Research On The Correlation Between Traditional Chinese Medicine Constitution Type And Traditional Chinese Medicine Syndrome Type Of Patients With Liver Cirrhosis

Purpose:Through epidemiological questionnaire survey and collection of clinical cases,the constitution types and syndrome types of 200 patients with liver cirrhosis were determined,and the relevant data were summarized and sorted out.The relationship between constitution types of traditional Chinese medicine and syndrome types of traditional Chinese medicine was preliminarily analyzed and discussed,providing new ideas for the treatment and prevention of liver cirrhosis diseases according to constitution of traditional Chinese medicine.Material and Method:200 patients with liver cirrhosis were collected by clinical epidemiological questionnaire survey,and the constitution type of the patients was determined by using the Chinese Medicine Constitution and Classification Determination Table[1],which was respectively determined as mild,qi deficiency,yang deficiency,yin deficiency,phlegm-dampness,damp-heat,blood stasis,qi depression and intrinsic quality,and the syndrome type of the patients was determined by referring to the TCM-WM diagnosis and treatment consensus on liver cirrhosis(2011)[2]syndrome differentiation criteria.Respectively identified as liver-qi stagnation syndrome,water-dampness internal resistance syndrome,damp-heat accumulation syndrome,liver-kidney yin deficiency syndrome,spleen-kidney yang deficiency syndrome,blood stasis obstruction syndrome 6 syndrome types,the relevant data were summarized and analyzed using SPSS 22.0 software.Results:A total of 200 patients with liver cirrhosis were collected,including 70 patients with alcoholic liver cirrhosis,30 patients with drug-induced liver cirrhosis,80 patients with post-hepatitis B liver cirrhosis and 20 patients with post-hepatitis C liver cirrhosis.1.Studies have found that the incidence of liver cirrhosis is higher in men than in women,with a male-to-female ratio of 2.704:1.The highest incidence age is 51-60 years old,with an average age of 54.4 years old.2.Of the 200 patients,52(26%)had no preference for food and 148(74%)had preference for food.Among the patients with preference for food,46(23%)had preference for salty taste,followed by 20% for spicy taste and 3.5% for light taste.3.According to the statistics of emotional characteristics of 200 patients,it is found that the patients with hyperactivity of liver yang(large temper and anger-loving)are the most,accounting for 28.5%,and those with relatively peaceful emotions accounting for 24%,followed by liver qi stagnation(anger-loving)and qi stagnation and phlegm stagnation(depression-loving).4.According to statistics on the drinking history of 200 patients with liver cirrhosis,69 people with no drinking history,131 people with drinking history,and the largest number of people with drinking history of 30 years were found.Among them,70 patients with alcoholic liver cirrhosis had the largest daily alcohol content of 50-100 g/d.5.constitution analysis of patients with liver cirrhosis: there are significant differences in the distribution of constitution types of traditional Chinese medicine(2=122.56,p = 0.000 < 0.01).the frequencies are qi deficiency(25%)> phlegm dampness(21.5%)> qi depression(21%)>damp heat(10%)> yin deficiency(9.5%)> yang deficiency(8%)> peace(2.5%)> blood stasis(1.5%)> intrinsic(1%).6.analysis of TCM syndrome types of patients with liver cirrhosis: the TCM syndrome types of 200 patients with liver cirrhosis have differences in distribution(2=22,p = 0.01 < 0.05),with the frequency ranging from high to low as liver-qi stagnation syndrome(26.5%),"water-dampness internal resistance syndrome(20%)," spleen-kidney yang deficiency syndrome(15.5%),"dampness-heat accumulation syndrome(15%)," blood stasis blocking collaterals syndrome(14.5%),"liver-kidney yin deficiency syndrome(8.5%).7.Damp-heat retention syndrome is common in patients with damp-heat quality,liver-qi retention syndrome is common in qi stagnation and qi deficiency,spleen-kidney yang deficiency syndrome is common in yang deficiency,and liver-kidney yin deficiency syndrome is common in yin deficiency.Conclusion:1.Cirrhosis patients are mostly male,with a high incidence of 51-60 years old.2.The TCM constitution types of patients with liver cirrhosis are mainly qi deficiency,phlegm dampness and qi stagnation.The TCM syndrome type of liver cirrhosis patients is mainly liver-qi stagnation syndrome,followed by water-dampness internal resistance syndrome.3.The constitution type of patients with liver cirrhosis can map their corresponding syndromes to a certain extent,and patients with damp-heat syndrome are prone to show damp-heat accumulation syndrome after onset.Patients with qi stagnation and qi deficiency are prone to liver-qi stagnation after onset.Patients with yang deficiency are prone to spleen and kidney yang deficiency after onset,while patients with yin deficiency are prone to liver and kidney yin deficiency after onset.