A Retrospective Analysis Of 136 Cases Of Chronic Constipation

OBJECTIVE: To explore the characteristics of TCM syndromes in patients with chronic constipation and the distribution of TCM syndromes in recent years,and to analyze the regularity of TCM syndromes by retrospective analysis.In order to carry out for the future of chronic constipation in the treatment of traditional Chinese and Western medicine to provide an objective basis and help.Materials and Methods: From January 2014 to September 2016 in Liaoning University of Traditional Chinese Medicine Affiliated Hospital of spleen and stomach hospital treatment of 136 cases of chronic constipation in patients with basic natural information,the incidence of related factors and TCM syndrome differentiation and medication and other information,The data were collected into a database,and SPSS17.0 software was used to analyze the data.P <0.05 was considered to be statistically significant.Results: 1.General data analysis: 136 cases of chronic constipation were collected in this study.Among them,49 cases were male patients and 63.98% were female patients.The ratio of male to female was 1: 1.77,the average age was 65.67 ± 12.73).The proportion of the elderly patients aged 60-89 years was 68.4%(P <0.05).The proportion of clerks and retirees in the occupational composition of the patients was 86.8%(P <0.05).The number of patients with the highest duration of disease was 40 years,and the number of patients aged from 2 to 5 years was 40.4%(P <0.05).The number of patients in different seasons was the same.2.Syndrome distribution: chronic constipation is divided into four syndromes,28 cases of intestinal heat syndrome(20.59%),lung and spleen deficiency syndrome in 58 cases(42.65%),intestinal qi stagnation in 42 cases(30.88%),(P <0.05).There was no significant difference between the two groups(P> 0.05).There was no significant difference between the two groups(P> 0.05).There was no significant difference between the two groups(P> 0.05)(P> 0.05).There was no significant difference between the two groups(P> 0.05).There was no significant difference between the two groups(P> 0.05).3.Chinese medicine statistics: 136 patients were used a total of 115 flavors,the total frequency of 1605 times,the highest frequency of 20 herbs: Yu Li Ren,citrus aurantium,dried tangerine peel,rhubarb,licorice,peach kernel,bupleurum,almond,,Magnolia,white peony,Poria,woody,betel nut,hemp kernel,angelica,Achyranthes,Radish Seed,Rehmannia,Astragalus.Common syndromes of different syndromes: The highest frequency of the application of 10 authentic: almond,citrus aurantium,peach kernel,Achyranthes,Magnolia officinalis,Ophiopogon japonicus,Atractylodes,white peony root,rapeseed,rhubarb,The highest frequency of the application of 10 cases of phlegm: licorice,licorice,dried tangerine peel,Atractylodes,fire hemp,magnolia,peach,Poria,Astragalus,Codonopsis,Huangqi Decoction of the main drug composition;Intestine qi stagnation of the highest frequency of 10 medicinal purposes: citrus aurantium,rhubarb,bupleurum,woody incense,hemp kernel,betel nut,Yu Li Ren,Magnolia,dried tangerine peel,black medicine,six decoction of the main drug composition;The highest frequency of application of 10 cases of infertility: fungus,dried tangerine peel,Astragalus,Rehmannia glutinosa,angelica,peach kernel,mirabilite,citrus aurantium,Magnolia officinalis,rhubarb,the main drug composition of Runchang pills.Conclusion: 1.General data analysis:The incidence of chronic constipation associated with age,occupation,season,,the duration of illness mainly in 2-5years.Middle-aged,working life pressure of the larger mental workers and the lack of exercise in the elderly retired elderly high incidence of the disease population.The disease occured more in autumn,we should popularize related knowledge to the vulnerable patient group,let them raise awareness of the characteristics of the disease,pay attention to mental adjustment,keep regular diet,and then reduce the incidence and recurrence of the disease.2.Deficiency of lung and spleen syndrome and Intestine qi stagnation syndrome constituted the largest proportion in the distribution of TCM syndromes,TCM Syndrome relevant to age,old-aged people susceptible to Deficiency of lung and spleen syndrome and Intestine qi stagnation syndrome,for such patients,on the basis of symptomatic treatment,strengthen psychological counseling,regulating the spleen and stomach function are also important.3.TCM drugs:The main drugs for the treatment of this disease: Hemp seed,citrus aurantium,Magnolia,orange peel,astragalus,rhubarb,licorice,peach kernel,angelica,Yuli,Bupleurum,almond,atractylodes,White peony,poria,woody,betel nut,Achyranthes,Radish Seed,Rehmannia.4.Basic medication:The basic side of the treatment of the disease for the Astragalus,Atractylodes,Citrus aurantium,dried tangerine peel,Magnolia,hemp kernel,peach kernel,rhubarb.