HomeHealth Sciences Journalvol. 10 no. 2 (2021)

Association Between the Traditional Chinese Medicine Nine Body Constitution Types and the Western Medicine Complications of Hypertension Among Adult Filipino Hypertensive Patients

Meriam B. Macalisang

 

Abstract:

Introduction Hypertension (HTN) has been referred to as the leading global silent killer and has impacted signifcantly on Filipino mortality for several decades. This study determined the association of Wang Qi’s nine body constitution (BC) types of Traditional Chinese Medicine (TCM) and HTN complications, as defned by Western Medicine (WM), among adult Filipinos. Methods This was an analytical cross-sectional study that determined the association of each of the BC types and the complications of HTN among adult Filipino hypertensive patients using the validated Constitution in Chinese Medicine Questionnaire (CCMQ). The signifcance of the association was determined using chi-square or Fisher’s exact test for small samples when applicable. Results The study recruited 1,997 participants from selected private and government TCM and WM health facilities. Among Filipino hypertensive patients, majority were classifed as Qi, Yang, and Yin defcient BC types, with these classes being associated with psychological complications of HTN, with prevalence odds ratio (POR) of 1.23 (p = 0.031), 1.48 (p < 0.001), and 1.61 (p < 0.001), respectively. Likewise, Yin defcient BC type was signifcantly associated with cardiovascular complications of HTN (POR 2.21, p = 0.037). Conclusion There was an association between the TCM nine BC types with the WM complications of HTN among adult Filipino patients. Among the hypertensive patients classifed into the TCM nine BC types, three defcient BC types -- Yin defcient, Qi defcient and Yang defcient were associated with the psychological complications of HTN. Yin defcient BC type was also associated with cardiovascular complications.



References:

1. Wang Q and Zhu YB. Epidemiological investigation of constitution types of Chinese medicine in general population: Based on 21,948 epidemiological investigation data of the nine provinces in China. China J Trad Chinese Med Pharm 2009; 24:7-12.

2. Wang Q. Individualized medicine, health medicine, and constitutional theory in Chinese medicine. Front Med 2012 Mar; 6(1): 1-7. doi: 10.1007/s11684-012-0173-y

3. Kassirer JP, Kopelman RI. Wrong diagnosis, wrong tests, wrong treatment. Hosp Pract (Off Ed). 1986 Mar 15; 21(3):50-4, 58-62, 65. doi: 10.1080/21548331.1986.11704935

4. Philippine Integrated Disease Surveillance and Response System (PIDSR) 3rd Edition, 2014, PIDSR-MOP 3Ed Vol.1 2014.pdf

5. Wang J, Xiong X. Evidence-based Chinese medicine for hypertension, evidence-based complementary and alternative medicine 2013. Article ID 978398. Available from: https://doi.org/10.1155/2013/978398

6. Qi Wang, et al. Study on related influencing factors of phlegm-wetness constitution in Chinese Med J Beijing Univers Trad Chinese Med 2008; 31 (1).

7. Sun G, Eisenstark DD, Zhang Q. Constitutional Theory, Fundamentals of Chinese Medicine, International Standard Library of Chinese Medicine, 2014.

8. Wang T, Fang T. Qi Deficiency and Syndrome Analysis, Diagnostics of Traditional Chinese Medicine, 2nd Edition, Chinese-English Bilingual Textbooks for International Students of Chinese TCM Institutions; 2007.

9. Xie J, et al. Basic Concepts of Qi and Blood, Chinese Internal Medicine. International Standard Library of Chinese Medicine; 2013.

10. Chen J, Wilson JF. Qi, Yang and Yin Deficiency Syndrome and Qi Stagnation and Syndrome Differentiation According to Eight Principles, Chinese Medicine Study Guide Diagnostics, International Standard Library of Chinese Medicine, 2011, pp.107-35