| Liver belongs to wood, article xi of the evil depression, one of the main functions of "liver factor", reflect the liver is just dirty, main litres, physiological characteristic, active factors after the whole body is angry machine, adjustment of modern an important part of the human body has an important role both physiological and pathological conditions.Physiological state, the article of diseases, qi activity refreshed, qi reconcile, normal human viscera function activities, viscera function is strong, is to ensure that the key to the normal of the activities of modern factors. Pathological conditions, the theory of element, ask for pain, says: "all ills in gas also." Main pathogenesis is liver function abnormal, not only affect the liver stores blood, the soul, the function such as digestion, also affects the whole body each viscera and channels, qi activity disorder, all ills. "Women for congenital liver",for with blood, and the liver factor, the main Tibetan blood, blunt hepatic blood enough strong, can on time storage cell palace overflow, if liver pathogenesis, modern depression,often has abnormal changes of body and modern symptoms, hair for premenstrual syndrome, often show the breast tenderness, abdominal pain, irritability, depression is not happy, concentration and so on, the cause has nothing to do with mental and medical disease, and symptoms can disappear by oneself after menstruation, pathogenesis, main responsibility is to the liver and liver pathogenesis is closely related.This topic from the perspective of the liver factor, the regulation of modern, with shanxi college of traditional Chinese medicine sophomore girls Premenstrual Syndrome(Premenstrual Syndrome, PMS) patients, as a representative of the pathological state of confronting a sophomore girls as a representative of the physiological state of health, using research compiled by PMS clinical information questionnaire, health questionnaires, and the beck anxiety scale, beck depression inventory, longitudinal observation the vernal equinox, summer solstice, autumnal equinox, winter solstice four seasonal pathological and physiological two people body, mental performance, the difference of the two levels to explore "factor" liver function under the condition of physiological change with four adjustment mechanism, as well as in the case of pathological liver factor function of dereliction of duty, effect on the four seasonal adjustment mechanism, in order to clinically treated from liver health and disease to provide a certain basis.Objective:1.By observing the health group in the liver is the main spring and other three seasons body, psychological two aspects of performance, to explore the liver factor, the regulation of modern function in physiological cases with four regulation of physiological mechanism.2.For premenstrual syndrome disease states representative, by observing the PMS in liver disease group is the main spring and other three seasons body, psychological two aspects of performance, to explore the pathological cases, "liver factor, adjust the function of modern" dereliction of duty, the mechanism of the influence on the four seasonal adjustment.3.By comparing the observation of physiology, pathology, two groups in the body,psychological two aspects of the difference of performance further explore the liver factor,the regulation of modern functions in physiology, pathology, two kinds of state, how to change the role mechanism, so as to clinically treated from liver health and disease to provide a certain basis.Methods:1. The liver factor, adjustment of modern physiology studyOn the basis of literature research, draw lessons from psychology scale establishment method, make the health questionnaire. According to the basic principles of evidence-based medicine, longitudinal tracking methods, screening in shanxi traditional Chinese medicine college sophomore female health group included in the standard of girl,in the spring, the summer solstice, autumnal equinox, winter solstice, four festivals for 2days before and after observation point, using questionnaire to collect information about TCM four diagnosis, health beck anxiety scale, beck depression inventory collect psychological information; Using Epi Data3. 1 software for data sorting and entry, and using the SPSS17.0 statistical software for statistical analysis, measurement data using descriptive statistics method, comparison between groups by using two independent samples nonparametric tests.2. The liver factor, the regulation of modern pathology studyOn the basis of literature research, draw lessons from psychology scale establishment method, formulate the PMS clinical information questionnaire; According to the basicprinciples of evidence-based medicine, the longitudinal tracking method, in shanxi college of traditional Chinese medicine in the sophomore female patients choose accord with PMS,with the vernal equinox, summer solstice, autumnal equinox, winter solstice, four seasonal observation point, for two days before and after using the PMS clinical information questionnaire to collect information about TCM four diagnosis, beck anxiety scale, beck depression inventory collect psychological information; Using Epi Data3.1 software for data sorting and entry, and using the SPSS17.0 statistical software for statistical analysis,measurement data using descriptive statistics method, comparison between groups by using two independent samples nonparametric tests.3. "The liver factor, the regulation of modern" of the comparison of the physiological and pathological statePMS group and healthy group from physical, psychological, depression, anxiety, two dimensions, from the vernal equinox, summer solstice, autumnal equinox, winter solstice compares four different point of observation, measurement data using descriptive statistics analysis method, comparison between groups using single factor analysis of variance statistics method, further to explore the liver factor, the regulation of modern functions in physiology, pathology, two kinds of state, how to change the role mechanism, so as to clinically treated from liver health and disease to provide a certain basis.Results:1. General InformationThe survey the PMS in patients with a total of 65 people, average age was(19.8±91.23); Healthy girl a total of 65 people, average age was(19.92±0.96).2.Health group2.1 The body conditionBody health group average score in the vernal equinox, summer solstice, autumnal equinox, winter solstice, four