青年痰湿体质人群热结构特征的研究

Study on thermal structure characteristics of phlegm dampness constitution in young people

目的研究青年人群中痰湿质与平和质全身脏腑及头面部共25个区域的热值数据ΔT的差异性,进行三焦、脏腑、督任脉及头面五官热结构的比较。方法依据《中医体质分类与判定标准》结合中医四诊信息,于2016年5~9月从北京中医药大学国医堂、北京中医药大学良乡校区健康青年人群(15~34岁)中筛选痰湿质组30例与平和质组30例。运用红外热成像检测技术获得三焦、脏腑、督任脉及头面五官红外热值数据。结果与平和质组比较,痰湿质组的督任脉均凉偏离(P<0.05),上焦热偏离(P<0.01),中焦及下焦凉偏离(P<0.01),胸膺热偏离(P<0.05),大腹及小腹凉偏离(P<0.01),鼻凉偏离(P<0.05)。结论青年痰湿体质人群的热结构特点表现出其体内阴多阳少,脾胃虚弱的特点,此外还有湿浊熏蒸,郁而化热的倾向。

Objective To study differences of caloricity data ΔT in 25 regions including viscera, head and face among youth people （aged from 15 to 34 years old） who have Phlegm-dampness constitution and mild physical to compare thermal structure of the three visceral cavities, viscera, Ren and Du meridians and face and head and five sense organs. Methods Classification and determination of constitution in TCM was adopted with combination of TCM four diagnostic methods. Thirty cases for Phlegm-dampness constitution group and thirty cases for mild physical group were chosen from healthy youth from TCM Clinic, Beijing University of Chinese Medicine and Beijing University of Chinese Medicine, Liangxiang Campus from May to September 2016. Infrared thermopraphy was taken to obtain infrared thermal value of three visceral cavities, viscera, Ren and Du meridian and face and head and five sense organs. Results Compared with mild physical group, both Ren and Du meridians in the Phlegm-dampness constitution group indicated cool departure （P 〈 0.05）, upper-jiao heat departure （P 〈 0.01）, middle jiao and lower jiao cool departure （P 〈 0.01）, anterior chest heat departure （P 〈 0.05）, upper abdomen and lower abdomen cool departure （P 〈 0.01） and nose cool departure （P 〈 0.05）. Conclusion Thermal structure for youth people with Phlegm-dampness constitution features much yin and less yang inside their body and weak spleen and stomach. It is also characterized by the tendency of dampness and heat accumulation.