationships, reflecting the seasonal pattern of the same area in the late stage of syndrome distribution, to provide reference for the prevention and treatment of disease, and to explore a new clinical research methods. |
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