Research And Analysis On Traditional Chinese Medicine Of The Symptomology And Constitutionology Of Aortic Dissection

Research purpose:The purpose of this study was to analyze and discuss the symptom and constitutional characteristics of aortic dissection type A and type B through the general conditions,symptoms,signs and related past conditions of patients with aortic dissection,and to provide theoretical demonstration and supplement for the research of traditional Chinese medicine in the direction of aortic dissection disease.Research method:Methods from November 2021 to December 2022,patients admitted to the First Department of General Surgery in Yunnan first People’s Hospital were collected and diagnosed with major arterial dissection type A and type B by CTA examination.Finally,180 patients were collected and statistically analyzed by age,gender,BMI,previous hypertension,clinical symptoms,signs and tongue and pulse images.The data were collected and analyzed by EXCEL+SPSS26.0 software.Research results:1.Among the 67 cases of type A aortic dissection,there were 14 cases of qi deficiency,11 cases of blood deficiency,15 cases of Yin deficiency,6 cases of Yang deficiency,27 cases of qi stagnation,19 cases of blood stasis,4 cases of cold coagulation,7 cases of dampness and turbidity,10 cases of dampness and heat,11 cases of phlegm turbidity,13 cases of phlegm and heat,and 3cases of water and drink.In terms of constitution,there were 10 cases of peaceful quality,8 cases of qi deficiency,4 cases of Yang deficiency,7cases of Yin deficiency,14 cases of qi stagnation quality,8 cases of phlegm-dampness quality,4 cases of damp-heat quality,12 cases of blood stasis quality and 0 cases of characteristic quality.2.In the syndrome of type B aortic intersections,there were 21 cases of qi deficiency,15 cases of blood deficiency,23 cases of Yin deficiency,12 cases of Yang deficiency,42 cases of qi stagnation,34 cases of blood stasis,5 cases of cold coagulation,10 cases of dampness turbidity,12 cases of dampness heat,20 cases of phlegm turbidity,19 cases of phlegm heat,and 6 cases of water and drink: in terms of constitution,there were 13 cases of peaceful quality,14 cases of qi deficiency,5 cases of Yang deficiency,15 cases of Yin deficiency,21 cases of qi stagnation quality.There were 17 cases of phlegm-dampness,9cases of dampness-heat,18 cases of blood stasis,and 1 case of characteristic.According to the proportion of SSE type factors,it can be summarized into the following four symptoms: Qi Yin deficiency syndrome,Qi deficiency and dampness accumulation syndrome,phlegm-stasis interlocking syndrome,Qi stagnation and blood stasis syndrome,among which hypertension accounts for 92%.Research conclusion:1.There were no statistical differences between the two groups in age,gender,BMI,previous hypertension and other aspects,which were comparable.2.There was statistical difference between type A and type B in the syndrome of aortic dissection.The empirical evidence of type A aortic dissection was mainly Qi stagnation,blood stasis and phlegm-heat,while the deficiency syndrome was mainly qi deficiency,Yin deficiency and blood deficiency.The demonstration of type B aortic dissection was mainly characterized by qi stagnation,blood stasis,phlegm turbidity and phlegm heat,while the deficiency syndrome was mainly characterized by Yin deficiency and qi deficiency.The main basic symptom elements are qi deficiency,Yin deficiency,qi stagnation,blood stasis and spittoon.The main pathology of this disease is Qi stagnation and blood stasis.3.There was no statistical difference between type A and type B aortic dissection in terms of physique.Except for peaceful type,biased physique was mainly composed of qi stagnation type,blood stasis type and phlegm-dampness type.The proportion of type A aortic dissection was 50.75%.The proportion of type B aortic dissection was 49.56%.