肝胆结石患者中医体质类型分析

Analysis of constitutional type of traditional Chinese medicine of patients with hepatic calculus

目的探讨肝胆结石患者的中医体质分类情况。方法采用中医体质量表对862例肝胆结石患者进行中医体质辨识。结果肝胆结石患者体质类型以偏颇体质及兼夹体质为主,实性体质居多。9种体质类型按照出现频次的高低进行排列,处于前三位的肝胆结石患者依次为:湿热质总计人数为395例,占总人数的27.37%;痰湿质总计人数为363例,占总人数的25.16%;气虚质总计人数为228例,占总人数的15.80%。平和质67例,偏颇体质795例,占总人数的92.23%。单一体质类型的人数为281例,占总人数的32.60%,兼夹体质类型的人数为581例,占总人数的67.40%。实性体质占总人数的56.96%,出现虚实夹杂体质的患者总计有235例,占总人数的27.26%。结论肝胆结石患者的偏颇体质主要以湿热质、痰湿质和气虚质3种体质为主。保持良好的饮食习惯和合理的膳食结构可减少肝胆结石的发生。

Objective To investigate the situation of constitutional type of traditional Chinese medicine of patients with hepatic calculus.Methods The questionnaire for constitution of Chinese medicine was used to identify the constitu tional type of traditional Chinese medicine of 862 patients with hepatic calculus.Results Biased constitution and combined constitution were the main types of constitutional type of traditional Chinese medicine of patients with hepatic calculus,of which solid constitution was in major.9 kinds of constitution were arranged according to the appeared fre quency,the first three hepatic calculus patients in turn were： the total number of damp-heat was 395 cases,account ing for 27.37% of the total number;the total number of phlegm wet calculus patients was 363 examples,accounting for the total number of 25.16%;the total number of Qi deficiency was 228 examples,accounting for the total number of 15.80%.The gentle constitution was 67 examples,the biased constitution was 795 examples,accounting for the total number of 92.23%.The single physical type was 281 cases,accounting for 32.60% of the total number,and combined constitution was 581 cases,accounting for 67.40% of the total number.The solid constitution was 56.96% of the total number,patients with intermingled deficiency and excess constitution were 235 cases,accounting for 27.26% of the total number.Conclusion The main three biased constitution types of hepatic calculus were damp-heat,phlegm wet and Qi deficiency.Maintaining a good dietary habit and a reasonable dietary pattern may reduce the occurrence of hepatic calculus.