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Correlation Between TCM Constitution And Post-infectious Cough

Posted on:2020-09-11Degree:MasterType:Thesis
Country:ChinaCandidate:H Y LvFull Text:PDF
GTID:2404330590466725Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
Objectives:This study observed the correlation between TCM constitution and TCM syndrome in patients with post-infectious cough to find the correlation between constitution and syndrome type.The purpose of this study is to explore the law of different syndromes of exogenous pathogenic factors in people with different TCM constitutions,and show that the exogenous pathogenic factors are different in different body types.Methods:Patients admitted to the outpatient department of the respiratory department of the first affiliated hospital of heilongjiang university of TCM from January 2018 to December 2018 were collected for diagnosis and treatment of post-infectious cough.We collected general information,onset season,symptoms,signs,tongue,pulse and syndrome classification.We recorded the results of physical types of patients who did the questionnaire.We used Microsoft Excel to build the database,and used SPSS 20.0 statistical software to analyze the data.Results:1.The relationship between gender and age:There were 119 females and 64 males,The average age was 37.91±8.43 years.The ratio of male to female was 1:1.86.The proportions of 18-29 years old,30-39 years old,40-49 years old and 50-65 years old were respectively 19.13%,40.44%,34.97%and 5.46%.There was no difference in age and sex.2.Clinical syndrome:The main symptoms included throat itching(45.36%),white sputum(45.3 6%),dry cough without phlegm(38.25%),irregular cough(37.16%),exacerbation of night cough(3 3.8 8%),cough when the cold and heat changes,odor and other factors(3 1.1 5%).Other symptoms included worse cough in the morning(28.96%),thirsty(26.23%),loose stool(22.95%),chest tightness(22.40%),tastelessness in the mouth(20.77%),the clear abundant urine(19.67%),yellow sputum(16.39%),nasal cavity dry ne s s(1 5.8 5%),dry throat(13.11%),Sore throat(8.74%),deep-colored urine(8.20%),dry stool(7.65%),nasal obstruction(7.65%),some symptoms were too few to be considered.The mainly tongue included pink tongue(85.25%),tongue red(12.57%),dark red tongue(2.1 9%),fat tongue(1 6.94%),the tongue body thin(7.10%).The main coating on the tongue included thin white fur of tongue(60.66%),the tongue which is yellow and delicate(1 9.67%),yellow coating on the tongue(9.84%),white coating on the tongue(8.20%),tongue coating yellow(1.09%),white greasy fur(0.55%).The ratio of the pulse string is the largest,which accounted for 49.18%.Rapid pulse accounted for 13.66%.Floating pulse accounted for 9.84%.D eep pulse accounted for 9.29%.Pulse fine accounted for 6.01%.Deep and thin pulse accounted for 5.46%.Thready rapid pulse accounted for 4.37%.Slippery pulse accounted for 1.64%.Thready and slippery pulse accounted for 0.55%.3.Distribution of TCM constitution:The proportion of the gentler in constitution was 14.21%.The proportion of yang deficiency constitution was 31.69%.The proportion of the specific endowment constituti onwas 2 5.6 8%.The proportion of qi-insufficiency constitution was 18.03%.The proportion of Yin deficiency constitution was 4.37%.The proportion of phlegm-dampness constituti on was 0.55%.The proportion of Damp Heat Constitution was 2.72%.The proportion of Qi depression constitution was 2.73%.No patients with blood stasis constitution were found.4.TCM syndrome type of post-infectious cough:Syndrome of wind-cold attacking lung accounted for 36.6 1%.Excessive wind and spasm syndrome accounted for 31.15%.Syndrome of wind-heat invading lung accounted for 16.39%.Dryness and pathogenic factors hurt lung syndrome accounted for 15.85%.5.Seasons:In spring,the PIC patients accounted for 27.32%.In summer,the PIC patients accounted for 13.66%.In autumn,the PIC patients accounted for 25.68%.In winter,the PIC patients accounted for 33.33%.6.The relationship between TCM constitution and post-infectious cough:There was no difference in the types of TCM constitution and the sexes.There were a little correlation between TCM syndrome type and TCM constitution.There was statistically significant difference in the composition of main syndromes between yang-deficiency constitution group and non-yang-deficiency constitution group.There was statistically significant difference in the composition of main syndromes between the specific endowment constitution group and non-the specific endowment constitution group.There was no significant difference in the composition of the main syndromes between qi-deficiency constitution and non-qi-deficiency constitution,as well as the gentler in constitution.The patients with Yin deficiency constitution,Phlegm-dampness constitution,Damp Heat Constitution,Qi depression constitution,blood stasis constitution were too small to be calculated.Seasonal changes had no effect on the incidence of various TCM constitutions.7.Relationship between TCM syndromes and PIC:There were few significant differences among different TCM syndromes of PIC and gender.There were few significant differences among different TCM syndromes of PIC and ages.There were statistically significant differences among different TCM syndromes of PIC and seasons.In summer,patients were prone to syndrome of wind-heat invading lung.In winter,patients tended to have syndrome of wind-cold.Conclusions1.The number of patients with the gentler in constitution,Yang deficiency constitution,the specific endowment constitution and qi-insufficiency constitution are large2.Patients with Yang deficiency tend to suffer from wind-cold attacking lung,excessive wind and spasm syndrome.The specific endowment constitution is the same.There was no significant tendency between qi-insufficiency constitution and post-infectious cough.The gentler in constitution is also the same.
Keywords/Search Tags:Post-infectious cough, Constitutional theory of TCM, Syndrome of TCM
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