Exploration Of TCM Constitution Of Patients With Various Syndromes Before And After Menopause And Professor Chen Ying's Treatment Experience

Purpose:The basic information,living habits,disease symptoms and other risk factors related to this disease were collected by questionnaire survey of patients with various symptoms before and after menopause in Liaoning area.Through statistical analysis of the constitution types and distribution characteristics,to provide reference for the prevention and treatment of this disease.Material and method:A total of 257 patients with pre-and post-menopausal symptoms diagnosed in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2018 to December 2020 were selected.By means of questionnaire survey,the basic information,living habits,disease symptoms and other risk factors related to the disease were collected.According to the constitution evaluation standard,the results of the questionnaire were calculated and the constitution types were obtained.Through statistical analysis,the susceptibility constitution of various syndromes before and after menopause and its relationship with related influencing factors were obtained.Results:1.Among the 257 respondents who participated in the survey,the majority were biased physique,accounting for 91.1% of the total.According to the proportion of each constitution type,the order is as follows: yang-deficiency(31.1%),yin-deficiency(22.6%),qi-stagnation(10.9%),qi-deficiency(10.1%),peaceful(8.9%),blood-stasis(7.4%),phlegm-dampness(4.3%),damp-heat(3.5%),and special(1.2%).2.Among the 80 patients with Yang deficiency constitution,18 cases(22.5%)had Yin deficiency constitution,14 cases(17.5%)had qi deficiency constitution,and 12 cases(15%)had phlegm-dampness constitution.Among the 58 patients with Yin deficiency constitution,16 cases(22.7%)had Yang deficiency constitution,12 cases(20.6%)had Qi stagnation constitution,and 10 cases(17.2%)had Qi deficiency constitution.Among the 28 patients with qi-stagnation constitution,10 cases(35.2%)had Yin deficiency and 7 cases(25%)had Yang deficiency.3.Among the respondents,the youngest is 40 years old and the oldest is 55 years old,with an average of 48.86±3.41 years old.The respondents aged 45-49 account for the highest proportion,accounting for 53.3%.Chi-square test for constitution type and age distribution showed that there was no correlation between constitution type and age,P=0.360(> 0.05).4.The distribution of disease severity of the respondents was as follows: mild 72 cases(28.0%),moderate 145 cases(56.4%),severe 40 cases(15.6%).Through the chi-square test of the constitution type and the degree of the patient’s illness,it was found that the constitution type of the patient was correlated with the degree of the patient’s illness(P < 0.05).The proportion of moderate and severe Yang deficiency was higher.The proportion of light and moderate Yin deficiency was higher.5.The frequency of hot flashes and sweats was the highest in 81.7% of respondents,followed by insomnia at 78.2%.The frequency of anxiety,depression,fatigue,muscle and arthralgia and sexual pain were also higher,all of which were higher than 50%.6.Symptoms such as fatigue and weakness,insomnia,hot flushes and sweating,muscle and joint pain,and pain during sexual intercourse were more frequent among those with Yang deficiency.Among them,the frequency of paresthesia,depression,fatigue and weakness,palpitation,sexual pain and urinary tract infection was significantly higher than the average level.The frequency of hot flashes,sweating,insomnia,anxiety and skin ant walking was lower than the average level.7.Among the respondents with Yin deficiency constitution,hot flushes,sweat,insomnia,anxiety,fatigue,weakness,pain during sexual intercourse and other symptoms have a higher frequency.The frequency of hot flushes,perspiration,paresthesia,insomnia,anxiety and palpitations was significantly higher than the average level.The frequency of depression,muscle and joint pain was lower than average.Conclusion: 1.Yang deficiency and Yin deficiency are the susceptible constitutions of postmenopausal syndromes in Shenyang.The common compatible constitutions of yin-deficient substance are yin-deficient substance,phlegm-dampness substance and qi-deficient substance.The common compatible constitutions of Yin deficiency are Yang deficiency,qi stagnation and qi deficiency.The common compatible constitutions of qi-stagnation type are yang-deficiency type,yin-deficiency type and qi-deficiency type.2.Most of the patients with Yang deficiency had moderate or severe illness;Most of the patients with Yin deficiency were mild or moderate.The severe proportion of qi-depressed subjects was higher.3.Among the symptoms of postmenopausal patients,hot flashes and sweats have the highest frequency,followed by insomnia,anxiety,depression,fatigue and weakness,muscle and arthralgia,and pain in intercourse are also more common.4.By summarizing the clinical experience of Professor Chen Ying,it is believed that the pathogenesis of the disease is the imbalance of Yin and Yang,the disease is mainly located in the kidney,and the disease is a mixture of deficiency and reality.The imbalance of Yin and Yang of the kidney is the basis of this disease,and then spread to the liver,spleen,heart and other viscera.And the results of the traditional Chinese medicine constitution survey of postmenopausal and postmenopausal patients.