Study On The Correlation Between Lifestyle And TCM Constitution Of Patients With Migrain

Migraines are a kind of neurological diseases with unilateral or bilateral pulsating pain as the main manifestations in clinical practice.During the onset of headache,they are often accompanied by nausea,vomiting,photophobia,fear of sound and other symptoms.The pathogenesis of this disease is complex and there are many difficulties in clinical treatment.Migraine belongs to the category of "tou feng" in traditional Chinese medicine.Traditional Chinese medicine also has unique advantages in headache diseases.The theory of TCM constitution combines body differentiation,disease differentiation and syndrome differentiation to provide new treatment ideas for the treatment of this disease.There are innate factors and acquired factors in the formation of constitution,and constitution is correlated with the occurrence of diseases,and some special constitutions also have certain susceptibility to specific diseases.This study mainly focused on the migraine disease population,investigated the constitution types of individuals in this group,summarized the living habits of these people,and understood the relationship between the living habits and the constitution of traditional Chinese medicine,so as to achieve the goal of "prevention before disease".ObjectiveTo understand the relationship between the living habits of migraine patients and the constitution of traditional Chinese medicine,to provide theoretical basis for guiding the correct living habits of patients,and to provide new ideas for clinical treatment.MethodsA total of 105 patients who met the inclusion criteria were selected from the outpatient and inpatient services of the third affiliated hospital of Beijing university of traditional Chinese medicine from April to December 2019.An open and closed questionnaire was adopted to investigate the general situation,living habits and TCM constitution of the patients.Among them,the data of living habits were obtained by standardized calculation,and the TCM constitution was directly generated by software.The original database was formed by Excel,statistical analysis was conducted by SPSS 24.0 software,descriptive statistical analysis was conducted on general data,and correlation and regression analysis were conducted on the correlation between living habits and constitution of traditional Chinese medicine.Results1.A total of 120 migraine patients were investigated,and 112 questionnaires were collected,with the recovery rate of 93.33%,among which 105 were valid questionnaires,and the effective rate was 93.75%.Among them,there were 26 males(24.8%)and 79 females(75.2%),with an average age of 34.41±11.24 years.Logistic regression analysis suggested that women were more likely to have Yang deficiency than men.Logistic regression analysis suggested that the risk of Yang deficiency and phlegm dampness was higher with age.2.The mean BMI was 22.63±3.35,among which 15.2%were underweight,46.7%were normal weight,19%were overweight,18.1%were obese and 1%were morbidly obese.According to binary Logistic regression,BMI was found to be a risk factor of phlegm,dampness and heat,as well as a protective factor of Yang deficiency,compared with calm.Forty-six were unmarried,58 were married and one was divorced.3.In terms of sleep,the sleep quality was better by 48.6%,medium by 38.1%,and poor by 13.3%.Spearman correlation analysis showed that the more severe the life influence degree of headache was,the significantly weak positive correlation was found with the sleep quality.Binary Logistic regression analysis found that sleep quality was a mild protective factor.Disordered polylogistic analysis showed that sleep quality was the risk factors of Yang deficiency quality,Yin deficiency quality,phlegm and dampness quality,and qi stagnation quality compared with the peaceful quality.4.In terms of life impact degree and quality of life,57.1%of the people think that headache has a serious impact on their life.Multiple linear regression showed that there was a significant linear relationship between TCM constitution and life influence degree,among which the life influence degree of migraine patients with qi-deficiency quality,damp-heat quality,qi-stagnation quality,and special report quality was significantly higher than that of mild quality.Spearman correlation analysis showed that there was a positive correlation between the degree of life influence and the quality of life.Multiple linear regression showed that the scores of qi-asthenic,yin-asthenic,damp-heat and qi-stagnation were significantly lower than those of even-temperament in terms of functional limitations.5.The distribution of TCM constitutions showed that the main constitutions of migraine patients in this study were Yang deficiency and qi stagnation,while Yin deficiency and qi stagnation were the main constitutions.According to the disordered polylogistic analysis of living habits and constitution of traditional Chinese medicine,the results show that living habits are an important risk factor for Yang deficiency quality,phlegm-dampness quality,and qi stagnation quality compared with peaceful quality,and bad living habits are more likely to form Yang deficiency quality,qi stagnation quality,and phlegm-dampness quality.Conclusion1.Among the major constitutions of migraineurs,the distribution of yang-asthenia is the most,while the distribution of yin-asthenia is the most.2.Migraine seriously affects the living standard and quality of life of migraine patients.Different living habits of migraine patients will form different TCM constitutions.3.By improving the bad living habits such as sleep,smoking,drinking and diet,it can adjust the constitution of traditional Chinese medicine,reduce the frequency of migraine attacks,provide life guidance for patients,and provide new ideas for clinical treatment.