Traditional Chinese Medicine Constitution Study Of Epilepsy Related To Sleep Phase And Circadian Rhythm

Objective:Epilepsy,as one of the most dangerous chronic nervous system diseases,is caused by a variety of causes,will cause central nervous system dysfunction,with sudden,repeated,transient seizure characteristics,patients with epilepsy in daily life is troubled,physical and mental health damage,add burden to the family and society.Modern research has found that sleep is one of the most important factors affecting epilepsy,and epilepsy will also affect sleep,the two directly interact with each other.This study focuses on discussing the basic information of patients with epilepsy related to sleep phase and circadian rhythm and the characteristics of their traditional Chinese medicine constitution,summarizes the rules of their traditional Chinese medicine constitution,and is committed to laying an important foundation significance for the accurate prevention and treatment of patients with epilepsy,so as to lay a cornerstone for the further accurate prevention and treatment of epilepsy diseases.Methods:A total of 65 patients with Electroencephalography(EEG)and sleep chronophase and circadian rhythm related epilepsy who visited the outpatient department or inpatients of the Affiliated Hospital of Changchun University of Chinese Medicine from November 2021 to August 2022 and met the diagnostic and scheduling criteria were enrolled.The general information collection form and TCM Constitution Classification and Judgment Form were filled in for TCM constitution judgment,and SPSS20.0 software was used for statistical difference analysis.Results: 1.General information: the maximum age is 75 years old,the minimum is 16 years old;Male patients accounted for 53.85%,female patients accounted for 46.15%,the ratio of male to female was 1.17:1;27.69% were between 50 and 59 years old,23.08% were between 60 and 69 years old,and 15.38% were between 70 and 79 years old.The age of the disease was correlated with that of different genders(P < 0.05).Manual workers accounted for 67.69%,brain workers accounted for 32.31%;There were 53 patients with poor sleep,accounting for 81.53%,and 12 patients with good sleep,accounting for 18.47%.There was a correlation between sleep state and age,and the onset of disease in different age groups showed a correlation between sleep conditions(P < 0.05).2.TCM constitution study: 19 patients with peaceful constitution,accounting for 29.23%,including 13 patients with simple peaceful constitution and 6 patients with mixed peaceful constitution;14 cases were biased constitution,accounting for 21.54%;There were 32 patients with concurrent constitution,accounting for 49.23%,including 18 patients with two concurrent constitutions,4 patients with three concurrent constitutions,and 10 patients with four or more concurrent constitutions.The occurrence frequency of each constitution from most to least is Qi deficiency quality,qi stagnation quality,peace quality,phlegm-dampness quality,damp-heat quality,Yin deficiency quality,blood stasis quality,Yang deficiency quality,characteristic quality;55.38% of patients with qi deficiency;The physical type of patients was correlated with the age of onset(P < 0.05).Conclusion:The constitutions of patients with epilepsy related to sleep phase and circadian rhythm are mainly mixed constitutions,peace and constitution,Qi deficiency quality is the most important type of constitution,peace quality is the most important single constitution.The dual-body constitution mainly consists of Qi-deficiency,Qi-stagnation,phlegm-dampness and damp-heat.