festivals:(7.08±7.08) points, respectively,(7.82±5.44),(5.65±4.36),(8.60±5.41) points; Four groups of winter solstice scored the highest,followed by the summer solstice, the vernal equinox, autumnal equinox, the lowest contrast found that scored four groups have obvious seasonal differences.2.2 Psychological situation2.2.1 DepressionHealth group average score of depression in the vernal equinox, summer solstice,autumnal equinox, winter solstice, four festivals:(1.66±1.66) points, respectively,(1.43±1.90),(1.23±1.71),(1.68±2.12) points; Classification on the basis of the beck depression self rating scale score and achieve the number of diagnosis of depression among the four seasonal respectively, 5, 6, 3, 5, the largest number of summer solstice festivals, accounted for 9.3% of the total number of the seasonal; Scored four groups failed to meet diagnostic criteria for depression, contrast found that four groups score no significant seasonal differences.2.2.2 AnxietyHealth group anxiety average score in the vernal equinox, summer solstice, autumnal equinox, winter solstice, four festivals:(23.91±3.39),(24.48±2.92),(23.55±2.44),(24.92±3.48) points; According to beck anxiety self-assessment scale score reference range,four groups of anxiety score failed to meet a positive diagnosis standard, contrast found that score four groups have no obvious seasonal differences.3. The PMS group3.1 The body conditionPMS group body average score in the vernal equinox, summer solstice, autumnal equinox, winter solstice, four festivals:(27.94±13.73),(26.05±13.66),(25.46±15.83),(24.62±14.21) points; Four groups of the vernal equinox highest score; Contrast found that four groups score no significant seasonal differences.3.2Psychological situation3.2.1 DepressionPMS group depression average score in the vernal equinox, summer solstice,autumnal equinox, winter solstice, four festivals:(5.29±3.84),(4.91±3.88),(5.25±4.15),(4.58±3.65) points; Classification on the basis of the beck depression self rating scale score and achieve the number of diagnosis of depression among the four seasonal 32 people,respectively, 33 people, 33 people, 31 people, including the summer solstice, autumn group number, account for 50.7% of the total number of the seasonal, and the summer solstice seasonal depression degree is relatively serious, scored more than 16 points, of severe 2people, account for 3.1% of the total number of the seasonal; Four groups all scoring has reached the diagnostic criteria of depression, contrast found that four groups score nosignificant seasonal difference.3.2.2 AnxietyPMS group anxiety average score in the vernal equinox, summer solstice, autumnal equinox, winter solstice, four festivals:(56.89±12.57), respectively(54.55±10.65),(54.80±14.11),(55.29±10.72) points; According to beck anxiety self-assessment scale score to anxiety diagnosis in four seasonal respectively the number of 56 people, 58 people,49, 54, has the greatest number with the summer solstice, account for 89.4% of the total number of the seasonal; Four groups of anxiety scores have reached a positive diagnosis standard, contrast found that score four groups have no obvious seasonal differences.4. Four seasonal physiological, pathological control studyPMS group in four seasonal physical, psychological,(depression, anxiety) score were higher than in healthy group.4.1 The vernal equinox seasonal physiological, pathological control studyThe spring festivals have significant difference, the other three makes no difference of body entries for "leg pain, fever, but the temperature is not high, diarrhea"; Anxiety entry to "breathe". Depression in the entry "feel failure" makes no difference in the equinox, the rest of the depression the entries in the other three seasonal has significant difference;4.2 The summer solstice seasonal physiological and pathological control studyThe summer solstice festivals have significant difference, the other three makes no difference of body entry for "stomach pain, headache," No obvious difference in the summer solstice festivals, the other three festivals have difference of depression entries for "no interest, no appetite"; Anxiety entries for "fear of dying, feel warm, numbness or tingling".4.3 Equinox seasonal physiological, pathological control studyAutumnal equinox seasonal have significant difference, the other three makes no difference of body entries for "vomit"; Depression each entry in addition to the "feel" failure, the rest of the entries are difference; Anxiety each entry in addition to the "legs trembling", the rest all have differences.4.4 The winter solstice seasonal physiological, pathological control studyPMS group in the spring festive, physical, psychological, depression, anxiety) score were higher than in healthy group. Only in the winter solstice festivals there was nosignificant difference, the other three festivals have difference body entry for "afraid of the cold, tightness in the chest filled with"; Depression entries for "pessimistic about the future,want to hurt yourself"; Anxiety entries for "sweat".Conclusion:1. This research through to the shanxi college of traditional Chinese medicine sophomore healthy girl investigation and analysis, found that health body has obvious seasonal variation, psychological score(depression, anxiety) failed to meet diagnostic criteria, and no obvious seasonal differences. Contact the liver factor, the regulation of modern theory, four seasonal changes in the pathogenesis of liver function is normal, qi reconcile, modern refreshed, illustrates the psychological liver factor s physiological function in healthy individuals(depression, anxiety) play in the process of situation along with the change of four seasonal adjustment function.2. Through the investigation and analysis in patients with shanxi college of traditional Chinese medicine sophomore PMS, found the PMS group of body, psychological condition(depression, anxiety) has no obvious seasonal differences. Contact theory of "liver factor",explain the pathogenesis of liver function is unusual, not in the body of patients with PMS,psychological(depression, anxiety) is adapted to the change of the four play a regulating function in the process.3. Through the contrast observation of physiology, pathology, two groups in the physical, psychological aspects of the difference of performance found the body of the PMS group, the psychological depression, anxiety score, in the four seasonal were significantly higher than the healthy group. |
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