本文選題：不孕癥 + 中醫(yī)證型��； 參考：《廣州中醫(yī)藥大學(xué)》2017年博士論文

【摘要】：目的通過(guò)對(duì)香港地區(qū)女性不孕癥中醫(yī)證型及體質(zhì)進(jìn)行調(diào)查研究,通過(guò)統(tǒng)計(jì)分析,了解不孕癥患者中醫(yī)證型及體質(zhì)類(lèi)型分布,找出本地區(qū)不孕癥患者的常見(jiàn)中醫(yī)證型與體質(zhì)并探討兩者間的相關(guān)性;了解本地區(qū)不孕癥的病因及其他影響因素,從中探討這些影響因素與不孕癥常見(jiàn)中醫(yī)證型的關(guān)系,為本地區(qū)不孕癥的治療提供參考依據(jù)。方法采用方便樣本調(diào)查方法,以2016年1至12月期間于香港工會(huì)聯(lián)合會(huì)工人醫(yī)療所其下十間中醫(yī)診所及千金醫(yī)館就診的病人及其認(rèn)識(shí)的親戚朋友中現(xiàn)正診斷為不孕癥的患者作為調(diào)查研究對(duì)象,根據(jù)不孕癥的診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)、排除標(biāo)準(zhǔn)選擇符合標(biāo)準(zhǔn)的286例。通過(guò)問(wèn)卷方式,并依據(jù)《中醫(yī)體質(zhì)分類(lèi)與判定標(biāo)準(zhǔn)》、《中醫(yī)婦科常見(jiàn)病診療指南》判定中醫(yī)體質(zhì)和證型,將所有數(shù)據(jù)錄入計(jì)算機(jī)建立數(shù)據(jù)庫(kù),然后采用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果本次調(diào)查共發(fā)出問(wèn)卷301份,收回291份,有效問(wèn)卷286份,其中6份因病人未做相關(guān)檢查做病因統(tǒng)計(jì)時(shí)排除。1.280例已做相關(guān)檢查不孕癥患者中,原發(fā)性不孕者占60.84%,繼發(fā)性不孕者占39.16%。病因方面,有排卵相關(guān)性疾病的患者較多共103例,占36.79%;有輸卵管阻塞性疾病的患者共82例,占29.28%;合并有輸卵管阻塞性疾病和排卵相關(guān)性疾病的不孕癥患者共14例,占5.00%;有其他病因的患者共81例,占28.93%。2.不孕癥患者證型以腎陽(yáng)虛證(19.93%)和腎氣虛證(19.93%)較多,其他依次為肝氣郁結(jié)證(18.53%)、腎陰虛證(13.99%)、痰濕內(nèi)阻證(13.29%)、瘀滯胞宮證(11.54%)、濕熱蘊(yùn)結(jié)證(2.8%)。3.不孕癥患者不同證型年齡不同,濕熱蘊(yùn)結(jié)證患者的年齡相對(duì)較小(32.00歲),腎陽(yáng)虛證患者的年齡相對(duì)較大(36.40歲),不同體質(zhì)年齡比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。年齡少于35歲不孕癥患者以肝氣郁結(jié)證比例最多,占25.00%;年齡35至40歲患者以腎陰虛證比例最多,占20.13%;年齡40歲或以上患者以腎氣虛證和腎陽(yáng)虛證比例最多,各占32.43%。不同證型年齡比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。4.不孕癥患者不同證型患病年限不同,濕熱蘊(yùn)結(jié)證的病程相對(duì)較短(3年),腎陽(yáng)虛證的病程相對(duì)較長(zhǎng)(6年),不同證型病程比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。病程少于4年不孕癥患者以腎氣虛證和肝氣郁結(jié)證比例最多,分別占23.47%和19.39%;病程4至7年患者以肝氣郁結(jié)證比例最多,占22.61%,其次是腎陽(yáng)虛證和腎氣虛證,分別占17.39%和16.52%;病程7至10年和10年以上患者以腎陽(yáng)虛證比例最多,分別占33.33%和36.84%。不孕癥患者中醫(yī)證型與病程段比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。5.排卵相關(guān)性疾病方面,腎陽(yáng)虛證患者較多(22.33%),濕熱蘊(yùn)結(jié)證相對(duì)較少,但不同證型間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);輸卵管阻塞方面,瘀滯胞宮證患者較多(20.73%),其次為腎陽(yáng)虛證(17.07%),濕熱蘊(yùn)結(jié)證相對(duì)較少,不同證型間比較差異有統(tǒng)計(jì)學(xué)意義(PO.01);排卵相關(guān)性疾病合并輸卵管阻塞方面,腎陽(yáng)虛證和瘀滯胞宮證患者較多(各占28.57%);其他病因方面,腎氣虛癥患者最多(30.86%),濕熱蘊(yùn)結(jié)證相對(duì)較少,不同證型間比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。輸卵管阻塞、排卵相關(guān)性疾病與中醫(yī)證型比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。6.不孕癥患者中醫(yī)證型與飲酒頻率(P0.01)、睡眠品質(zhì)(P0.01)入睡時(shí)間(P0.01)、壓力(P0.01)構(gòu)成間不同;不孕癥患者中醫(yī)證型與原繼發(fā)(P0.05)、教育程度(P0.05)、職業(yè)(P0.05)間差異無(wú)統(tǒng)計(jì)學(xué)意義。7.不孕癥患者中醫(yī)體質(zhì)頻次由高到低依次為陽(yáng)虛質(zhì)(19.93%)、氣虛質(zhì)(17.83%)、氣郁質(zhì)(13.99%)、陰虛質(zhì)(11.89%)、血瘀質(zhì)(10.14%)、平和質(zhì)(8.74%)、痰濕質(zhì)(8.04%)、濕熱質(zhì)(4.90%)、特稟質(zhì)(4.55%)。8.不孕癥患者不同體質(zhì)年齡不同,濕熱質(zhì)的年齡相對(duì)較小(32歲),陰虛質(zhì)的年齡相對(duì)較大(37歲),不同體質(zhì)年齡比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);年齡少于35歲不孕癥患者以氣虛質(zhì)和陽(yáng)虛質(zhì)比例最多,分布占21.00%和18.00%;年齡35至40歲患者以陽(yáng)虛質(zhì)和陰虛質(zhì)比例最多,分布占20.13%和17.45%;年齡40歲以上患者以陽(yáng)虛質(zhì)和氣虛質(zhì)比例最多,分別占24.32%和21.62%。