Correlation Study On The Relationship Between Traditional Chinese Medicine Constitution Types And Syndrome Distribution In Conronary Heart Disease And Anxiety Patients

Aims:To study the regularities of the distribution of Traditional Chinese Medicine(TCM)constitution types and syndrome patterns in patients with comorbid coronary heart disease and anxiety,explore the relationship between constitution types,syndrome patterns,and other related influencing factors,and integrate the "treatment based on syndrome differentiation" with the"treatment based on constitution differentiation" more closely,providing a more solid theoretical basis for the prevention and treatment of psychosomatic diseases.Method:A survey of TCM constitution and syndrome pattern classification was conducted on 186 patients with comorbid coronary heart disease and anxiety,and general information was collected from the patients.The Generalized Anxiety Disorder Scale(GAD-7)was used to assess the patients’ anxiety levels.Finally,the collected data was analyzed using SPSS 27.0 to analyze the relationship between TCM constitution types and syndrome pattern distribution in patients with comorbid coronary heart disease and anxiety,as well as their correlation with other factors.Results:1.Among the 186 patients with comorbid coronary heart disease and anxiety included in this study,the TCM syndrome pattern with the highest number of cases was qi stagnation in the chest,followed by heart yin deficiency,heart-kidney yang deficiency,blood stasis obstructing the heart,heart qi deficiency(equal number of cases,not ranked),phlegm obstructing the heart channels,and cold congealing the heart channels.The TCM constitution type with the highest number of cases was qi stagnation constitution,followed by yang deficiency constitution,yin deficiency constitution,qi deficiency constitution,blood stasis constitution,damp-heat constitution,special diathesis constitution,phlegm-dampness constitution,and balanced constitution.There were statistically significant differences in the distribution of constitution types and syndrome patterns(P<0.05),and there was a correlation between constitution type and syndrome pattern.2.There were statistically significant differences(P<0.05)in the distribution of gender,age,and comorbid symptoms among patients with comorbid coronary heart disease and anxiety with different TCM syndrome patterns.3.Different constitutions and syndrome patterns had a significant impact on the level of anxiety in patients with comorbid coronary heart disease and anxiety(P<0.05).Conclusions:1.The main TCM syndromes of coronary heart disease with anxiety were Qi stagnation in the chest,Heart Yin deficiency,and Heart-Kidney Yang deficiency.2.The distribution of TCM constitutions among different TCM syndromes of coronary heart disease with anxiety was different.There was a significant correlation between Yin deficiency constitution and Heart Yin deficiency syndrome,Yang deficiency constitution and Heart-Kidney Yang deficiency syndrome,Qi stagnation constitution and Qi stagnation in the chest syndrome,and Blood stasis constitution and Heart Blood stasis syndrome.3.There was a correlation between TCM syndromes and gender,age in coronary heart disease with anxiety patients.It cannot be concluded that TCM syndromes have a correlation with smoking,drinking,and comorbidities in coronary heart disease with anxiety patients.4.Patients with phlegm-dampness constitution and Qi stagnation constitution were more likely to have higher levels of anxiety than those with Yin deficiency constitution.Patients with Cold coagulation in the meridians syndrome and Qi stagnation in the chest syndrome were more likely to have higher levels of anxiety than those with Heart Yin deficiency syndrome.