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A study on the influence of disordered seven emotions on the qi movement of Zang-fu organs in local COVID-19 patients
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DOI   10.11656/j.issn.1672-1519.2023.08.02
Key Words   COVID-19;seven emotions of traditional Chinese medicine;qi movement of Zang-fu organs;ascending,descending,exiting and entering
Author NameAffiliationE-mail
ZHAO Qiliang Infectious Diseases Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
ZHANG Dong Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
FAN Shuang Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
ZHANG Huiqi Infectious Diseases Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
XIE Yunxue Infectious Diseases Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China 
 
DING Guoyao Infectious Diseases Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China 
 
REN Yi Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
JIA Jingbo Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
MA Zhaorun Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
XIE Yi Tuberculosis Department, Tianjin Haihe Hospital, Tianjin 300350, China  
LIU Min Infectious Diseases Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
liumintcm@163.com 
Abstract
    [Objective] To explore the influence of disordered seven emotions of traditional Chinese medicine on qi movement of Zang-fu organs in local COVID-19 patients. [Methods] A total of 130 local confirmed COVID-19 cases admitted to Tianjin Haihe Hospital from February 2019 to August 2020 were collected. Clinical data were collected at admission,one week in hospital,and discharged from hospital. Descriptive statistics were used to summarize the main characteristics and changes of seven emotions and qi movement at the three different time points. The association rules algorithm is used to analyze the relationship between the seven emotions and movement of qi. Finally,we reveals the potential rule of seven emotions influence on the movement of qi. [Results] A total of 130 patients were included. On admission,the main characteristics of seven emotions were melancholy(56.15%),anxiety(44.62%),anger(26.92%) and grief(25.38%);the severity score of seven emotions was melancholy(1.17)>anxiety(0.92)>grief(0.53)>fear(0.29)>fright(0.28)>anger(0.53);the characteristics of qi movement were mainly entering(41.54%),descending(30.77%) and ascending(23.85%),and the severity score of qi movement was entering(1.92)>descending(1.55)>ascending(0.82)>exiting(0.24). After 1 week in hospital,the characteristics of seven emotions were mainly anxiety(34.62%),melancholy(32.31%),grief(23.08%),anger(22.32%),and the severity score of seven emotions was anxiety(0.69)>melancholy(0.55)>grief(0.43)>anger(0.34)>fear,joy(0.08)>fright(0.04);the characteristics of qi movement were mainly descending(25.38%),entering(23.85%) and ascending(19.23%). The severity score of qi movement was entering(0.77)>descending(0.69)>ascending(0.42)>exiting(0.03). When discharged from hospital,the characteristics of seven emotions were mainly melancholy(30.77%),anxiety(29.23%),joy(23.85%),grief(19.23%). The severity score of seven emotions was melancholy(0.44)>anxiety(0.33)>joy(0.30)>grief(0.25)>fear(0.18)>anger(0.12)>joy(0.30)>fright(0.03);the characteristics of qi movement were mainly descending(26.9),entering(21.54%) and ascending(11.54%),and the severity score of qi movement was descending(0.27)>entering(0.22)>ascending(0.12)>exiting(0). The association rules algorithm showed that the highest degree of support was entering+melancholy(41.54%),and the highest degree of confidence was grief+descending/entering/melancholy(100%) at admission. After 1 week in hospital,the highest degree of support was descending+grief/entering/melancholy(25.39%),and the highest degree of confidence was grief/entering/descending+melancholy(100%). At the time of discharge,the highest degree of support was melancholy+descending(30.77%),and the highest degree of confidence was melancholy+descending(97.14%). [Conclusion] During the hospitalization of COVID-19 patients in Tianjin area,the main characteristics of seven emotions were "melancholy and anxiety",and the main characteristics of qi movement were "entering and descending". The disordered emotions and qi movement show a trend of improvement during hospitalization. The disordered emotions "melancholy and anxiety" lead to the "entering and descending" disorder of qi movement, and the resulting pathogenesis were lost the balance between ascending and descending of lung qi movement,fail to ascending of spleen qi,disharmony between spleen and stomach,qi stagnates in lung,spleen and stomach.

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