不孕癥患者中醫(yī)體質(zhì)與年齡段比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。9.不孕癥患者不同體質(zhì)患病年期不同,濕熱質(zhì)的病程相對(duì)較短(3年),血瘀質(zhì)的病程相對(duì)較長(zhǎng)(7年),不同體質(zhì)病程比較差異有統(tǒng)計(jì)學(xué)意義(P0.01);差異有統(tǒng)計(jì)學(xué)意義;病程1至4年不孕癥患者以氣虛質(zhì)和陽(yáng)虛質(zhì)比例最多,各占17.35%:病程4至7年患者以氣虛質(zhì)和陽(yáng)虛質(zhì)比例最多,各占20.87%;病程7至10年不孕癥患者以陽(yáng)虛質(zhì)和氣郁質(zhì)比例最多,分別占24.07%和20.37;病程10或以上患者以痰濕質(zhì)比例最多,占31.58%;不孕癥患者中醫(yī)體質(zhì)與病程段比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。10.排卵相關(guān)性疾病方面,陽(yáng)虛質(zhì)患者較多(20.51%),其次為氣虛質(zhì)(17.95%);特稟質(zhì)患者相對(duì)較少,但不同體質(zhì)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);輸卵管阻塞方面,陽(yáng)虛質(zhì)患者較多(18.75%),其次為血瘀質(zhì)和氣郁質(zhì)(各占15.63%),特稟質(zhì)相對(duì)較少,不同體質(zhì)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);排卵相關(guān)疾病合并輸卵管阻塞方面,血瘀質(zhì)患者相對(duì)較多(28.57%),其次為陽(yáng)虛質(zhì)(21.43%),不同體質(zhì)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);其他病因方面,氣虛質(zhì)患者較多(19.75%)其次是陽(yáng)虛質(zhì)(18.52%)和陰虛質(zhì)(17.28%),不同體質(zhì)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);輸卵管阻塞、排卵相關(guān)性疾病與患者中醫(yī)體質(zhì)比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。11.不孕癥患者中醫(yī)體質(zhì)與證型比較(1)平和質(zhì)患者中醫(yī)證型頻次由高到低依次為腎氣虛證(28.00%)、肝氣郁結(jié)證(24.00%)、腎陽(yáng)虛證(20.00%)、腎陰虛證(12.00%)、痰濕內(nèi)阻證(12.00%)、瘀滯胞宮證(4.00%),無(wú)濕熱蘊(yùn)結(jié)證患者;(2)氣虛質(zhì)患者中醫(yī)證型頻次由高到低依次為腎氣虛證(39.22%)、腎陽(yáng)虛證(27.45%)、痰濕內(nèi)阻證(11.76%)、肝氣郁結(jié)證(9.80%)、腎陰虛證(7.84%)、瘀滯胞宮證(3.92%),無(wú)濕熱蘊(yùn)結(jié)證患者;各中醫(yī)證型分布差異有統(tǒng)計(jì)學(xué)意義(P0.01);(3)陽(yáng)虛質(zhì)患者中醫(yī)證型頻次由高到低依次為腎陽(yáng)虛證(45.61%)、腎氣虛證(28.07%)、痰濕內(nèi)阻證(17.54%)、瘀滯胞宮證(5.26%)、肝氣郁結(jié)證(3.51%),無(wú)腎陰虛證和濕熱蘊(yùn)結(jié)證患者;(4)陰虛質(zhì)患者中醫(yī)證型頻次由高到低依次為腎陰虛證(61.76%)、瘀滯胞宮證(11.76%)、腎氣虛證(8.82%)、肝氣郁結(jié)證(8.82%)、痰濕內(nèi)阻證(5.88%)、腎陽(yáng)虛證(2.94%),無(wú)濕熱蘊(yùn)結(jié)證患者;(5)痰濕質(zhì)患者中醫(yī)證型頻次由高到低依次為痰濕內(nèi)阻證(36.78%)、腎陽(yáng)虛證(21.74%)、肝氣郁結(jié)證(17.39%)、腎氣虛證(13.04%)、瘀滯胞宮證(8.70%)、濕熱蘊(yùn)結(jié)證(4.35%),無(wú)腎陰虛證患者;(6)濕熱質(zhì)患者中醫(yī)證型頻次由高到低依次為濕熱蘊(yùn)結(jié)證(50.00%)、痰濕內(nèi)阻證(21.43%)、肝氣郁結(jié)證(14.29%)、腎陰虛證(7.14%)、瘀滯胞宮證(7.14%),無(wú)腎氣虛證和腎陽(yáng)虛證患者;(7)血瘀質(zhì)患者中醫(yī)證型頻次由高到低依次為瘀滯胞宮證(34.48%)、肝氣郁結(jié)證(24.14%)、腎陽(yáng)虛證(13.79%)、腎陰虛證(13.79%)、腎氣虛證(10.34%)、痰濕內(nèi)阻證(3.45%),無(wú)濕熱蘊(yùn)結(jié)證患者;(8)氣郁質(zhì)患者中醫(yī)證型頻次由高到低依次為肝氣郁結(jié)證(55.00%)、瘀滯胞宮證22.50%)、腎陰虛證(15.00%)、痰濕內(nèi)阻證(5.00%)、腎氣虛證(2.50%),無(wú)腎陽(yáng)虛證和濕熱蘊(yùn)結(jié)證患者;各中醫(yī)證型分布差異有統(tǒng)計(jì)學(xué)意義(P0.01);(9)特稟質(zhì)患者中醫(yī)證型頻次由高到低依次為腎氣虛證(30.77%)、痰濕內(nèi)阻證(23.08%)、腎陽(yáng)虛證(15.38%)、肝氣郁結(jié)證(15.38%)、腎陰虛證(7.69%)、瘀滯胞宮證(7.69%),無(wú)濕熱蘊(yùn)結(jié)證患者。(10)不孕癥患者中醫(yī)體質(zhì)與證型比較,排除例數(shù)較少的濕熱蘊(yùn)結(jié)證,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。12.不孕癥患者常見(jiàn)中醫(yī)體質(zhì)與證型的相關(guān)性比較:陽(yáng)虛質(zhì)與腎陽(yáng)虛證呈正相關(guān)關(guān)系;氣虛質(zhì)與腎氣虛證呈正相關(guān)關(guān)系;氣虛質(zhì)與肝氣郁結(jié)證和瘀滯胞宮證呈正相關(guān)關(guān)系。13.不孕癥患者常見(jiàn)中醫(yī)證型與其他影響因素的相關(guān)性比較:腎氣虛證與壓力呈負(fù)相關(guān)關(guān)系;腎陽(yáng)虛證與壓力呈負(fù)相關(guān)關(guān)系,與病程呈正相關(guān)關(guān)系;肝氣郁結(jié)證與壓力呈正相關(guān)關(guān)系。