Correlation Analysis Of TCM Syndromes,five Movements And Six Climates And Meteorological Factors In Acute Ischemic Stroke(Involving Both Collateral And Meridian)

Objective: Based on the theory of luck in the Huang Di’s Canon of Internal Medicine,the correlation between the Chinese medical evidence of the acute phase of ischemic Stroke(involving both collateral and meridian)and the three elements of the five movements,six climates and meteorological factors is explored in order to further grasp the development of the disease and to guide prevention and treatment in the clinical setting.Methods: A total of 667 patients with acute phase of ischemic stroke who were hospitalized in the Department of Encephalopathy during the period from January 20,2020(Big Chill))to January 19,2022 were collected at Jilin Provincial Hospital of Chinese Medicine as the subjects of investigation.Basic patient information,onset time and Chinese medical evidence were collected.Daily average data of five meteorological factors,including temperature,relative humidity,wind speed,atmospheric pressure and precipitation,were also retrieved from the data room of the Meteorological Bureau of Changchun City from January 20,2020 to January 19,2022.The periods of movement and climate are calculated according to the "Seven Great Treatises" in the Nei Jing.SPSS 26.0 software was used for data processing and statistical analysis.Results:1.A total of 667 subjects were included in this study,with significant gender and age differences,with more men than women,and a concentration of 60-79 years of age.2.In terms of the frequency of incidence,in different years off transportation,the annual incidence rate of Xinchou,which is not as good as the year of Water,is higher than that in the year of Gengzi,which is too good for the year of Gold;in the different periods of the five main movements,the overall peak incidence is in the year of Soil movement,the lowest incidence is in the year of Wood movement,and the incidence in the other three steps is in the middle and the difference is not significant;the test P=0.000<0.05,the result is statistically significant.In the different Six Qi main Qi periods,the peak incidence in different years of the year is in the Third Qi,the lowest incidence is in the First Qi,and the difference in the incidence of the remaining four Qi is not significant;P=0.000<0.05 by test,the result is statistically significant.3.In terms of symptoms,the distribution was from highest to lowest: 426(63.87%)were wind phlegm obstruction;133(19.94%)were wind-fire upheaval;58(8.70%)were qi deficiency and blood stasis;28(4.20%)were phlegm-heat and fu-organ excess;and 22(3.30%)were yin deficiency and wind movement.In the year Gengzi,the p-values for windphlegm obstruction,phlegm-heat and fu-organ excess,and yin-deficiency and wind movement were all >0.05,suggesting that the differences in their distribution in the five movements and six climates were not statistically significant;the p-values for wind-fire upheaval and qi-deficiency and blood stasis were all <0.05,suggesting that the differences in their distribution in the five movements and six climates were statistically significant.In the year of Xinchao,the P values for Qi deficiency and blood stasis,phlegm-heat and fuorgan excess,and Yin deficiency and wind movement were all >0.05,suggesting that the differences in their distribution in the five movements and six climates were not statistically significant;the P values for wind-fire upheaval and wind phlegm obstruction were all <0.05,suggesting that the differences in their distribution in the five movements and six climates were statistically significant.4.The meteorological factors affecting the number of cases include temperature,precipitation and wind speed,which are statistically significant(P< 0.05),with a correlation with temperature and precipitation and a negative correlation with wind speed.At the same time,the TCM symptoms of the disease are positively correlated with various meteorological factors,with temperature and air pressure having a greater impact on wind phlegm obstruction.The main meteorological factors affecting the number of cases of ischaemic stroke in the acute phase(involving both collateral and meridian)were temperature,precipitation and wind speed,which were statistically significant(P< 0.05),with a positive correlation with temperature and precipitation and a negative correlation with wind speed.The correlation with relative humidity and air pressure was not statistically significant(P< 0.05).The symptoms of the acute phase of ischaemic stroke(involving both collateral and meridian)were positively correlated with various meteorological factors,of which the correlation between wind phlegm obstruction and temperature and air pressure was statistically significant(P< 0.05),while the correlation with relative humidity,precipitation and wind speed was not statistically significant(P< 0.05).There was no statistically significant correlation with relative humidity,precipitation and wind speed(P>0.05).There was no statistically significant correlation between wind-fire upheaval,qi deficiency,blood stasis,phlegm-heat and fu-organ excess,yin deficiency and wind movement and various meteorological factors in the same season(P > 0.05).Conclusion: The occurrence of the acute phase of ischaemic stroke(involving both collateral and meridian)has a remarkable pattern in the five movements and six climates periods.There is a correlation between the onset of the disease and the distribution of its symptoms and changes in meteorological factors.