Distribution Of Tcm Constitution In Patients With Hyperthyroidism Characteristics And TCM Syndrome Type,thyroid Test Correlation Study Of Indicators

Objective Combing hyperthyroidism and the related theory of TCM constitution,at the same time,by using the method of clinical epidemiological study of hyperthyroidism patients constitution types and TCM syndrome type of traditional Chinese medicine,the investigation of thyroid assay index,physical distribution types of treatment in patients with hyperthyroidism,further analyzing the susceptible of hyperthyroidism with age,sex,syndromes,the level of thyroid function inner link,so as to search for the cause of hyperthyroidism occurred,provide the basis for early prevention and treatment of the disease.Methods Through the method of literature analysis,this paper reviews the classic literature on the constitution of traditional Chinese medicine and the research progress of the disease name,etiology,pathogenesis,classification and treatment of hyperthyroidism in traditional Chinese and western medicine in the past decade.Clinical epidemiological investigation methods were adopted to study hyperthyroidism patients who visited the outpatient department of director ding lei and the ward of department of endocrinology of the first affiliated hospital of anhui university of traditional Chinese medicine from November 2017 to January 2019.The standardized TCM constitution scale was used to evaluate the scores of each constitution type,determine the individual constitution type,and analyze the distribution type of the constitution type of hyperthyroidism population.Finally,the results of the investigation were processed by statistical methods,and the differences in general physical data,TCM syndrome types and thyroid test index composition ratio of each subgroup were compared.Results:(1)among hyperthyroidism patients,the incidence of female patients is higher than that of male patients.The constitution types of different gender,age and disease course were different,and the difference was statistically significant.(2)in the classification of syndromes,there were 36 cases of qi stagnation and phlegm stagnation and blood stasis,32 cases of Yin deficiency of heart and liver,17 cases of exuberant liver fire,10 cases of unclear syndromes,and 5 cases of phlegm stagnation and blood stasis.Qi stagnation and spittoon syndrome is the most common type of this disease.studies on the correlation between constitution and syndrome type show that qi qi stagnation quality and qi qi qi spittoon coagulation syndrome have a great correlation,while Yin deficiency quality and qi deficiency quality have a great correlation with heart-liver Yin deficiency syndrome.(3)comparison of the differences in thyroid test indexes among hyperthyroidism patients of different body types suggested that the differences in FT3,TRAb and TPOAb indexes among different body types were statistically significant.The content of FT3 and TPOAb was the highest.The content of Yin-deficiency substance was the highest in TRAb index.(4)Logistic regression analysis of TCM constitution and related influencing factors showed that age and TRAb were positively correlated with Yin deficiency and substance.The course of disease was positively correlated with qi stagnation,and the higher FT3 and TPOAb were,the higher the risk of qi stagnation was.Conclusions(1)about 1/10 of the people with hyperthyroidism have a mild constitution,and 9/10 have a biased constitution;There are more qi stagnation and Yin deficiency in biased constitution.Different sex,age,occupation,course of disease and so on crowd physique characteristic is different.It has guiding significance for the prevention,treatment and prognosis of hyperthyroidism.(2)the TCM syndromes of hyperthyroidism involve qi stagnation and phlegm stagnation and blood stasis,among which qi stagnation and phlegm stagnation and phlegm spittoon syndrome are the most.The correlation between constitution and syndrome type indicates that constitution can influence clinical syndrome type to some extent.Patients with qi-stagnation hyperthyroidism have the tendency of qi-stagnation and spittooning syndrome,while patients with Yin deficiency and qi-deficiency hyperthyroidism have the tendency of heart-liver Yin deficiency syndrome.(3)there were statistically significant differences in FT3,TRAb and TPOAb indexes among different body types.In terms of FT3 and TPOAb indexes,the content of qi In terms of TRAb index,the content of Yin deficiency is relatively the highest,and Graves’ disease is more likely to be clinically diagnosed.In the absence of specific drugs to reduce the thyroid antibody titer,it may be of positive significance to the outcome of the disease by improving the related constitution.(4)Logistic regression analysis of TCM constitution and related influencing factors showed that age and TRAb were positively correlated with Yin deficiency and substance.The course of disease was positively correlated with qi stagnation,and the higher FT3 and TPOAb were,the higher the risk of qi stagnation was.It is of guiding significance for the clinical application of traditional Chinese medicine in constitution intervention.The purpose of this study was to provide a new idea for the prevention and treatment of this disease from the perspective of TCM constitution,by exploring the distribution characteristics of TCM constitution types among hyperthyroidism patients and their relationship with TCM syndrome types and thyroid test indexes.