Study On The TCM Syndrome Type Distribution And Related Factors Of Constipation After Stroke

Objective:To analyze the general data and clinical data of 172 patients with constipation after stroke,and to explore the distribution law of TCM syndrome types,related pathogenic factors and medication law of constipation after stroke,so as to provide reference for TCM syndrome differentiation and classification of constipation after stroke from a new perspective.Methods:A total of 172 cases were included into the standard.General data and clinical data of the included cases were obtained and related databases were established by using Excel software.SPSS 21.0 software was used to analyze and process the data.Frequency analysis,chi square test,rank sum test and Fisher exact test were used respectively according to the situation.The difference was statistically significant with P<0.05.Results:1.General information analysis:① Gender:the proportion of male and female patients in this study is about 1.82:1,and the incidence rate of constipation in male patients is higher than that in females.②Age:the highest incidence in elderly patients;③ Season of onset:the most common in summer;④Stroke stage:the patients with stroke recovery period and sequelae are most likely to have this disease.According to the order of the number of patients with this disease from high to low,the apoplexy sequelae period(91 cases,accounting for 52.9%)>the apoplexy recovery period(55 cases,accounting for 32.0%)>the apoplexy acute period(26 cases,accounting for 15.1%);⑤Stroke type:161 cases of middle meridian patients,accounting for 93.6%,while the number of middle viscera patients is less,a total of 11 cases,accounting for 6.4%.2.Syndrome type analysis:① the common TCM syndrome types are lung qi deficiency syndrome(49 cases,accounting for 28.5%),body fluid deficiency syndrome(40 cases,23.3%),intestinal qi stagnation syndrome(30 cases,17.4%),intestinal excess heat syndrome(24 cases,13.9%),spleen kidney yang deficiency syndrome(13 cases,7.5%),blood stasis syndrome(8 cases,4.7%),phlegm dampness syndrome(8 cases,4.7%);② TCM Syndrome Types and gender,age or onset There was no significant correlation between seasons(P>0.05),and there was no significant difference in gender composition of different age groups(P>0.05);③ there were difference stroke stage among different TCM syndromes(P<0.05);④ there were difference in stroke types among different TCM syndromes(P<0.05).3.Medication analysis:On the whole,the therapeutic drugs are mainly pungent and bitter in sexual taste,mostly combined with sweet medicine,cold and warm medicine,and most of them belong to lung,liver,spleen and stomach,heart and kidney.① In this study,40 common Chinese medicines with high frequency were found as follows:licorice,white peony,Ligusticum chuanxiong,pinellia,Poria,rhubarb,angelica,Atractylodes macrocephala,hemp seed,bupleurum,gastrodia,tangerine peel,Radix Achyranthes,astragalus,Zizyphus,Yujin,Shengdi,Danshen,Fructus aurantii,Ophiopogon japonicus,Shichangpu,Scutellaria,Magnolia officinalis,Fructus aurantii,Yuanzhi,dangshen,Anemarrhena,mother of pearl,Fructus Trichosanthis,Prince Ginseng,Prunella vulgaris,Cistanche deserticola,peach kernel,malt,Scrophularia,keel,polygonatum,Amomum villosum,safflower,bitter almond;② The drugs with high frequency are:tonic drugs(825 times)>expectorant drugs(424 times)>blood activating and stasis removing drugs(391 times).③ Through the analysis of the common drugs of each syndrome type,the common drugs of each syndrome type are basically consistent with the pathogenesis of the syndrome type,which conforms to the medication rules of the commonly used prescriptions of the syndrome type.Conclusion:1.In this study,it was found that the syndrome of stagnation of blood stasis and excess phlegm dampness were two types of syndrome of constipation after stroke,which were different from constipation,and they were unique.The prescription was used to promote blood circulation and dissipate phlegm throughout the whole process,corresponding to the specific syndrome and pathogenesis of the disease.2.The TCM syndrome differentiation of this disease is complex and diverse,among which the three most common syndrome types are deficiency of lung qi and spleen,deficiency of blood and body fluid,and stagnation of bowel Qi.3.The disease is often closely related to the liver,lung,spleen and stomach.The main pathogenesis of the disease is deficiency of body fluid and blood,deficiency of lung and spleen qi,stagnation of Qi and fire,and stagnation of blood and phlegm.The treatment is mainly to dredge the internal organs and remove turbidity,moisten the intestines and relieve constipation.Depending on the specific situation,it is flexible to carry out Qi conduction and stagnation,activate blood and rest wind,and remove phlegm and dampness.Therefore,the drug should also be corresponding to the syndrome type.Summary:The syndrome types of constipation after apoplexy are complex.The different syndrome types are related to the different types of apoplexy.For example,the patients with viscera often belong to the syndrome of phlegm dampness,which is less affected by age,gender,onset season and other factors.Constipation after apoplexy is a kind of disease characterized by deficiency in essence and deficiency in essence.Therefore,we should always pay attention to promoting blood circulation and removing blood stasis,invigorating the spleen and eliminating phlegm in the treatment.