Traditional Chinese Medicine's Syndrome Distribution Of The Male Infertility In Chengdu

ObjectiveThrough the study of the distribution of TCM syndromes of male infertility and the related factors influencing the distribution of TCM syndromes,this study explores the distribution characteristics of TCM syndromes of male infertility to regulate the classification standard of TCM syndromes,of the clinical research to provide an objective basis.MethodsThis study,the epidemiological survey method,was formulated a unified “male infertility clinical questionnaire”to collected 500 cases of outpatient and hospitalized male infertility patients from January 2016 to December 2016 in Chengdu University of Traditional Chinese Medicine Hospital and the Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine by questionnaires.The questionnaire content includes the patient's signs ? general situation ? laboratory examination and TCM symptoms,establish a database,using the frequency analysis and chi-square statistics distribution regularity of TCM syndrome type and the correlation between syndrome type and the factors.Results1.500 subjects who aged between 20-50 years old were included in the studymainly in the 30-39 age group(55.8%).2.Selected TCM types of male infertility patients were divided: undocumented types(115 cases,23.0%)?kidney yang deficiency types(109 cases,21.8%)? kidney essence loss types(36 cases,7.2%)?kidney yang deficiency types + liver qi stagnation types(30 cases,6.0%)?kidney yang deficiency types + spleen dampness types(30 cases,6.0%)?kidney yin deficiency types(28cases,5.6%)?spleen dampness types(20 cases,4.0%)?liver qi stagnation types(19cases,3.8%)?phlegm-dampness resistance types(19cases,3.8%)?kidney yang deficiency types + kidney essence loss types(19cases,3.8%)? hot and humid types(16 cases?3.2%)? kidney yin deficiency types+kidney yang deficiency types(11 cases,2.2%)?qi stagnation and blood stasis types(10 cases,2.0%),a total of 462(92.4%).3.Kidney yang deficiency types(21.8%)are primary in the independent types,kidney yang deficiency types+liver qi stagnation types(6.0%)and kidney yang deficiency types + spleen dampness types are pramary in the compostite card types.4.The age of patients with liver qi stagnation types is mainly 20-29 years old,while the spleen dampness types are mainly 30-39 years old(P<0.001);The patients of kidney yin deficiency types have a higher proportion of smoking history than the patients with kidney yang deficiency types and kidney essence loss types(P<0.001).The patients of phlegm-dampness resistance types have a higher proportion of drinking history than the patients with kidney essence loss types and undocumented types(P<0.001).The patients of liverqi stagnation have a higher proportion in the history of urinary tract infection(P<0.001).The patients of qi stagnation and blood stasis types have a higher proportion of surgery and traum(P<0.001).The volume and texture of testis who patients with kidney essence loss types are smaller and softer than others(P<0.001).The proportion of absence of vas deferens who patients with kidney essence loss types is higher than that of patients with undocumented types(P<0.001).The proportion of varicocele who patients with qi stagnation and blood stasis and the patients with the spleen dampness types is higher than others(P<0.001).The patients of livers of qi stagnation have a higher proportion of varicocele than the patients with kidney essence loss types.There are no significant difference in the distribution of sexual intercourse?inoculation history?body mass index?stay up late?dietary preference?epididymal enlargement(P>0.05).5.Although the statistical results of partial research factors did not meet the set test efficacy in this study,the test efficacy was still not low(P<0.01),it is consistent with the precious item in the statistically significant results,it can be roughly guide to the direction of clinical work,and for the follow-up study pave the way.The details are as follows:(1)The age of patients with liver qi stagnation types is mainly concentrated in 20-29 years old,and patients younger than other types of TCM syndromes.(2)The proportion of surgery and trauma and varicocele of the patients with qi stagnation and blood stasis types is higher than other syndromes.(3)The volume and texture of testis who patients with kidney essence loss types are smaller and softer than others.ConclusionsThe age?smoking history?drinking history,urinary tract infection history?surgery and trauma history?testicular volume?testicular texture?epididymis increase or not?varicocele may be influence the distribution of TCM syndromes.This study suggests that the age who the patients with liver qi stagnation is mainly concentrate between 20-29 years and it is younger than those of other types of TCM syndromes.The patients with qi stagnation and blood stasis have a higher proportion of surgery and traum and varicocele comparing with other syndromes;The testicular volume reduction and testicular texture of the situation who the patients with kidney essence loss of patients is higher comparing with other patients of syndromes.