| Objective:Through the collection,statistics and analysis of TCM syndrome information in patients with clinical dyslipidemia,combined with the traditional concept of TCM theory,syndrome differentiation and treatment,the distribution of TCM syndromes in patients with dyslipidemia and its correlation with BMI,seasons and living habits were analyzed.To clarify the effects of different genders,ages,seasons,physical forms,diet structure,exercise,sleep habits and other factors on the location and pathology of dyslipidemia,analyze the causes,and improve the accuracy of clinical syndrome differentiation.It is appropriate to provide a theoretical basis for the differentiation and treatment of dyslipidemia.Methods:Producing a four-diagnostic information diagnostic scales under The "Diagnostic Syndrome Scale of Syndrome".528 cases of clinical cases meeting the diagnostic criteria for dyslipidemia were collected within 1 year,according to BMI,season,diet structure,The time of sleep and the length of exercise were grouped to analyze the relationship between TCM syndromes and various influencing factors in patients with dyslipidemia.Results:1.In this study of dyslipidemia,there were 19 syndromes,and the common syndromes were liver,kidney,spleen and heart.A total of 22 disease syndromes were found.Common syndromes were wet,qi stagnation,impotence,and blood stasis;common deficiency syndromes were mainly yin deficiency,qi deficiency,blood deficiency,yang deficiency,and fine deficiency.2.Grouped by gender,patients with dyslipidemia,spleen,liver,stomach,heart,disease,syndrome,qi stagnation,impotence,qi deficiency,blood deficiency,yang deficiency,yang stagnation,yin deficiency,body fluid loss,fine loss There was a statistically significant difference in the incidence of different gender groups(P<0.05),which was higher in the female group than in the male group.There were gender differences in the degree of evidence of liver disease,disease syndrome,dampness,qi stagnation,qi deficiency,blood deficiency,yin deficiency and yang deficiency(P<0.05),both of which were higher in the female group than in the male group.3.Grouped by age,patients with dyslipidemia,syndrome,heart,lung,spleen,heart,liver,kidney,stomach,disease,water stop,qi stagnation,blood stasis,qi deficiency,blood deficiency,yang deficiency,yang stagnation,yin There was a statistically significant difference in the incidence of imaginary,fine,and dynamic winds in different age groups(P<0.05),both of which were higher in the elderly group than in the middle and middle-agegroups.The degree of syndrome contribution of heart syndrome,spleen,liver,kidney,disease syndrome,blood stasis,blood deficiency,qi deficiency,yin deficiency,yang deficiency and fine deficiency was different(P<0.05).The group is higher than the green and middle-aged groups.The syndromes of lung,liver,kidney,disease,blood stasis,qi deficiency,blood deficiency,yin deficiency and yang deficiency were positively correlated with age(P<0.05).4.Grouped by season,patients with dyslipidemia,spleen,liver,stomach,table,skin,meridians,heart,disease,wind,cold,dry,water stop,qi deficiency,yang deficiency,yang stagnation,yin deficiency,There was a statistically significant difference in the incidence of Jinye deficiency,fine loss and dynamic wind in different seasons(P<0.05).The syndromes of liver,kidney,skin,muscles,disease,qi stagnation,qi deficiency,blood deficiency,yang deficiency and yin deficiency were not the same in the four seasons(P<0.05).There were seasonal differences in blood lipid profiles TC and HDL(P<0.05).5.Grouped by BMI,the incidence of spleen,diseased spleen,sputum,and water in patientswith dyslipidemia was different between different BMI groups(P<0.05).The scores of the syndrome contribution scores of the kidney,the disease syndrome,the wetness,the phlegm and the yin deficiency were significantly different between the BMI groups(P<0.05).The syndromes of heart,kidney,and disease syndrome were positively correlated with BMI(P<0.05).There was a difference in the distribution of blood lipids TG in the BMI group(P<0.05),and TG was positively correlated with BMI(P<0.05).6.Grouped by diet structure,the incidence of sputum syndrome,qi deficiency and yangdeficiency in patients with dyslipidemia was statistically different(P<0.05).The incidence of phlegm and blood stasis in the group was higher than that in the light diet group.The incidence of qi deficiency and yang deficiency was higher in the light diet group than in the fat and gluten group(P<0.05).The contribution of the syndromes of cold,qi deficiency and yang deficiency was