Discussion On The Classification And Distribution Law Of Six-meridian Pattern Identification In Polycystic Ovary Syndrome

Objective:To study the distribution of six-meridian pattern identification and viscera pattern identification of PCOS,and the relationship between them.To grasp the distribution law of six-meridian pattern identification of the disease,and to explore its possible mechanism,in order to provide new ideas for the treatment of PCOS from the perspective of the six-meridian and the application of classical formula in gynecological clinic.Methods:According to the including standard,there are 200 PCOS patients who were treated in the gynecological clinic of our hospital from December 2021 to January 2023 were selected.The four examinations information of these patients was investigated,including general condition,menstruation and leucorrhea condition,general condition,tongue manifestation and pulse condition,etc.,and viscera pattern identification and six-meridian pattern identification were obtained.The obtained information was sorted and entered into Excel,and descriptive statistical analysis was performed on t viscera pattern identification and six-meridian pattern identification in PCOS patients.Chi-square test was used to analyze whether there were differences between viscera pattern identification and six-meridian pattern identification in different groups of PCOS patients.Finally,the distribution law of six-meridian pattern identification in PCOS patients was obtained.Results:1.Among the 200 PCOS patients surveyed,the minimum age was 15 years old and the maximum age was 39 years old.The high incidence age is between 24 and 28 years old.Most of them are office staff or college students.2.Among the 200 PCOS patients surveyed,there were 9 six-meridian patterns,including 5 single-meridian patterns and 4 two-meridian patterns.Among them,the distribution of single-meridian patterns after splitting was greater yin disease pattern(52.5%),lesser yang disease pattern(43.0%),yang brightness disease pattern(30.5%),reverting yin disease pattern(26.5%),lesser yin disease pattern(8.5%);the distribution of comorbidity of the two meridians was yang brightness and greater yin combination of diseases(53 cases),lesser yang and greater yin combination of diseases(22 cases),lesser yang and lesser yin combination of diseases(9 cases),lesser yang and yang brightness combination of diseases(3 cases).Among them,18 cases failed to belong to the six-meridian,accounting for 9%.3.The distribution of viscera pattern identification in PCOS patients was stomach heat and spleen dampness(26.5%),kidney deficiency and liver depression(26.0%),phlegm and blood stasis(20.0%),spleen deficiency and phlegm dampness(15.0%),kidney deficiency and blood stasis(12.5%).4.The distribution of six-meridian pattern identification of PCOS is related to BMI,infertility,dietary preference and emotional status,but not to age.5.The distribution of viscera pattern identification of PCOS is related to BMI,infertility,dietary preference and emotional status,but not to age.6.In the viscera pattern identification of PCOS,yang brightness disease pattern(53 cases),greater yin disease pattern(53 cases)and reverting yin disease pattern(53 cases)were more common in stomach heat and spleen dampness syndrome,greater yin disease pattern(30 cases)was more common in spleen deficiency and phlegm dampness syndrome,lesser yang disease pattern(47 cases)was more common in kidney deficiency and liver depression syndrome,lesser yang disease pattern(16 cases)was more common in phlegm and blood stasis syndrome,and lesser yin disease pattern(8 cases)was more common in kidney deficiency and blood stasis syndrome.Conclusion:1.In the six-meridian pattern identification of PCOS,greater yin disease pattern and lesser yang disease pattern are more common in single-meridian diseases after splitting;two-meridian disease is more common in yang brightness and greater yin combination of diseases.2.The viscera pattern identification of PCOS is mostly stomach heat and spleen dampness syndrome,followed by kidney deficiency and liver depression syndrome.3.The distribution of six-meridian pattern identification and viscera pattern identification of PCOS is related to BMI,infertility,dietary preference and emotional status,but not to age.4.Yang brightness disease pattern,greater yin disease pattern and reverting yin disease pattern are more common in PCOS with stomach heat and spleen dampness syndrome.Greater yin disease pattern is more common in spleen deficiency and phlegm dampness syndrome.Lesser yang disease pattern is more common in kidney deficiency and liver depression syndrome and phlegm and blood stasis syndrome.Lesser yin disease pattern is more common in kidney deficiency and blood stasis syndrome.