| Purpose:This article through a clinical epidemiological investigation of 91 patients with acute myocardial infarction and 91 healthy physical examination patients,combing with TCM constitution theory to explore the TCM constitution and the relationship between constitution and tongue and pulse in acute myocardial infarction.On the one hand,to provide theoretical guidance for the diagnosis and treatment of syndrome differentiation of TCM syndromes in patients with acute myocardial infarction of different physiques.On the other hand,tongue images and pulse signals provide a theoretical basis for the classification of TCM constitutions as a more objective basis,guiding clinical practice from the perspective of TCM constitution,and reflecting TCM's thought of “prevention from disease”.Material and method:First of all,a cross-sectional survey of clinical epidemiology and a continuous sampling survey were used to investigate the patients in Department of Cardiology and physical examination center of Liaoning University of Traditional Chinese Medicine affiliated hospital.Among them,91 cases of patients with acute myocardial infarction as the case group,91 healthy persons were selected as control group.The clinical epidemiological investigation of TCM Constitution of two groups,to judge the two groups of tongue and pulse,so as to determine the common type of constitution,acute myocardial infarction common tongue pulse.Then,based on the epidemiological findings,a case control study method was used to expose AMI's common tongue pulse as a study of the correlation between the common tongue pulse and different TCM constitution types.Finally,the data were statistically analyzed.Results: 1.The types of constitution in patients with AMI were mostly mixed constitutions.The constitution types of the patients were phlegm dampness(56.00%),qi stagnation(46.15%),damp heat(16.48%),qi deficiency(9.89%),and yin deficiency.Quality(8.79%),Yang deficiency(4.40%),Peace and harmony(4.40%),Blood quality(3.30%),Special quality(1.10%).2.In patients with AMI,the minimum age was 34 years and the maximum age was 79 years. The average age was 64.47±10.336 years.The number of people in the 70~79 age group is up to 35,accounting for 38.5%.The maximum age of male patients was 79 years,the minimum age was 34 years,the average age was 61.02±10.054 years,the maximum age of female patients was 79 years,the minimum age was 49 years,and the average age was 70.26±8.039 years.In the comparison of traditional Chinese medicine constitution and different age groups of patients with AMI patients,according to Chi-square analysis,there was a significant correlation between phlegm dampness and the 50~59 age group and 70~79 year old age,group P<0.05(P=0.009).There was no significant difference in the distribution of other constitutions in different age groups.There was a statistically significant difference between the two groups in the age of infarction of the MI group(P<0.05)(P=0.000).3.There were 57 males(62.64%)and 34 females(37.36%)of the males in the AMI group.In the comparison of traditional Chinese medicine constitution and gender of the AMI patients,there was a significant correlation between qi stagnation and females in the chi-square test(P= 0.032).There was no significant difference in the distribution of other constitutions among different sexes.4.Distribution and comparison of tongue types between two groups,and comparison of the common types of tongue and different Chinese medicine constitutions in the AMI group: The frequency of common types of tongue in the AMI group was dark tongue 61 times(67.03%),dark red tongue 38 times(41.76%),fat tongue 30 times(32.30%),ecchymosis tongue27 times(29.67%),dark purple tongue 21 times(23.08%),tooth tongue15 times(16.48%),Pink tongue 5times(5.49%);The frequency of tongue types in the healthy group was pink tongue 32 times(35.16%),fat tongue 29 times(31.87%),dark tongue26times(28.57%),dark red tongue 25 times(27.47%),tooth marked tongue 7 times(7.70%),ecchymosis tongue 3times(3.30%).The statistical analysis of two groups in the dark tongue,dark red tongue,dark purple tongue,ecchymosis tongue,pale red tongue,pale tongue distribution has significant difference(P < 0.05).In this dark tongue,dark red tongue,dark purple tongue was positively associated with AMI group.Between the common tongue type and the constitution type of TCM in the AMI group,there was a positive correlation between the dark red and the damp heat quality.There was a positive correlation between purple and dark tongue and yang deficiency quality,and there was no significant correlation between other types of constitution and tongue type.5.Distribution and comparison of tongue coating types between two groups,and comparison of the common types of tongue coating types and different Chinese medicine constitutions in the AMI group: The frequency of common pulse patterns in the AMI group was greasy moss 68 times(74.73%),white moss 36times(39.56%),thick moss 28 times(30.77%),yellow moss 24 times(26.37%),thin moss 3 times(3.30% times);The frequency of the pulse types in the healthy group is thin moss 33 times(36.26%),white moss25(27.47%),greasymoss 20 times(22.00%),thick moss 1 times(1.10%)and yellow moss 1 times(1.10%),according to the statistical analysis of two groups in the distribution of greasy moss,the thick moss,yellow moss,and thin moss is significant difference(P < 0.05).The greasy moss,thick moss and yellow moss were positively related to the AMI group.Between common tongue coating types and TCM Constitution Types in patients with AMI,There was a positive correlation between greasy fur and phlegm dampness and dampness heat,and negative correlation with Yin deficiency.There was no significant correlation between the other types of constitution and tongue coating types.6.Distribution and comparison of t pulse types between two groups,and comparison of the common types of pulse types and different Chinese medicine constitutions in the AMI group: The frequency of common pulse patterns in the myocardial infarction group is Huamai 72times(79.12%)and Xuanmai 45times(49.45%),respectively.Shenmai is 13 times(14.29%)and the weak pulse is 5times(5.49%).The frequency of the pulse types in the healthy group is Shenmai 44times(48.35%),Xuanmai 31 times(34.07%),Huaimai 5times(5.49%),and weak pulse 2times(2.20%).The statistical analysis showed that there were significant differences in the distribution of Huaiyin,Xuanmai and Shenmai(P <0.05).Among them,Huaimai,Xuanmai were positively correlated with myocardial infarction group.Comparison of Common pulse Types in Traditional Chinese Medicine and Traditional Chinese Medicine Constitution,Xuanmai was positively correlated with the qi and blood,while the other constitutional types had no significant correlation with the pulse condition.Conclusion: 1.The types of constitution in patients with AMI were mostly mixed constitutions,common constitution types are qi stagnation,dampness,and damp heat.2.The proportion of male patients with AMI was higher than that of females.The average age of female patients was higher than that of males.Women are more likely to form qi stagmancy than men.The prevalence rate in the old age group was higher than that in the young age group.Patients with phlegm and dampness were more likely to suffer from AMI in the 50-59 year old group.3.The characteristic types of tongue in patients with AMI were dark tongue,dark red tongue,purple dark tongue,and palpebral tongue;The tongues of wet and heat quality in patients of AMI are more likely to with dark red tongue,the yang deficiency patients are more likely to with purple tongue.4.The characteristic types of the tongue coating in patients with AMI were yellow coating,thick coating,and greasy coating.Patients with AMI have frequent greasy moss and The mosses of phlegm dampness and damp-heat constitution in patients of AMI are more likely to with moist heat.5.The characteristic types of pulse in patients with AMI were Xuanmai and Huaimai;The pulses of qi stagnation in patients of AMI are more likely to with Xuanmai. |
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