The distribution of traditional Chinese medicine syndrome types in metabolic associated fatty liver disease and its relationship with congenital fortune
Objective:To analyze the collected clinical data of patients with metabolic associated fatty liver disease,obtain the main common syndrome types of MAFLD,and preliminarily explore the relationship between the distribution of traditional Chinese medicine syndrome types of MAFLD and congenital fortune.Methods:A total of 200 patients with metabolic associated fatty liver disease were collected in this study.Basic data such as gender,age,time of birth,height,weight and complicated diseases were collected through questionnaire survey,as well as four TCM diagnosis data such as symptoms,tongue and pulse.Factor analysis was used to summarize the common TCM syndrome types of MAFLD,and statistical methods were used to explore the relationship between the syndrome types and congenital fortune.Results:①MAFLD has five commonly syndrome types,and the frequency from high to low is successively spleen deficiency and phlegm-dampness syndrome,damp-heat accumulation syndrome,liver stagnation and spleen deficiency syndrome,spleen and kidney deficiency syndrome and phlegm-stasis interjunction syndrome.②There were statistically significant differences in the distribution of yearly phase at birth and syndrome types in MAFLD patients(P=0.001).Among them,there were statistical differences in the distribution of syndrome types in the yearly phase of fire and earth(P<0.05).The syndrome of damp-heat accumulation is the most common when the yearly phase is fire,and the syndrome of spleen deficiency and phlegm-dampness is the most common when the yearly phase is earth.There were statistical differences in the distribution of Sitian Zaiquan and syndrome types in MAFLD patients(P<0.001).Among them,there were statistical differences in syndrome type distribution when Sitian Zaiquan was Shaoyin Junhuo/Yangming Zaojin,Taiyin Shitu/Taiyang Hanshui,Yangming Zaojin/Shaoyin Junhuo(P<0.05).The syndrome of dampness-heat accumulation is the most common when Sitian Zaiquan is Shaoyin Junhuo/Yangming Zaojin;the syndrome of spleen deficiency and phlegm-dampness is the most common when Sitian Zaiquan is Taiyin Shitu/Taiyang Hanshui;the syndrome of liver depression and spleen deficiency is the most common when Sitian Zaiquan is Yangming Zaojin/Shaoyin Junhuo.There were no significant differences in the distribution of host climatic qi,guest climatic qi,host evolutive phase,guest evolutive phase of birth and syndrome types in MAFLD patients(P>0.05).Conclusion:First,the TCM syndrome types of MAFLD mainly include spleen deficiency and phlegm-dampness syndrome,dampness-heat accumulation syndrome,liver stagnation and spleen deficiency syndrome,spleen and kidney deficiency syndrome and phlegm-stasis interjunction syndrome.Secondly,the relationship between TCM syndrome types of MAFLD and congenital fortune of birthday was analyzed.The yearly phase of fire or celestial manager qi of Shaoyin Junhuo at birth may be related to the formation of syndrome of dampness-heat accumulation.The yearly phase of earth or celestial manager qi of Taiyin Shitu may be related to the formation of syndrome of spleen deficiency and phlegm-dampness.The celestial manager qi of Yangming Zaojin may be related to the formation of syndrome of liver stagnation and spleen deficiency.
metabolic associated fatty liver diseaseTCM syndrome typefive Yun and six Qi