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Cluster analysis of Chinese medicine evidence patterns of hypertensive diseases
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DOI   10.11656/j.issn.1673-9043.2024.08.10
Key Words   cluster analysis;hypertension;Chinese medicine evidence;distribution study
Author NameAffiliationE-mail
MENG Linghao School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
ZHANG Ao College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
CUI Huaixing School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Yingxiang School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
YANG Yang School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
YUE Shujiao School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LIU Ying School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Hongwu School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
BU Huaien School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China buhuaien@163.com 
XU Fang School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
CUI Yan School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
Abstract
    [Objective] To explore the distribution of evidence patterns of hypertensive patients and the correlation between basic information and evidence patterns. [Methods] A clinical epidemiological survey was conducted to collect the basic information and symptoms of 4 942 hypertensive patients in the Department of Endocrinology and the Department of Cardiology of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine to analyse the distribution characteristics of Chinese medicine evidence types in hypertensive patients. [Result] Hypertension is a common chronic disease in clinic,the youth group is not prone to this disease,and the main evidence of the youth group is the evidence of liver fire hyperactivity,the highest incidence of this disease in the population of middle-aged and old people. The highest incidence of this disease is among the middle-aged and the elderly. The body functions of the middle-aged and the elderly are gradually declining. There were differences between males and females in liver and kidney yin deficiency,liver-fire hyperactivity,qi deficiency and phlegm turbidity,and stasis-heat interconnection. There were differences between Han Chinese and non-Han Chinese in the yin-yang deficiency syndrome and the stasis-heat syndrome. In the liver and lidney yin deficiency and qi deficiency and phlegm turbidity syndromes,there were differences between the young and middle-aged groups and the elderly group;in the liver fire excessive syndromes,there were differences between the young,middle-aged and elderly groups. Finally,in the syndrome of stasis-heat interconnection,there was a difference between the young group and the elderly group. [Conclusion] This study shows that hypertension is mainly caused by "heat",which mainly involves the liver,kidney and spleen organs,and is characterized by dizziness,tiredness,fatigue,irritability,dryness of the eyes and blurred vision,etc. According to the data,it can be clinically classified into five major syndromes. According to the clinical data,it can be classified into five major types,namely,yin and yang deficiency,liver and kidney yin deficiency,liver fire hyperactivity,qi deficiency and phlegm turbidity,and stasis and heat interconnection. Among them,liver and kidney yin deficiency and liver fire hyperactivity are the clinical majority.

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