Investigation And Research On The Constitution Of Traditional Chinese Medicine For The Elderly In Hunan Province In Winter And Summer

ObjectivesUsing a questionnaire survey of Chinese Medicine Constitution for the elderly in Hunan Provience,to survey the distribution of Chinese Medicine Constitution on elderly people,and focuses on the analysis of seasonal effects on Chinese Medicine Constitution types of Yang deficiency in the elderly,and to verify the seasonal difference of Yang deficiency constitution in summer and winter.MethodsBy literature review and Delphi method,a total of 37 items including 11 general status and 9 physical fitness surveys(Normal constitution,Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,Phlegm constitution,Damp-heat constitution,Blood deficiency constitution,Qi stagnation constitution and Idiosyncrasy constitution.)for the elderly were determined.A cross-sectional survey based on the demographic characteristics of the 14 Citys in Hunan Province,was conducted from July 2017 to February 2018,by using multi-level random sampling of the elderly in the community.The statistical methods include descriptive statistics,frequency analysis,chi square test and Wilcoxon test.Results(1)In July 2017 survey: According to the Chinese Medicine Constitution score of the 922 respondents,Normal constitution was only 13.7% while biased constitutions were 86.3%.The top 3 biased constitutions were Qi deficiency constitution(18.4%),Yang deficiency constitution(17.3%)and Yin deficiency constitution(13.1%).(2)In February 2018 survey: According to the TCM constitution score of the 872 respondents which were investigated 2nd times from July 2017 survey of 922 respondents after 50 lost was eliminated,Normal constitution was only 13.9% while biased constitutions were 86.1%,and the top 3 biased constitutions changed to Yang deficiency constitution(27.8%),Blood deficiency constitution(14%)and Qi deficiency constitution(12.7%),Yin deficiency constitution decreased to 8%.(3)The number of elderly men’s Normal constitution(Summer:85,Winter:80)is greater than women(Summer:41,Winter:41),and the women’s Qi deficiency(Summer:92,Winter:60)and Yang deficiency(Summer:93,Winter:139)is more than men(Qi deficiency:Summer:78,Winter:51;Yang deficiency:Summer:67,Winter:103),P<0.01,with statistical significance.(4)With Phlegm constitution and Damp-heat constitution,the BMI(Body Mass Index)tend to be overweight and obese.With Yin deficiency constitution,Blood deficiency constitution,the BMI tend to be normal.With Qi deficiency constitution,the BMI tends to be thinner,P<0.01 has signi ficant statistical significance.(5)The Yang deficiency constitution score in winter: 10.46±3.266 vs.9.95±2.957 in summer,P<0.01,was statistically significance.Conclusions(1)The distribution of Normal constitution in the elderly people is less,the biased constitution is more,and have seasonal differences.(2)The number of elderly men’s Normal constitution is greater than elderly women.(3)The Chinese Medicine Constitution scores showed seasonal difference of Yang deficiency constitution in summer and winter.