| Objective:To investigate the correlation between Yang deficiency and phlegm-dampness constitution and the correlation between syndromes by analyzing the physical constitution and syndromes of 118 Yang deficiency and phlegm-dampness subjects:to compare the changes of physical constitution scores and syndromes before and after the intervention of pavement moxibustion treatment,and to analyze the combination of syndromes that are the main effects of pavement moxibustion treatment.The association between the physical constitution and syndromes based on macroscopic performance will provide a theoretical basis for future substantive research on physical constitution and syndromes and for the mechanism of action of pavement moxibustion on Yang deficiency,phlegm and dampness.Methods:From June 2022 to January 2023,1 18 subjects with Yang deficiency,phlegm and dampness(both Yang deficiency and phlegm and dampness)from the third affiliated hospital of Beijing University of Chinese Medicine were selected and treated with moxibustion for 3 times after the macroscopic scale of physical constitution and symptoms,and again after the treatment.The data were collated,and the correlation between Yang deficiency and phlegmdampness scores was analyzed by Spearman correlation analysis using SPSS 27.0 software before the moxibustion treatment,and the correlation rule analysis using SPSS Moderler 18.0 software was used to calculate the association combination between symptoms;after the moxibustion treatment,the data were analyzed by SPSS 27.0 software before and after the moxibustion treatment.After the treatment.SPSS 27.0 software was used to evaluate the effect of moxibustion on the improvement of physical and symptom scores,and Spearman correlation analysis was used to evaluate the effect of moxibustion on related symptom pairs.Results:Among the 11 8 study subjects.there were more females than males,their ages were concentrated in 20-40 years,they were prone to back pain and gastrointestinal diseases,and females were more likely to suffer from dysmenorrhea.The results of the correlation analysis showed that Yang deficiency and phlegm-damp constitution scores were correlated(rs=0.53 1),which was statistically significant(p<0.0 1);the results of the correlation rule analysis showed that the study subjects with Yang deficiency and phlegm-damp constitution mainly formed a combination of symptoms centered on coldness of the trunk and extremities,combined with tiredness and weakness,spontaneous sweating,joint pain in the extremities,facial oiliness,and heavy head.The moxibustion intervention had an improvement effect on Yang deficiency and phlegm-dampness scores.89.83±13.22 before treatment and 51.57±15.63 after treatment.p=0.000,and 72.19± 19.82 before treatment and 49.41±21.41 after treatment.p=0.000,both with significant differences:there was an improvement effect on each symptom,before and after treatment There was a significant difference in all the symptoms before and after treatment.The combinations of symptoms that correlated with the effect of pavement mo xibustion were:spontaneous sweating-heavy limbs(rs=0.338,p=0.000).painful joints and unfavorable flexion and extension of the limbs-no facial color(rs=0.326.p=0.000).facial oil-no facial color(rs=0.266.p=0.004).facial oil-heavy limbs(rs=0.204.p=0.027),heavy limbs-facial colorlessness(rs=0.226.p=0.014).and dull food-low head heaviness(rs=0.25 1,p=0.006).Conclusions:(1)The number of females with Yang deficiency phlegm-dampness is significantly higher than that of males;the number of young people is significantly higher than that of middle-aged and elderly people,indicating that Yang deficiency phlegm-dampness and related diseases are more likely to occur in females and show a younger trend.(2)People with Yang deficiency,phlegm and dampness are prone to paralysis,cardiovascular diseases,gastrointestinal diseases and skin diseases,and women tend to suffer from dysmenorrhea.(3)Yang deficiency and phlegm-dampness are positively correlated with the degree of phlegmdampness bias in people with Yang deficiency and phlegm-dampness.(4)Yang deficiency,phlegm and dampness are mainly associated with coldness in the body and extremities,combined with tiredness,weakness,lack of color,spontaneous sweating,dizziness,heavy limbs,pain in the joints of the extremities,and weakness in flexion and extension,which can be classified into three types of symptoms according to the pathological pattern,namely:Yang deficiency,loss of warmth,and failure to consolidate Wei-Yang;Yang deficiency,coldness,and paralysis by dampness;and spleen and stomach,dampness and stagnation,and loss of transportation and transformation.(5)Pu moxibustion can significantly improve the biased state of Yang deficiency,phlegm and dampness,and can improve the symptoms.It has the effects of consolidating Wei-Yang,warming Yang and dispelling cold,warming the meridians,improving skin condition,regulating the spleen and stomach,and transporting and transforming dampness. |
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