Constitution identification model in traditional Chinese medicine based on multiple features

Objective To construct a precise model for identifying traditional Chinese medicine(TCM)constitutions;thereby offering optimized guidance for clinical diagnosis and treatment plan-ning;and ultimately enhancing medical efficiency and treatment outcomes.Methods First;TCM full-body inspection data acquisition equipment was employed to col-lect full-body standing images of healthy people;from which the constitutions were labelled and defined in accordance with the Constitution in Chinese Medicine Questionnaire(CCMQ);and a dataset encompassing labelled constitutions was constructed.Second;heat-suppres-sion valve(HSV)color space and improved local binary patterns(LBP)algorithm were lever-aged for the extraction of features such as facial complexion and body shape.In addition;a dual-branch deep network was employed to collect deep features from the full-body standing images.Last;the random forest(RF)algorithm was utilized to learn the extracted multifea-tures;which were subsequently employed to establish a TCM constitution identification mod-el.Accuracy;precision;and F1 score were the three measures selected to assess the perfor-mance of the model.Results It was found that the accuracy;precision;and F1 score of the proposed model based on multifeatures for identifying TCM constitutions were 0.842;0.868;and 0.790;respectively.In comparison with the identification models that encompass a single feature;either a single facial complexion feature;a body shape feature;or deep features;the accuracy of the model that incorporating all the aforementioned features was elevated by 0.105;0.105;and 0.079;the precision increased by 0.164;0.164;and 0.211;and the F1 score rose by 0.071;0.071;and 0.084;respectively.Conclusion The research findings affirmed the viability of the proposed model;which incor-porated multifeatures;including the facial complexion feature;the body shape feature;and the deep feature.In addition;by employing the proposed model;the objectification and intel-ligence of identifying constitutions in TCM practices could be optimized.

Association between metabolic syndrome and body constitution of traditional Chinese medicine:A systematic review and meta-analysis

Background:The constitution theory of traditional Chinese medicine(TCM)states that body constitution and disease are associated;therefore,the identification of body constitution can provide reference for disease prevention and treatment.A series of clinical studies evaluating the association between TCM constitution and metabolic syndrome(MetS)have been conducted in recent years.The aim of this systematic review is to summarize and evaluate the clinical evidence of the relationship between constitution and MetS.Methods:The PubMed,Embase,China National Knowledge Infrastructure(CNKI),Chongqing VIP,and Wanfang Data electronic databases were searched from April 2009 to July 2020.The search terms included“metabolic syndrome,”“constitution,”and“Chinese medicine.”Observational studies evaluating the relationship between body constitution of TCM and MetS were included.The primary outcome included the distribution of constitutional types in the MetS population,and odds ratio(OR)or relative risk(RR)between constitution and MetS.Effect size was expressed as proportion or OR with 95%confidence interval(CI).Methodological quality of included studies was evaluated by the NewcastleeOttawa Scale(NOS)or the American Agency for Healthcare Research and Quality(AHRQ)criteria.Results:Three caseecontrol and 26 cross-sectional studies involving 30435 cases were included.Phlegm-dampness,qi-deficiency,and damp-heat were the main constitution types in patients with MetS,accounting for 29%(22%e39%),18%(13%e24%),and 12%(9%e17%)of the population,respectively;the risk of MetS in people with phlegm-dampness and qi-deficiency constitution was 1.74[1.27,2.38]and 1.29[1.01,1.65]times higher than that in those with other constitutions.There were sex-and age-related differences in the distribution of TCM constitution in patients with MetS.Conclusion:Phlegm-dampness and qi-deficiency were associated with the occurrence of MetS.Welldesigned cohort and caseecontrol studies are needed to provide evidence for the use of TCM to prevent and treat MetS.