different among the diet groups,which was higher in the light diet group than in the fat and sweet group.7.Grouped by exercise status,the incidence of spleen,heart and disease syndrome in patients with dyslipidemia was different in each group(P<0.05).The incidence of heart,spleen and sputum in the non-exercise group was greater than that in the exercise group(P<0.05).The scores of the syndromes of lung,spleen and disease syndromes such as dampness,phlegm,impotence,qi deficiency,yin deficiency and yang deficiency were different in the exercise group(P<0.05),which showed no exercise group.Greater than the exercise group.8.According to the classification of sleep time,the incidence of dyslipidemia,disease syndrome,dampness,phlegm and impotence in patients with dyslipidemia was statistically different between the group attending sleep(P<0.05).The incidence of sputum,dampness,phlegm and impotence was higher in the late-sleeping group than in the early-sleeping group.The contribution of syndromes such as dampness,phlegm,impotence,qi stagnation and yin deficiency was different between the groups at sleep time(P<0.05),which was higher in the late sleep group than in the early sleep group.The distribution of BMI in the sleep time group was different(P<0.05),which showed that the late sleep group was larger than the early sleep group.According to the length of sleep,the incidence of dyslipidemia in patients with dyslipidemia,the incidence of morbidity and impotence was different between the groups of sleep duration(P<0.05),and the sleep time was<8 hours.The incidence rate was greater than the sleep time>8 hours group.The contribution of the syndromes of heart,lung,liver,heart,disease,phlegm,impotence,qi deficiency and yin deficiency was different in each group(P<0.05),which was characterized by sleep time<8 hours.More than the sleep time≥8hours group.The length of sleep was negatively correlated with the scores of the syndromes of liver,lung,heart,disease,phlegm,yin deficiency,impotence and blood deficiency(P<0.05).The distribution of BMI was different in each group during sleep,and the sleep time<8 hours group was greater than the sleep time≥8 hours group(P<0.05).BMI is inversely related to sleep duration.Conclusion:1.The dyslipidemia is mainly in the liver,kidney,spleen and heart;the common empirical diseases are mainly phlegm,dampness,qi stagnation,impotence and blood stasis;the deficiency syndrome is mainly yin deficiency,qi deficiency,blood deficiency and yang.Virtual,fine losses.2.Compared with male dyslipidemia patients,female patients have spleen,liver,heart and stomach,and the disease is more common in qi stagnation,impotence,qi deficiency,blood deficiency,yang stagnation,yin deficiency and body fluid loss.Female patients with diseased liver,diseased wet,qi stagnation,qi deficiency,blood deficiency,yin deficiency,yang deficiency are more serious than male patients.Clinical intervention in such syndromes can help stabilize and improve blood lipid levels.3.Compared with young and middle-aged patients,elderly patients with abnormal dyslipidemia have a wider range of diseases,including heart,lung,spleen,kidney,heart and stomach.They are more ill,manifested as water stop,qi stagnation,blood stasis,Dynamic wind,qi deficiency,blood deficiency,yang deficiency,Yang float,Yin deficiency and fine loss.In elderly patients,the severity of heart,spleen,liver,kidney,pathological blood stasis,blood deficiency,qi deficiency,yin deficiency,yang deficiency,and complete deficiency is more serious than that of young and middle-aged patients.The higher the age,the lung,liver,The higher the degree of development of kidney,disease,blood stasis,qi deficiency,blood deficiency,yin deficiency and yang deficiency.Because we are reminded that in the treatment of senile dyslipidemia patients,we should strengthen the foundation and strengthen the body on the basis of common methods such as phlegm,phlegm and blood stasis.4.Blood lipid levels will change accordingly in different seasons.Among them,the TC level rose to the highest in the whole year in winter and decreased in spring and autumn;the HDL level also increased in winter and decreased in summer.In different seasons,patients with abnormal blood lipids are in the spleen,liver,stomach,table,skin,meridians and minds.The disease is wind,cold,dry,water stop,qi deficiency,yang deficiency,Yang float,Yin deficiency,and body fluid.There is a change between loss,fine loss and dynamic wind.The specific performance is that patients with dyslipidemia in spring are more susceptible to spleen,skin,heart,sick water stop,yang