Exploration Of TCM Constitution In Postmenstrual Patients And Professor Chen Ying's Treatment Experience

Purpose:By collecting the physique data of 200 patients with late menstruation,the correlation between different physique and late menstruation was studied to explore which physique is likely to cause late menstruation.Combining Professor Chen Ying's understanding of the later period of menstruation,further discuss the treatment of the latter period.Provide treatment ideas and scientific basis for future clinical prevention and treatment of late menstruation.Methods:The data of the patients were mainly derived from 200 cases of mistakes in the gynecological clinic of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2018 to December 2020 and met the inclusion and exclusion criteria of this trial.Practicing physicians asked the patients and filled in Collect data by applying questionnaires.Collect the patient's general personal information,menstrual condition,BMI index,data required by Professor Wang Qi's ninth method of traditional Chinese medicine,patient medical records(current medical history,past history,related examinations),etc.,and use Excel.2010,SPSS22 to make descriptive statistics Analyze and analyze the correlation between the disease and the physique of Chinese medicine after going wrong.Combining the treatment characteristics and medication rules of my teacher,Professor Chen Ying,in accordance with individual conditions,an in-depth analysis is carried out.Results:1.Among the nine traditional Chinese medicine constitutions,61 people have Yang deficiency type(30.5%),31 people have Qi depression type(15.5%),28 people have phlegm-dampness type(14%),and 20 people have peace type(10%).,19 people with yin deficiency(9.5%),13 with blood stasis(6.5%),11 with qi deficiency(5.5%),10 with special qualities(5%),and 7 with damp heat(accounting for 3.5%),after chi-square goodness of fit test,P=0.000(<0.05),it can be seen that there are significant differences between the proportions of biased physiques,which are statistically significant.2.Among compatible physiques,patients with yang deficiency constitution accounted for a larger proportion,15 patients with phlegm-dampness constitution(24.6%),14 patients with qi-stagnation constitution(23%),and the chi-square goodness-of-fit test showed that P=0.009(<0.05);11 patients with qi-stagnation dysfunction with yang deficiency(35.5%)and 7 with phlegm dampness(22.6%).The chi-square goodness-of-fit test showed that P=0.009 <0.05;Among the patients with phlegm-damp quality,10 were with Yang-deficiency quality(35.7%),and 6 were with Qi-stagnation(21.4%).The chi-square goodness-of-fit test showed that P=0.036(<0.05);P<0.05,it can be seen that there are also significant differences among the proportions of compatible physiques,which are statistically significant.3.116 were obese(58%),62 were normal(31%),and 22 were thin(11%).The chi-square goodness-of-fit test showed that P=0.000(<0.05),which shows that there is a significant difference in the proportion of weight of patients in the late menstrual period,which is statistically significant.4.Among 200 patients with late menstruation,142(71%)can be diagnosed with polycystic ovary syndrome,16(8%)can be diagnosed with primary ovarian insufficiency,and 21(accounting for)other diseases twenty one%).The chi-squared goodness-of-fit test showed that P=0.000(<0.05),which was statistically significant.in conclusion:1.Through the investigation and research on the physique types of patients in the late menstrual period,it is found that the yang deficiency in the late menstrual period patients accounts for up to 30.5%,followed by the qi depression accounted for 15.5%,the phlegm dampness accounted for 14%,and the total of the three accounted for the late menstrual patients.60%.Late menstrual period patients are significantly related to Yang deficiency quality,Qi stagnation quality,and phlegm-damp quality.2.Yang deficiency,phlegm-dampness,and qi-stagnation are compatible with each other at the same time.It further proves the correlation between the late menstruation and the three.3.Through the investigation and research on the BMI index of the patients in the late menstrual period,it was found that most patients in the late menstrual period were obese,accounting for 58%,the standard weight accounted for 31%,and the thin accounted for 11%.Prove that obesity is significantly related to the late menstrual period.4.71% of patients with late menstruation can be diagnosed with PCOS,8% can be diagnosed with POI,and 21% of other diseases.It can be seen that PCOS is one of the most common diseases that cause late menstruation at this stage,and POI cannot be ignored either.5.By summarizing the clinical experience of Professor Chen Ying,it is believed that the pathogenesis of this disease is based on the dysfunction of liver,spleen and kidney,and the evidence of deficiency and deficiency based on blood stasis,phlegm and dampness.It is mutually corroborated with the results of the investigation of the physique of the patients in the late menstrual period.6.To prevent and treat late menstruation,pay attention to the regulation and care of biased physique.Normally,you should pay attention to cold and warm,balanced diet,proper exercise,regular work and rest,and maintain a happy mood.