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Exploring the effect of traditional Chinese medicine diet therapy in regulating phlegm-dampness constitution type hypertension based on the theory of "simultaneous conditioning of five internal organs"
Li Batong, Wen Yingying, Yang Nianhua, Yu Jianlan
International Medicine and Health Guidance News
2022, 28 (10):
1426-1430.
DOI: 10.3760/cma.j.issn.1007-1245.2022.10.023
Objective To explore the effect of traditional Chinese medicine (TCM) diet therapy in regulating phlegm-dampness constitution type hypertension based on the theory of "simultaneous conditioning of five internal organs".
Methods Seventy hypertensive patients with phlegm-dampness constitution who were treated in Lingling District Hospital of Traditional Chinese Medicine in Yongzhou City from January 2018 to June 2019 were collected as the research objects, and they were divided into two groups by the random number table method, with 35 patients in each group. There were 18 males and 17 females in the control group, aged (59.80±11.96) years; there were 21 males and 14 females in the treatment group, aged (58.20±11.64) years. The control group was given routine clinical treatment, and the treatment group was given TCM diet intervention based on the theory of "simultaneous conditioning of five internal organs" on the basis of conventional treatment. The phlegm-dampness constitution symptoms, blood pressure and blood lipid levels, and qualities of life of the two groups were compared and analyzed. Independent sample
t test was used for inter-group comparison of the measurement data, paired
t test was used for intra-group comparison of the measurement data, and
χ
2 test was used for the count data.
Results After intervention, the scores of chest tightness and abdominal distension, heavy body, mouth phlegm, and thick greasy tongue coating in the treatment group were (0.62±0.12) points, (0.52±0.10) points, (0.67±0.13) points, and (0.56±0.11) points, respectively, which were lower than those in the control group [(0.71±0.14) points, (0.58±0.12) points, (0.75±0.15) points, and (0.64±0.13) points], with statistically significant differences (all
P<0.05). After intervention, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the treatment group were (113.67±12.63) mmHg (1 mmHg=0.133 kPa) and (79.65±8.85) mmHg, respectively, which were lower than those in the control group [(121.54±13.50) mmHg and (84.31±9.37) mmHg], with statistically significant differences (both
P<0.05). After intervention, the levels of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) in the treatment group were (4.12±0.82) mmol/L, (1.25±0.25) mmol/L, (2.47±0.49) mmol/L, respectively, which were lower than those in the control group [(4.65±0.93) mmol/L, (1.41±0.28) mmol/L, and (2.79±0.56) mmol/L], and the level of high-density lipoprotein cholesterol (HDL-C) was (1.82±0.36) mmol/L, which was higher than that in the control group [(1.64±0.33) mmol/L], with statistically significant differences (all
P<0.05). After intervention, the scores of physical function, psychological function, social function, and material life in the treatment group were (81.47±9.05) points, (83.61±9.29) points, (84.36±9.37) points, and (82.73±9.19) points, respectively, which were higher than those in the control group [(75.52±8.50) points, (76.82±8.54) points, (79.24±8.80) points, and (77.19±8.57) points], with statistically significant differences (all
P<0.05).
Conclusions Based on the theory of "simultaneous conditioning of five internal organs", TCM dietetic conditioning has a good effect on hypertensive patients with phlegm-dampness constitution. The physical symptoms of the patients are greatly relieved, their blood pressure and blood lipid levels are effectively improved, and their quality of life is improved.
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