| Hysteromyoma of female genital mutilation is the most common benign tumor, but also a main reason of hysterectomy. How to prevent the occurrence and development of uterine fibroids and post-operative recurrence is always the focus in the job. The subject surveyed patients with uterine leiomyoma with Physical scale of TCM, which summarized the physical features of TCM and understand its physical characteristics of distribution. All of the work are in order to prevent hysteromyoma and prevent relapse again after surgery.Research Purpose:This study aims to understand the physical characteristics of TCM of patients with hysteromyoma.Method:Cases were collected from Guangzhou University of TCM affiliated Zhongshan hospital, whose gynecological wards,gynecological out-patient clinic and medical centers of health Section. The period was from June 2008 to February 2009. A total of 357 cases were diagnosed by ultrasound, MRI, hysteroscopy or clinical diagnosis.79 cases came from gynecological ward of Chinese medicine hospital in Zhongshan City, 105 cases came from outpatient and 173 cases came from medical centers of health Section. Referencing to the past constitution findings by Dr Qi Wang. etc, the physical investigation table was made to conduct a questionnaire survey.Results:Three main constitution of persons with hysteromyoma were normal, blood stasis and qi asthenia, accounting for 39.22 percent,35.57 percent and 20. 17 percent respectively. Bsides normal, common in patients with uterine myoma biased constitution for the blood stasis and qi asthenia. Patients with hysteromyoma were divided into single and multiple groups in accordance with the number of leiomyomas, 187 cases and 170 case respectively. Two groups of patients were no significant difference in age, menstruation case by statistical analysis on(P>0. 05). Comparison of two groups of patients with physical types of Chinese medicine, the results showed that the number of blood stasis and qi asthenia of patients with multiple hysteromyoma is more than which of patients with single hysteromyoma. The difference was statistically significant by chi-square test (P<0. 05) .The qi asthenia scores in blood stasis of patients with hysteromyoma were more than in normal. There were significant differences (P<0. 05) ,which suggests that qi asthenia causing blood stasis is the key to the formation of blood stasis in patients with hysteromyoma.Conclusion: The main physical types of TCM in patients with hysteromyoma are blood stasis and qi asthenia, besides normal. People who are blood stasis and qi asthenia are Easily suffer from hysteromyoma.The formation and development of physical fitness is determined by innate genetic factors, and also affected by the acquired constitution, which is the results of combined effect of innate genetic factors and acquired constitution. Liver is the congenital foundation of female and blood is fundamental. Female have menstruation, leukorrhea, pregnancy, childbirth, breast-feeding and other physiological characteristics. The competition, pace of life stress, too much pressure of contemporary society are lead people often in the peak of the labor. Overstrain causing qi exhaustion, qi asthenia causing blood stasis. Physical factors determine the property transformation of pathogenesis and he disease transmission. At the same time, also has the characteristics of constitution variability. Therefore, in clinical work, in the high incidence of uterine leiomyoma age stage, the beginning of uterine myoma, after myomectomy, guidance smooth transfer of patients with emotional, dietary habits change to adapt to the seasons and changes in society, the use of conditioning qi and blood of Chinese herbal medicine, combined with psychological therapy, exercise conditioning comprehensive recuperation pathological physique, targeted to direct the follow-up, treatment, then achieves the purpose of prevention before disease onset and preventing disease from exacerbating. |
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