Study On The Correlation Between Solar Terms And Chronic Obstructive Pulmonary Disease Of Emphysema Based On Syndrome Element Differentiation

Objective:This study aims to adopt the method of syndrome element differentiation to explore the correlation between climatic factors of solar terms and chronic obstructive pulmonary disease(COPD)patients,so as to provide TCM clinical prevention and treatment ideas and guidance for people susceptible to COPD.Methods:By collecting the tomb-sweeping day,gu yu,the beginning of winter,light snow four solar terms,a total of 80 cases of pulmonary emphysema type of COPD patients with acute phase four diagnostic data,using the dialectical method,analysis the tomb-sweeping day,gu yu,the beginning of winter,light snow four solar terms of COPD patients in TCM syndrome factor distribution,four solar terms collected at the same time the corresponding climate factors and correlation studies.Results:1.Descriptive statistics of the general situation:In terms of gender composition: overall,there were more males(54 cases)than females(26 cases).Among them,the qingming solar term group,grain rain solar term group,beginning of winter solar term group and light snow solar term group all had more males than females.2.Distribution of COPD syndromes:The common disease loci of COPD(only statistical frequency distribution proportion of > 10%)are: lung,spleen,heart,kidney,and surface.Common COPD solid sexual syndrome elements from high to low in order: phlegm,wet,hot,drink,cold,qi stagnation.The common syndromes of COPD are qi deficiency,Yang deficiency and Yin deficiency from high to low.3.Syndrome element distribution of common disease sites in each group:Frequency of common diseases in qingming festival group: lung > heart > spleen > kidney > liver;Frequency of common disease in grain rain group: lung >,heart >,kidney >.Frequency of common diseases in the beginning of winter: > in lung,> in spleen,> in kidney.Frequency of common diseases in the minor snow term group: lung >,kidney >,spleen >,heart > table.4.Distribution of common disease syndromes in each group:Frequency of pathogenic elements in qingming festival group: phlegm > wet > qi deficiency > Yang deficiency > Yin deficiency;Frequency of pathogenic elements in grain rain fraction: sputum > heat > Yin deficiency > dampness;Frequency of pathogenic elements in the winter division: phlegm > wet > Yang deficiency > qi deficiency > cold;Frequency of pathogenic elements in light snow term group: phlegm > wet > drink > cold > Yang deficiency > qi deficiency.5.Correlation between solar terms and COPD:Logistic stepwise regression analysis showed that qingming liver and Yin Yin syndrome element were more likely to be produced.Grain rain is less likely to produce syndrome elements of spleen,qi deficiency and Yang deficiency,and more likely to produce heat syndrome elements.It is less likely to produce the elements of heart and Yin deficiency,and more likely to produce the elements of cold and Yin deficiency.Small snow produces kidney,drink the possibility of card element is big,and the possibility that produces Yin deficiency card element is small.6.Correlation between different disease loci and meteorological factors:There was a negative correlation between spleen syndrome and daily minimum temperature.There was a positive correlation between spleen syndrome and temperature difference.There was a positive correlation between spleen syndrome and daily mean wind speed.There was a negative correlation between heparin and daily mean wind speed.7.Correlation analysis of different disease syndromes and climatic factors:There was negative correlation between phlegm syndrome element and daily mean pressure.There was a negative correlation between qi deficiency syndrome and daily minimum temperature.Conclusion:1.COPD is related to gender.2.The main disease sites of COPD are lung,spleen,heart and kidney,and the main solid syndromes are phlegm,dampness,heat,drinking,cold and stagnation of qi.The main deficiency syndromes are qi deficiency,Yang deficiency and Yin deficiency.3.The incidence of COPD is correlated with solar terms,and the syndrome elements of different solar terms are different.4.The pathological changes of COPD in traditional Chinese medicine are closely related to the changes of meteorological factors of solar terms,and spleen syndrome elements are most affected by weather factors,so the clinical prevention and treatment should be adapted to the time.