药酒辨体养生研究

Clinical study on the regimen of medicinal wine based on constitution distinction of TCM

目的 观察中医辨体养生理论指导下药酒养生的效果.方法 收集2011年2月至2011年12月报名参加药酒辨体养生体验者中符合相应体质特征的76名受试者,其中阳虚体质23例、痰湿体质34例、阴虚体质者19例,分别进行相关理化指标检测并服用药酒一个月,进行体质复评和相关理化指标的复查.结果 ①不同体质受试者饮用药酒前后观察指标比较：痰湿体质者服用降血脂酒后与同组治疗前比较,脉搏减慢（t=2.122,P＜0.05）,体质类型转化分降低（t=4.86,P＜0.01）;阳虚体质者服用龟鹿二仙酒后与同组治疗前比较,收缩压、游离甲状腺素T4 （FT4）、体质类型转化分明显降低（t值分别为2.735、3.672、12.93,P＜0.05或0.01）;阴虚型者服用滋阴补血酒后与同组治疗前比较,促肾上腺皮质激素（ACTH）、白细胞介素-1（IL-1）、白细胞介素-2（IL-2）升高（t值分别为2.355、2.645、3.829,P＜0.05或0.01）.②临床疗效比较：根据各体质类型转化分变化判断总有效率均在70％以上,经Ridit检验除阴虚体质外（t=1.85,P＞0.05）,痰湿体质、阳虚体质分别与受试前比较,差异均有统计学意义（t值分别为4.86、12.93,P均＜0.01）.结论 降血脂药酒可改善痰湿体质;滋阴补血药酒可改善阴虚体质、增强免疫功能;龟鹿二仙药酒可降低血压、改善阳虚体质.

Objective To observe the effect of medicinal wine regimen which is guided by the theory of constitution distinction of TCM.Methods 76 patients were selected from all patients enrolled in wine style health experience from February 2011 to December 2011 in line with the corresponding physical characteristics.Among these 76 patients,23 patients were Yang deficiency constitution,34 were phlegm dampness constitution,and 19 were yin deficiency constitution.All these patients were taken a physical and chemical examination after taking the medicinal wine for a month.Results ①Examination index comparison before and after the treatment in different physical constitution patients：in phlegm dampness constitution patients the pulse were slowed （t=2.122,P＜0.05） after taking the blood fat reducing wine,and physical type of conversion points were lowered （t=4.86,P＜0.01）; in Yang constitution patients,the systolic blood pressure （FT4）,free thyroxine T4,physical type of conversion points were all significantly decreased [t values were 2.735,3.672,12.93,P＜0.05 or 0.01] after taking Guilu Erxian wine; in Yin deficiency patients,adrenocorticotropic hormone （ACTH）,interleukin-1 （IL-1）,interleukin-2 （IL-2） were all increased [t values were 2.355,2.645,3.829,P＜0.05 or 0.01] after taking Ziyin-Buxue wine.② Comparison of the clinical curative effect：according to the type of constitution transformation changes,the total effective rate was more than 70％.According to Ridit test,except yin deficiency physique （t=1.85,P＞0.05）,patients in both phlegm dampness constitution and yang deficiency constitution groups showed statistical difference after the treatment than before （t=4.86 and 12.93,P ＜0.01）.Conclusions Blood fat reducing wine can improve phlegm dampness constitution; Ziyin-Buxue wine can improve Yin deficiency constitution and enhance immune function; Guilu Erxian wine can lower blood pressure and improve Yang deficiency constitution.