14.不孕癥常見(jiàn)病因與其他影響因素的相關(guān)性排卵相關(guān)性不孕的發(fā)生與繼發(fā)呈負(fù)相關(guān)關(guān)系;輸卵管阻塞性不孕與繼發(fā)呈正相關(guān)關(guān)系。結(jié)論1.香港地區(qū)女性不孕癥患者的主要中醫(yī)證型為腎陽(yáng)虛證和腎氣虛證,其次是肝氣郁結(jié)證。2.香港地區(qū)女性不孕癥患者的主要中醫(yī)體質(zhì)為陽(yáng)虛質(zhì)、氣虛質(zhì)及氣郁質(zhì)。3.不孕癥患者陽(yáng)虛質(zhì)與腎陽(yáng)虛證呈正相關(guān)關(guān)系;氣虛質(zhì)與腎氣虛證呈正相關(guān)關(guān)系;氣虛質(zhì)與肝氣郁結(jié)證和瘀滯胞宮證呈正相關(guān)關(guān)系。4.不孕癥患者腎氣虛證與壓力呈負(fù)相關(guān)關(guān)系;腎陽(yáng)虛證與壓力呈負(fù)相關(guān)關(guān)系,與病程呈正相關(guān)關(guān)系;肝氣郁結(jié)證與壓力呈正相關(guān)關(guān)系。5.不孕癥常見(jiàn)病因與其他影響因素的相關(guān)性排卵相關(guān)性不孕的發(fā)生與繼發(fā)呈負(fù)相關(guān)關(guān)系;輸卵管阻塞性不孕與繼發(fā)呈正相關(guān)關(guān)系。
[Abstract]:Objective to investigate the TCM syndrome type and constitution of female infertility in Hongkong area, through statistical analysis, to find out the type of TCM syndrome and the distribution of physique type, find out the common TCM syndrome type and constitution of the infertile patients in this area and discuss the correlation between them, and understand the cause and other influence factors of the local infertility. The relationship between these factors and the common TCM syndrome types of infertility was discussed in order to provide reference for the treatment of infertility in the region. Methods using a convenient sample survey method, the patients and relatives of the ten Chinese medicine clinics and Qianjin medical centers of the Hongkong union union workers' Medical Institute from 1 to December 2016 A friend is now diagnosed with infertility as the subject of investigation. According to the criteria for diagnosis of infertility, the criteria are included, and 286 cases are selected to meet the standard. The computer set up a database and then used the SPSS17.0 statistical software to make statistical analysis. Results 301 questionnaires were sent out, 291 were recovered and 286 were valid. Among them, 6 cases were excluded from the diagnosis of the disease because of the patients did not do the related examination. Among the patients, the primary infertility accounted for 60.84% and secondary infertility. There were 103 cases of ovulatory related diseases in 103 cases, accounting for 36.79%, and 82 cases of oviduct obstructive disease, accounting for 29.28%, 14 cases with oviduct obstructive disease and 5% of oviposit related diseases, 81 cases of his causes, accounting for the syndrome type of 28.93%.2. infertile patients. With kidney yang deficiency syndrome (19.93%) and kidney qi deficiency syndrome (19.93%), the others were liver qi stagnation syndrome (18.53%), kidney yin deficiency syndrome (13.99%), phlegm damp internal resistance syndrome (13.29%), stasis hysteria syndrome (11.54%), damp heat syndrome (2.8%).3. infertility patients with different years of age, the age of damp heat syndrome patients were relatively small (32 years old), kidney yang deficiency syndrome patients Age is relatively large (36.40 years old), there is a significant difference in the age of different physiques (P0.05). The proportion of liver qi stagnation syndrome is the most in age less than 35 years of age, accounting for 25%, and the proportion of kidney yin deficiency syndrome is the most, accounting for 20.13%, age 35 to 40 years old, age 40 years old or upper patients with kidney qi deficiency syndrome and kidney yang deficiency syndrome the most, each accounting for 32.43%. The difference of age of different syndrome types was statistically significant (P0.01).4. infertility patients with different syndrome years were different, the course of damp heat syndrome was relatively short (3 years), the course of kidney yang deficiency syndrome was relatively long (6 years), the difference of different syndrome types was statistically significant (P0.01). The course of disease was less than 4 years of infertility patients with kidney qi deficiency syndrome and liver Qi The proportion of stagnation syndrome was the most, accounting for 23.47% and 19.39%, respectively. The rate of liver qi stagnation syndrome was the most in the course of 4 to 7 years, 22.61%, and the second was kidney yang deficiency syndrome and kidney qi deficiency syndrome, accounting for 17.39% and 16.52% respectively. The patients with kidney yang deficiency syndrome for 7 to 10 years and more than 10 years, accounted for 33.33% and 36.84%. infertile patients with TCM syndrome and course section respectively. The difference was statistically significant (P0.05).5. ovulation related diseases, the kidney yang deficiency syndrome was more (22.33%), and the damp heat syndrome was relatively less, but there was no significant difference between different syndrome types (P0.05); the oviduct obstruction, the stagnation of the uterine syndrome were more (20.73%), the second was kidney yang deficiency syndrome (17.07%), and the damp heat syndrome was relatively more than that of the syndrome. There were statistically significant differences between different types of syndrome (PO.01); the patients with oviposit related diseases combined with tubal obstruction, kidney yang deficiency syndrome and stagnation of hysteria syndrome were more (each accounted for 28.57%); the other etiology, the most (30.86%) patients with kidney qi deficiency syndrome, relatively less damp heat syndrome, the difference between different types of syndromes was statistically significant (P0.01). No significant difference (P0.05) of TCM syndrome type and drinking frequency (P0.01), sleep quality (P0.01), sleep time (P0.01), and pressure (P0.01) in the patients with.6. infertility. The difference between TCM syndrome type and Yuan Jifa (P0.05), education (P0.05) and occupational (P0.05) difference between patients with infertility was not statistically significant. The frequency of traditional Chinese medicine in.7. infertility was from high to low in the order of Yang deficiency (19.93%), Qi deficiency (17.83%), Qi Stagnation (13.99%), yin deficiency (11.89%), blood stasis (10.14%), flat and qualitative (8.74%), phlegm