stagnation,yin deficiency,body fluid loss,fine loss,and dynamic wind;in summer,table,skin,stomach Disease,wind,cold,dryness,water stop have the least impact on patients with dyslipidemia;in autumn,patients with dyslipidemia are more susceptible to the disease table,stomach,spleen,liver,meridian,heart,sick water,blood deficiency,Yin deficiency,yang deficiency,Yang float,body fluid loss,fine loss,and dynamic wind have the least impact on it;in winter,patients with dyslipidemia are more susceptible to disease,liver,skin,meridian,sick wind,cold,dryness,water stop,qi deficiency,The effects of blood deficiency,yang deficiency,yang stagnation,yin deficiency,and fluid loss.In different seasons,there are seasonal differences in the degree of development of liver,kidney,skin,bones,disease,qi stagnation,qi deficiency,blood deficiency,yang deficiency and yin deficiency.Specifically,in the spring,patients with dyslipidemia,liver,kidney,bones,disease,qi stagnation,qi deficiency,yin deficiency,yang deficiency are more serious;in summer,patients with dyslipidemia develop more severe skin,diseased kidney Disease,qi deficiency,blood deficiency,yin deficiency,and yang deficiency are the least developed;in the autumn,patients with dyslipidemia have the least degree of liver,skin,bones,disease,qi stagnation and blood deficiency.In winter,patients with dyslipidemia have the most serious development of liver,kidney,disease qi stagnation,blood deficiency,yin deficiency and yang deficiency.As the main pathological product of dyslipidemia,the water is wet,turbid,and blood stasis is not affected by seasonal factors.Therefore,it is especially important to control the blood lipids in different seasons and appropriate interventions.5.Compared with patients with normal weight dyslipidemia,overweight and obese patients have more weight in the spleen,sick wet,phlegm and water.The diseased kidneys of overweight and obese patients have more serious developments of diseased wetness,phlegm,yin deficiency and dynamic wind.With the increase of body mass index,the level of TG in patients gradually increased,and the degree of disease was in the heart and kidney,and the degree of disease was wet,phlegm and yin deficiency.As far as the disease is concerned,interventions for overweight and obese patients require not only spleen but also intervention from the heart and kidney.In terms of disease,dehumidification,phlegm,water stop,etc.which are well known as pathological products of dyslipidemia,overweight and obese patients also need to be alert to the occurrence of yin deficiency and even dynamic wind.6.For patients with dyslipidemia with a fatty diet,the incidence of sputum sputum is higher,and for patients with abnormal blood lipids and abnormal blood lipids,the possibility of qi deficiency and yang deficiency is higher and the degree is more serious.Therefore,in the clinical should pay more attention to those who have a light diet,or have adjusted the diet structure and blood lipids are still high,in the treatment can not be blinded to attack evil,but also need to take into account the temperature and Yang to help.7.Having with patients with dyslipidemia who are persistently exercising,there is a higher likelihood of abnormalities in the heart,spleen,and diseased sputum.Among them,the degree of problems in patients with no movement in the lungs,spleen,diseased wet,phlegm,Impotence,qi deficiency,yin deficiency and yang deficiency is also more serious.8.When the body is late at night and the length of sleep is insufficient,it is prone to overweight and obesity.Among them,the patients with dyslipidemia in late-sleeping patients have a sickness in the mind,and the proportion of problems in the wet,phlegm,and impotence is significantly higher than that in the early-sleeping patients;when the sleep is less than 8 hours,the patient is in the heart of the disease,and the impotence appears.The proportion of abnormalities is higher.Among the patients who slept late,the severity of the disease was wet,phlegm,impotence,qi stagnation,and yin deficiency.In those with less than 8 hours of sleep,the disease was in the heart,lung,liver,and heart.The severity of yin deficiency,impotence and blood deficiency is also higher.With the shortening of sleep time,the severity of liver,lung,heart,disease,yin deficiency,impotence and blood deficiency also rises..Therefore,whether it is late sleep or lack of sleep time,it will affect the normal handover of yin and yang of the human body,leading to mental disorders,and treatment should start with the relevant syndromes such as mind,yin and impotence. |