A Preliminary Study For The Syndrome Distribution In TCM And The Differentiation That Displayed On Sleep Conditions Between TCM Syndromrs Of Perimenopausal Insomnia

Objective:The study was undertaken to explore regularities of TCM syndrome distribution of menopausal insomnia patients.To put forward an objective, relatively standarized TCM syndrome types distribution of the menopausal insomnia, different sleep conditions among TCM syndrome types in patients(including primary TCM symptom of insomnia, each PSQI evaluation factors) and, and differences in anxiety, depression scores associated with sleep were preliminary discussed,to lay foundations for further large sample, multicenter TCM system research for insomnia menopausal.Methods:206 appropriate cases between 2015.3 and 2016.3 were collected by questionnaires which were designed through literature research, clinical observation and experiences from the tutor and other experts. Then all the data were inputted and checked via EpiData 3.1. Those data were analysed with SPSS21.0 including cluster analysis, frequency analysis, exact probability method,finally the paper was concluded.Conclusion:1.The most common syndrome was liver depression and qi stagnation syndrome,followed by liver and kidney yin deficiency syndrome/heart and spleen deficiency syndrome/deficiency of heart-qi and gallbladder-qi syndrome of 205 patients who suffered peri menopausal insomnia into research. The frequency of symptoms perimenopausal insomnia patients, from more to less in turn was difficulty falling asleep,whitish, dreaminess,pale tongue, dry stool,fitful sleep, early menstruation,anxiety,depression,pulse string, menorrhagia, the palpitation forgetfulness, tinnitus, etc.2.Insomnia status were different between different syndrome types by the exact probability method comparison, liver depression and qi stagnation syndrome mainly with symptom difficulty falling asleep, deficiency of heart-qi and gallbladder-qi syndrome with fitful sleep, nightmare,dreaminess, insomnia-late, heart and spleen deficiency syndrome with morning sleepy and fatigue,3.PSQI total scores and 7 factors of 4 syndrome types were different by statistics processing.4.1t showed the highest score on anxiety scale SAS scores in syndrome liver depression and qi stagnation,It showed the highest score in syndrome liver depression and qi stagnation and deficiency of heart-qi and gallbladder-qi on SDS depression scores.Results:The most common syndrome was liver depression and qi stagnation syndrome,followed by liver and kidney yin deficiency syndrome/heart and spleen deficiency syndrome/deficiency of heart-qi and gallbladder-qi syndrome of patients who suffered peri menopausal insomnia. Insomnia status including sleep disorder main symptoms and PSQI factors,SAS of anxiety and SDS of depression scale scores were different between different syndrome types.