wet mass (8.04%), damp heat (4.90%), and idiosyncrasy (4.55%).8. infertile patients with different ages of different physique and relative age of damp heat The younger (32 years old), the age of the yin deficiency was relatively large (37 years old), the difference of the age of different constitution was statistically significant (P0.05); the proportion of qi deficiency and yang deficiency was the most in the patients with age less than 35 years, and the distribution accounted for 21% and 18%; the age 35 to 40 years of age was the largest proportion of Yang deficiency and yin deficiency, the distribution accounted for 20.13% and 17.45%; the age 40 years old. The most of the patients were Yang deficiency and Qi deficiency, 24.32% and 21.62%. infertile patients, the difference was not statistically significant (P0.05) in.9. infertility patients with different physical conditions, the course of damp heat was relatively short (3 years), the course of blood stasis was relatively long (7 years), and the course of different physical conditions was compared. The difference was statistically significant (P0.01), and the difference was statistically significant; the proportion of qi deficiency and yang deficiency was the most in the 1 to 4 years of the course of disease, and the proportion was 17.35%, and the proportion of qi deficiency and yang deficiency was the most in the course of 4 to 7 years, and the proportion of the patients was 20.87%, and the proportion of Yang deficiency and qi depression was the most, 24.07% and 20.37, respectively, for the course of the course of 7 to 10 years. 10 or more patients with phlegm and moisture content were the most, accounting for 31.58%. The difference of TCM Constitution and course section of infertility patients was statistically significant (P0.05).10. ovulation related diseases, the patients with Yang deficiency were more (20.51%), the second was Qi deficiency (17.95%), and the patients with special temperament were relatively less, but there was no statistical difference between the non hermaphroditic patients. P0.05 (18.75%), followed by blood stasis and Qi Stagnation (15.63%), with relatively less special quality and no statistical difference between different physiques (P0.05), oviposit related diseases combined with tubal obstruction, blood stasis patients were relatively more (28.57%), followed by Yang deficiency (21.43%), different There was no statistical difference between the physique (P0.05), and the other causes of qi deficiency (19.75%) were Yang deficiency (18.52%) and yin deficiency (17.28%), and there was no statistical difference between different physiques (P0.05); oviduct obstruction, ovulatory related diseases and patients' physique were not statistically significant (P0.05).11. The comparison of TCM Constitution and syndrome type of pregnant patients (1) the frequency of TCM syndrome type of flat and quality patients from high to low were kidney qi deficiency syndrome (28%), liver qi stagnation