基于八卦-藏象类比关系回顾性分析超重及肥胖症患者中医证候特点OA

Objective To retrospectively analyze characteristics of overweight and obesity patients from a Traditional Chinese Medicine(TCM)pattern perspective.Methods Based on data from the Hospital Information System(HIS),the study included 620 overweight and obese patients who visited the Nephrology and Endocrinology Department at Tongzhou Campus of Dongzhimen Hospital from January 1,2022,to June 30,2023.The patients'general information,Eight Trigrams characteristics,and TCM pattern types were collected.Chi-square tests and logistic regression analysis were conducted to explore the distribution characteristics of TCM pattern types in overweight and obese patients and their correlation with the Eight Trigrams.Results A total of 620 overweight and obesity patients were included(216 overweight,404 obesity),with significant gender differences(P<0.05).The most common TCM pattern was spleen qi deficiency,followed by kidney qi deficiency,qi stagnation,excessive heat,and damp obstruction.Logistic regression analysis revealed positive correlations between certain trigrams and TCM pattern types:Kun trigram with spleen qi deficiency,Gen trigram with kidney yin deficiency,Li trigram with heart qi deficiency,Kan and Zhen trigrams with damp obstruction,and Xun trigram with excessive heat(P<0.05).Conclusion The results indicate that there are specific correspondences between the Eight Trigrams and visceral manifestations in overweight and obesity.This correlation aids in initially identifying TCM pattern types through the Eight Trigrams,which can further guide TCM clinical diagnosis and treatment,providing a valuable reference.