基于中医体质学的三个关键问题探讨全生命周期健康管理

Discussion on life cycle health management based on Three Key Issues of TCM constitution (Tizhi)

“全生命周期健康”已成为国家健康战略的重要内容。中医体质学的“生命过程论”是开展全生命周期体质健康管理的理论基础。中医体质学的“三个关键问题”中,体质可分是个体化健康管理的基础,体病相关是健康管理的依据,体质可调是健康管理的目的和落脚点。不同生命周期人群都可以依据这三方面制定适宜的健康管理计划。基于体质学的三个关键问题总结全生命周期健康管理的现状,提出以三级预防的理念审视全生命周期健康,除了关注生命周期各个阶段的健康,还应当关注前一生命周期阶段对后续生命周期阶段的影响。应关注生命周期的动态性和时相性,建立全生命周期三级预防的理念。以儿童青少年-成人青壮年-老年人的生命周期时序为治未病健康管理的时间链条,乃至向前延伸到胚胎期健康管理。据此揭示全生命周期体质规律,进而建立动态的、完整的全生命周期健康管理体系。

"Life cycle health"has become an important part of the national health strategy.The"life process theory"of traditional Chinese medicine(TCM)constitution(Tizhi)is the theoretical basis for carrying out whole life cycle constitution(Tizhi)health management.In the"Three Key Issues"of TCM constitution(Tizhi),constitution(Tizhi)is the basis of individualized health management,correlation between constitution and disease is the basis of health management,and constitution(Tizhi)adjustment is the purpose of health management.People in different life cycles can formulate appropriate health management plans according to these three aspects.Based on the three key problems of constitution(Tizhi),this paper summarizes the current situation of health management in the whole life cycle.We also propose that the concept of"three levels of prevention"should be used to examine the"whole life cycle health."In addition to focusing on the health of each stage of the life cycle,attention should be paid to the impact of the previous life cycle stage on the subsequent life cycle stages.Attention should be paid to the dynamics and phases of the life cycle,and the concept of"three levels of prevention throughout the life cycle"should be established.The life cycle sequence of children-adults-elderly should be taken as the time chain of health management for disease prevention,and this could even be extended to embryonic health management.According to this,we can reveal the physical law of the whole life cycle and establish a dynamic and complete health management system based on the whole life cycle.