syndrome (24%), kidney yang deficiency syndrome (20%), kidney yin deficiency syndrome (12%), phlegm damp internal resistance syndrome (12%), stagnation of uterus syndrome (4%), no damp heat syndrome patients; (2) the frequency of TCM syndrome type in Qi deficiency patients was high The lower order was kidney qi deficiency syndrome (39.22%), kidney yang deficiency syndrome (27.45%), phlegm damp internal resistance syndrome (11.76%), liver qi stagnation syndrome (9.80%), kidney yin deficiency syndrome (7.84%), stasis hysteria syndrome (3.92%), no damp heat syndrome (3.92%), the distribution difference of TCM syndrome types was statistically significant (P0.01); (3) the frequency of TCM syndrome type from high to low was the kidney yang deficiency syndrome (45.6). (3) the syndrome type of Yang deficiency syndrome was in the order of kidney yang deficiency syndrome (45.6) 1%) kidney qi deficiency syndrome (28.07%), phlegm damp internal resistance syndrome (17.54%), stasis hysteria syndrome (5.26%), liver qi stagnation syndrome (3.51%), no kidney yin deficiency syndrome and damp heat syndrome patients; (4) the frequency of TCM syndrome type from high to low was kidney yin deficiency syndrome (61.76%), stasis hysteria syndrome (11.76%), kidney qi deficiency syndrome (8.82%), liver qi stagnation syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm damp internal resistance syndrome (5.8) syndrome (8.82%), phlegm dampness syndrome (5.8) syndrome (phlegm damp internal resistance syndrome) 8%) kidney yang deficiency syndrome (2.94%), no damp heat syndrome patients; (5) the frequency of TCM syndrome type of phlegm wet quality from high to low in order of phlegm damp internal resistance syndrome (36.78%), kidney yang deficiency syndrome (21.74%), liver qi stagnation syndrome (17.39%), kidney qi deficiency syndrome (13.04%), stasis hysteria syndrome (8.70%), damp heat syndrome (4.35%), no kidney yin deficiency syndrome patients; (6) syndrome type frequency of damp heat patients (6) syndrome type frequency of TCM The order from high to low was damp heat syndrome (50%), phlegm damp internal resistance syndrome (21.43%), liver qi stagnation syndrome (14.29%), kidney yin deficiency syndrome (7.14%), stagnation of blood stasis syndrome (7.14%), no kidney qi deficiency syndrome and kidney yang deficiency syndrome patients; (7) the frequency of TCM syndrome type of blood stasis syndrome was from high to low in order of blood stasis and hysteria syndrome (34.48%), liver qi stagnation syndrome (24.14%) and kidney yang deficiency syndrome (13.79). %), kidney yin deficiency syndrome (13.79%), kidney qi deficiency syndrome (10.34%), phlegm damp internal resistance syndrome (3.45%), no damp heat syndrome patients; (8) the frequency of TCM syndrome type of qi stagnation from high to low was liver qi stagnation syndrome (55%), stasis of uterus syndrome 22.50%), kidney yin deficiency syndrome (15%), phlegm damp internal resistance syndrome (5%), kidney qi deficiency syndrome (2.50%), no