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Journal of Chinese Integrative Medicine: 2010; 8(1): 40-45
DOI: 10.3736/jcim20100108
Relationships between constitutional types of traditional Chinese medicine and hypertension
1. Yan-bo ZHU (Department of Management, Beijing University of Chinese Medicine, Beijing 100029, China )
2. Qi WANG (School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China E-mail: wangqi710@126.com)
3. Qi-wei DENG (School of Traditional Chinese Medicine, Jiangxi High Training School of Traditional Chinese Medicine, Fuzhou 344000, Jiangxi Province, China )
4. Jing CAI (Geriatrics Institute of Integrated Traditional Chinese and Western Medicine, Fujian College of Traditional Chinese Medicine, Fuzhou 350003, Fujian Province, China )
5. Xiao-hong SONG (Department of Traditional Chinese Medicine, Qinghai Province People’s Hospital, Xining 810007, Qinghai Province, China )
6. Xue YAN (School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China )
Objective: To investigate the relationships between constitutional types of traditional Chinese medicine (TCM) and hypertension so as to provide epidemiological evidence for the theory of correlation between constitution and disease.
Methods: A cross-sectional survey of TCM constitution data from a population of 7 782 from Beijng and 8 provinces of China (Jiangsu, Anhui, Gansu, Qinghai, Fujian, Jilin, Jiangxi, and Henan) was made in the study. The survey of TCM constitutions was performed by standardized TCM Constitution Questionnaire. Discriminatory analysis was used to judge the individual constitutional types including normal constitution, and qi deficiency, yang deficiency, yin deficiency, phlegm-dampness, damp-heat, blood stasis, qi stagnation and special constitutions. A multiple stepwise logistic regression analysis was applied to explore the significantly influential constitutional factors of hypertension.
Results: After controlling several factors like gender, age, marital status, occupation, and educational background, three TCM constitutional factors according to different degrees of relative risks were entered into the multiple stepwise logistic regression model. The three factors were phlegm-dampness, yin deficiency and qi deficiency constitutions, and the odds ratio (OR) and 95% confidence interval (CI) were 2.00
1.58, 2.55, 1.66 1.33, 2.08and 1.37 1.13, 1.66respectively. The main constitutional influential factors of hypertension in male patients were phlegm-dampness and yin deficiency constitutions, with OR and 95% CI of 1.61 1.22, 2.14and 1.60 1.17, 2.19. Phlegm-dampness, yin deficiency and qi deficiency constitutions were the main constitutional influential factors of hypertension in female patients. The OR and 95% CI were 2.80 1.79, 4.39, 1.55 1.13, 2.14and 1.39 1.05, 1.84respectively. Phlegm-dampness constitution had more influence on hypertension in female patients than other constitution types.
Conclusion: Phlegm-dampness, yin deficiency, and qi deficiency constitutions are the main influential factors of hypertension. Hypertensive patients with different gender have different constitutional influential factors.
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Please cite this article as:
Zhu YB, Wang Q, Deng QW, Cai J, Song XH, Yan X. Relationships between constitutional types of traditional Chinese medicine and hypertension. J Chin Integr Med / Zhong Xi Yi Jie He Xue Bao. 2010; 8(1): 40-45.
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