A Study Of Traditional Chinese Medicine Syndrome Distribution Regularity On Decreased Ovarian Reserve Function

Objective: To explore the law of distribution of TCM syndromes in the decline of ovarian reserve function,and to provide basis for clinical syndrome differentiation and treatment of this disease.Methods: Selecting patients with Decreasing Ovarian Reservation who meet the diagnostic criteria and exclusion criteria at the Shandong Provincial Hospital of Traditional Chinese Medicine.Adopted clinical case example questionnaire for the decreasing ovarian reservation.The information of four diagnosis and laboratory examination obtained by the investigation are entered into the Excel database,and the distribution of TCM syndrome in the decline of ovarian reserve function is obtained through statistical induction,chi square test,rank sum test and other statistical methods.Summarize the most common symptoms,tongue and pulse,and analyze the factors that affect the disease.Results:(1)The frequency of the most common symptoms in patients with decreased ovarian reserve in this study was: hypomenorrhea,dysmenorrhoea,Yaoxisuanruan,Premenstrual bulge,dim complexion,emotional depression,irritable irritability,Menstrual blood clots,frequent sighs,forgetfulness or insomnia.The distribution of the tongue: Red tongue,pale tongue,tongue purpura with blemishes,pale tongue with teeth marks;Distribution of tongue coating: thin white fur,less moss,slippery white tongue,and greasy moss;Pulse distribution:(The pulse appears in multiple forms):The frequency of occurrence of pulse from high to low is: pulse string,pulse sink,pulse fine,pulse number,pulse astringent,pulse weak,pulse slow,pulse slippery.(2).In this study,106 cases of kidney deficiency and liver depression were 32 cases,the largest proportion was 30.2%,the rest were spleen and kidney two cases,24 cases(22.6%),18 cases(17%)of liver kidney yin deficiency syndrome,11 cases of kidney deficiency and blood stasis syndrome,(10.4%),8 cases of liver depression syndrome(7.5%),6 cases of deficiency syndrome of lung and kidney(5.7%),4 cases of qi stagnation and blood stasis syndrome(3.8%),kidney deficiency and stagnation of liver qi and blood stasis syndrome 3(2.8%).(3).The 106 patients in this study were the youngest 20 years old,the oldest 39 years old,with an average age of 33.9 years.The frequency of distribution at each age group: The proportion of 18~21 year old patients is 1.9%,22~28 years old is 28.3%,29~35 years old is 31.1%,36~39 years old is 38.7%,and the largest proportion of 36~39 years is 38.7%.(4).Chi square test was performed on patients’ age and syndrome type P < 0.05.The patients’ FSH value and duration were compared with TCM syndromes.The results showed that P >0.05.(5).Patient complaint:In this study,106 patients with decreasing ovarian reservation had multiple clinical symptoms.In addition to the main complaint of infertility,the chief complaint was mainly menstrual volume,advanced menstruation and late menstruation.Conclusion: This research survey shows:The main syndromes of the DOR include: kidney deficiency liver depression syndrome,spleen kidney two deficiency syndrome,liver kidney yin deficiency syndrome,kidney deficiency and blood stasis syndrome,liver depression syndrome,deficiency syndrome of lung and kidney,qi stagnation and blood stasis syndrome,kidney deficiency and liver stagnation and blood stasis syndrome.Pathogenesis is kidney deficiency,spleen deficiency,liver depression,lung qi deficiency,lung yin deficiency,qi stagnation and blood stasis affecting Chong and Ren uterus,leading to impaired ovarian function.The occurrence of decreased ovarian reserve is mainly manifested by less menstruation,early menstruation and late menstruation.Age distribution of syndromes affect,the level of FSH,the course does not affect the distribution of syndromes.