体质食养系列讲座之四 瘀体的食养

瘀体毽康与疾病之间最靠疾病一边的病理体质，应及时找有经验的中医师调理。瘀体调理应以药疗为主．食养为辅。

瘀体如何调理

瘀体者（晦涩质）在临床上相当常见，多半属于“隐匿性”疾病患者。这种体质如果不及时调理，日久可能发生冠心病、肝硬化、胃及十二指肠溃疡、血液病及肿瘤等多种慢性疾病。瘀体实质上与疾病只差一小步，因此应及时找有经验的中医师调理，以药疗为主，食疗为辅。

从痰毒瘀损肝体探讨肝炎后肝纤维化发病机制渊薮

系统阐述中医关于痰毒瘀损肝体理论的基本内涵,探讨了痰毒瘀损肝体与肝纤维化的密切关系,提出痰毒瘀损肝体是肝纤维化发生发展的重要病理因素。并解决了肝纤维化的中医病名、病因病机、病位等诸多难题,从而使肝纤维化的中医论治有了自身系统的中医基础理论的支持和准确的切入点,并有望取得突破。

试析仲景学说中瘀血的症状和体征

就仲景学说中瘀血的症状和体征进行疏理、总结。认为经历临床运用的思路,主要是根据患者的症状、体征反应,结合病史、治疗史等情况,先辨病,再辨方证,从而施以相应的方药治疗。方证是指各汤方的适应症。各种疾病和方证主要取决于不同症状和体征的特定组合与排列,因而了解和掌握各种疾病和方证的症状和体征,具有重要的临床意义。

活血祛风定痛方治疗带状疱疹后遗神经痛的疗效观察

目的观察活血祛风定痛方治疗带状疱疹后遗神经痛的临床疗效。方法带状疱疹后遗神经痛患者46例,给予活血祛风定痛方治疗,观察其疗效。结果本组病例总有效率73.91%。随访3个月痊愈病例无复发。结论活血祛风定痛汤治疗带状疱疹后遗神经痛疗效显著。

Screening influencing factors of blood stasis constitution in traditional Chinese medicine

Objective To study the influencing factors of blood stasis constitution and provide a basis for treating blood stasis-related diseases by traditional Chinese medicine(TCM) constitution identification.Methods Data were collected using the self-developed TCM constitution identification platform based on B/S model by the project team. The obtained data were divided into blood stasis constitution and normal constitution groups. The differences of the categorical type influencing factors(gender, birth mode, feeding mode within four months of birth, family history, marital status, eating habits, sleeping habits, exercise habits, emotional state, stress situation, and living environment) and the quantitative type influencing factors(sleep time, age,and mother’s age at birth) on the constitution of the two groups were analyzed. In the singlefactor analysis, the Pearson’s chi-square test was selected for the categorical variable, and the independent sample t test and Mann-Whitney U nonparametric test were selected for the quantitative variables according to whether they conformed to the positive-terrestrial distribution;the binary logistic stepwise regression method was selected for the multi-factor analysis.Results The data of 318 cases were collected from the TCM composition identification platform, and 159 cases of blood stasis constitution were used as the experimental group and 159 cases of normal constitution were used as the control group. The Pearson’s chi-square test yielded significant differences(P < 0.05) in the effects of gender, pressure situation, family history, living environment, emotional state, exercise habits, and dietary habits on blood stasis constitution. The independent samples t test yielded differences in sleep duration between the blood stasis constitution and normal constitution populations(P < 0.05), which meant sleep duration of the blood stasis constitution population was less than that of the normal constitution population. The Mann-Whitney U nonparametric test results accepted the original hypothesis that there was no difference in the distribution of age and mother’s age at birth across constitution types(P > 0.05). Binary logistic regression analysis showed that gender, family history, marital status, living environment, exercise habits, and emotional state were risk factors for blood stasis constitution(P < 0.05).Conclusion Gender, family history, living environment, emotional state, and exercise habits were significant influencing factors of blood stasis constitution. Blood stasis constitution populations can pay more attention to these influencing factors in their daily life for the prevention and reconciliation of blood stasis constitution.

Changes in symptom patterns and health-related quality of life of cancer patients before and after chemotherapy

OBJECTIVE: Symptom patterns are an important diagnostic concept in terms of Traditional Chinese Medicine. Although symptom patterns and healthrelated quality of life(HRQOL) are common diagnostic measures for cancer patients, the association between them has not been studied. This study aimed to describe the changes in the pattern of symptoms of Yang-deficiency, Yin-deficiency, blood stasis, and HRQOL before and after chemotherapy,and to examine the association between the patterns and the cancer patients' HRQOL.METHODS: A panel study was undertaken with 123 cancer patients who were about to begin their first course of chemotherapy at four teaching hospitals in Taiwan. A structured questionnaire was used before and after chemotherapy. HRQOL was assessed using the Medical Outcomes Survey Short-Form 36. The Traditional Chinese Medical Constitutional Scale was used to measure Yang-deficiency, Yin-deficiency, and blood stasis patterns,with higher scores indicating a larger deficiency.RESULTS: The patients had significantly worse scores for Yang-deficient pattern, Yin-deficiency pattern, blood stasis pattern, and the physical components of HRQOL after chemotherapy compared with before chemotherapy. The HRQOL scores correlated significantly with Yang-deficiency, Yin-deficiency, and the blood stasis pattern scores. A generalized estimating equation model showed that the HRQOL scores were significantly worse after chemotherapy compared with before chemotherapy for the physical component, but not for the mental component. Blood stasis pattern was significantly associated with a decreased HRQOL in both the physical and mental components. A hemoglobin level < 12 g/d L was associated with a worse physical component of HRQOL.CONCLUSION: The Yang-deficiency, Yin-deficiency,and blood stasis patterns were all associated with lower HRQOLincancerpatientsafterchemotherapy.

Acupuncture plus bloodletting therapy for insomnia in blood stasis constitution:a clinical study

Objective： To observe the clinical efficacy of acupuncture plus bloodletting therapy in treating insomnia in people with blood stasis constitution. Methods： Seventy-two patients were randomized into a treatment group and a control group by using the random number table, 36 cases each. The treatment group received acupuncture plus bloodletting therapy, while the control group was intervened by oral administration of estazolam. One-week treatment was taken as a course, for 3 successive courses in total. A follow-up study was conducted 3 months later. The Pittsburgh sleep quality index （PSQI） was evaluated before and after the intervention, as well as in the follow-up. The clinical efficacies were also compared. Results： The total effective rate was 88.9% in the treatment group versus 83.3% in the control group, and the between-group difference was statistically significant （P〈0.O5）. After the intervention, the PSO.I scores dropped significantly in both groups （both P〈0.05）; the between-group difference in PSQI score was statistically significant （P〈O.05）. The follow-up study showed that the between-group difference in the global score of PSO, I was statistically significant （P〈0.05）. Conclusion： Acupuncture plus bloodletting therapy can produce a more significant efficacy than oral administration of estazolam in treating insomnia in people with blood stasis constitution.