因子分析法探讨广州疲劳性亚健康女性中医体质分型的证候要素

The Discussion on Syndrome Factors for TCM Fatigue-Predominant Sub-Health Female in Guangzhou by Performing Factor Analysis

目的:探讨广州疲劳性亚健康女性中医体质分型的证候要素,为疲劳性亚健康体质调养提供辨证诊疗依据。方法:采用前瞻性观察方案,按统一诊断、纳入、排除标准,选取疲劳性亚健康女性385例,从中医诊断学角度四诊和参,并通过频数分析、因子分析等统计学方法,提取相关证候要素。结果:因子分析得出19个公因子(证候要素),再根据证候要素对385例疲劳性亚健康女性体质情况进行分型,结果发现:湿热质占42.6%,血瘀质占13.2%,阳虚质占11.9%,气郁质占11.2%,阴虚质占9.4%,气虚质兼湿热质占5.2%,阳虚质兼气郁质占3.1%,痰湿质占2.1%,痰湿质兼血瘀质占1.3%。结论:广州地区疲劳性亚健康女性主要病理性质为湿、热,次要病理性质为血瘀、血虚、气滞、气虚、阳虚、阴虚、痰湿。病位脏腑主要涉及肝、脾,次要为胆、胃。主要体质类型是湿热质,其余依次为血瘀质、阳虚质、气郁质、阴虚质、气虚质兼湿热质,阳虚质兼气郁质、痰湿质、痰湿质兼血瘀质。广州亚健康女性以单纯体质类型为主,部分为复合体质类型。

Objective： To study the syndrome factors of TCM constitution type for sub-health female in Guangzhou in order to provide physical recuperation basis on the treatment of fatigue-predominant sub-health body constitution.Methods： A prospective observation plan was adopted and 385 fatigue-predominant sub-health female were selected according to the unified criteria of diagnosis,inclusion and exclusion.Four examination methods from TCM diagnostic perspective was introduced and syndrome factors were extracted through frequency statistics,factor analysis and others statistic methods.Results： Nineteen common factors were obtained from（syndrome factors） factor analysis and after the analysis were performed on the distribution of syndrome factors in 385 fatigue-predominant sub-health women.The result shows that hot-humid quality is accounted for 42.6%,blood stasis quality for 13.2%,yang deficiency quality for 11.9%,qi stasis quality for 11.2%,ying deficiency quality for 9.4%,qi deficiency and hot-humid quality for 5.2%,yang deficiency and qi stasis quality for 3.1%,phlegm-humid quality for 2.1%,phlegm-humid and blood stasis quality for 1.3%.Conclusions： The main pathological nature of fatigue-predominant sub-health female in Guangzhou area are hot and humid,The secondary pathological nature includes blood stasis,yang deficiency,qi stasis,ying deficiency.The Disease-bit viscera mainly include liver and spleen,secondly,gall and stomach.The main constitution type in TCM is hot-humid quality,others are blood stasis quality,yang deficiency quality,qi stasis quality,ying deficiency quality,qi deficiency and hot-humid quality,yang deficiency and qi stasis quality,phlegm-humid quality,phlegm-humid and blood stasis quality.The major constitution type of Guangzhou sub-health women is single and minority is complex constitution type.