deficiency of kidney yang deficiency syndrome and damp heat implication syndrome The differences in the distribution of TCM syndrome types were statistically significant (P0.01); (9) the frequency of TCM syndrome types from high to low was the kidney qi deficiency syndrome (30.77%), phlegm damp internal resistance syndrome (23.08%), kidney yang deficiency syndrome (15.38%), liver qi stagnation syndrome (15.38%), kidney yin deficiency syndrome (7.69%), stagnation of the uterus syndrome (7.69%), no damp heat syndrome patients. (10) infertile patients traditional Chinese medicine (10) Comparison of physique and syndrome type, eliminating damp heat syndrome with fewer cases, the difference is statistically significant (P0.01) the correlation of common TCM Constitution and syndrome type of.12. infertility patients: Yang deficiency and kidney yang deficiency syndrome is positively related; Qi deficiency is positively related to kidney qi deficiency syndrome; Qi deficiency is positively related to liver qi stagnation syndrome and stagnation of stagnation of the uterus. The correlation of common TCM syndrome type and other influential factors in.13. infertility patients: negative correlation between kidney deficiency syndrome and pressure, negative correlation between deficiency of kidney yang and pressure, positive correlation with course of disease, and positive correlation between liver qi stagnation syndrome and pressure, the correlation between common etiological factors and other influencing factors of.14. infertility The main TCM syndrome types of female infertility in Hongkong area are kidney yang deficiency syndrome and kidney qi deficiency syndrome, and the second is liver qi stagnation syndrome in.2. Hongkong area of women with infertility, the main TCM constitution is Yang deficiency and Qi deficiency, the main TCM Constitution of female infertility in the Hongkong area is Yang Deficiency and Qi deficiency. There was a positive correlation between Yang deficiency quality and kidney yang deficiency syndrome in the patients with Qi and qi depression.3. infertility; Qi deficiency and kidney qi deficiency syndrome were positively related, Qi deficiency syndrome and liver qi stagnation syndrome and stasis hysteria syndrome were positively related to.4. infertility patients with negative correlation between kidney qi deficiency syndrome and pressure; kidney yang deficiency syndrome and pressure were negatively related, and the course Cheng Zhengxiang The relationship between the syndrome of liver qi stagnation and pressure is positively related to the relationship between the common causes of.5. infertility and other influencing factors. The relationship between the occurrence of ovulation related infertility and the secondary is negative correlation, and the tubal obstruction infertility is positively correlated with secondary infertility.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R271.14

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