Concepts of body constitution, health and sub-health from traditional Chinese medicine perspective

This paper described and discussed the important literature and ideas about the concepts, types and measurement of body constitution, in terms of healthy,sub-healthy and disease status. In view of traditional Chinese medicine, ‘‘healthy" state is a status of relative balance of Yin and Yang to keep our bodily homeostasis. If there are significant physical and/or psychological stressors, such as loss of a beloved one and failure in study or work, the body can no longer keep its own bodily condition balanced and subsequently enter a state of ‘‘sub-health"(sub-optimal health).‘‘unhealthy" body constitution such as ‘‘Dampnessheat", ‘‘Cold-dampness" and ‘‘Heat- or Cold- dryness"with a subnormal body temperature and humidity and clinical manifestations such as insomnia, malaise and overweight will be presented. Immediate, appropriate strategies such as modification of life-style and seeking medical treatment can prevent evolution of an illness.Otherwise, the body will enter a disease status with a‘‘pathological" body constitution of ‘‘Yin or Yang deficiency'', ‘‘Blood-stasis" and/or ‘‘Phlegm-dampness". To be complimentary with health promotion and disease prevention in Western medicine, understanding about an individual's body constitution, together with itsdeterminants(e.g., healthy eating and lifestyle behaviors), can contribute to a more proactive, holistic and individualized healthcare.

Correlation between Tibetan and traditional Chinese medicine body constitutions: A cross-sectional study of Tibetan college students in the Tibet Autonomous Region

Objective:To evaluate the correlation between the body constitution types of Tibetan medicine and traditional Chinese medicine (TCM).Methods:The cluster sampling method was employed to recruit participants from a university in the Tibet Autonomous Region.Tibetan medicine and TCM questionnaires were respectively used to assess the participants' constitution information.Descriptive statistics were applied to analyze the baseline and constitution characteristics of the participants.Two-factor correlation analysis and the paired chi-square test were applied to analyze the correlation between Tibetan and TCM constitution types.Results:Data from 466 Tibetan students were analyzed.The mean scores of the rlung,mkhris pa,and bad kan constitution types in Tibetan medicine were 43.2 (11.1),42.1 (10.1),and 45.0 (8.0),respectively;participants with the three-factor convergence body constitution type accounted for 13.7% of the whole population.Among the TCM constitution types,qi stagnation was the most common (21.5%),followed by the balance type (16.5%);the other constitutions detected were qi deficiency,yin deficiency,and yang deficiency.The rate of consistency for the identification of the three-factor convergence constitution in Tibetan medicine and the balance constitution in TCM was 89.1%,with a Kappa coefficient of 0.57 (P >.05).The rlung constitution in Tibetan medicine was associated with the yin deficiency,yang deficiency,and blood stasis constitutions in TCM.The mkhhris pa constitution in Tibetan medicine was associated with the damp heat and yin deficiency constitutions in TCM.The bad kan constitution in Tibetan medicine was associated with the phlegm dampness,qi deficiency,and yin deficiency constitutions in TCM.Conclusion:There is a correlation between the body constitution types of Tibetan medicine and TCM.The reliability and validity of the Questionnaire for TibetanMedicine Constitution requires improvement,and more studies with larger sample sizes and more varied populations are warranted to verify the correlation between Tibetan medicine and TCM constitutions.

Translation, Adaptation and Validation of a Chinese Medicine Questionnaire to Brazilian Portuguese

The Constitution in Chinese Medicine Questionnaire [CCMQ] organizes 9 body constitutions according to Traditional Chinese Medicine [TCM]. The translation was realized by a Medical Doctor [MD] specialized in TCM and the back translation by an english-speaking MD. Comprehensibility assessment was performed (N = 40, main scores ranged from 4.20 to 4.95). On the test-retest reliability Cronbach’s alpha was 0.920 in the first application and 0.943 in the second, the intraclass correlation scores ranged between good and excellent (0.6 - >0.80). The results show that the adaptation of the CCMQ is valid and ready to be used.

Traditional Chinese Medicine constitution among patients with allergic rhinitis and its correlation with anxiety and depression

OBJECTIVE:To preliminary investigate the distribution of Traditional Chinese Medicine(TCM)constitution among patients with allergic rhinitis(AR)and reveal the related factors with anxiety and depression.METHODS:Between July 2020 and June 2021,specialist doctor recruited AR patients in Beijing and Shanghai.A total of 630 patients admitted to participate in the survey,and 516(81.9%)(male 54.3%,female 45.7%)participants completed the questionnaires.Three scales including Constitution in Chinese Medicine Questionnaire(CCMQ),Generalized Anxiety Disorder Questionnaire(GAD-7)and The Patient Health Queationaire-9(PHQ-9)were applied.Theχ^(2)and the Fisher’s exact test were used to evaluate the classification data,multivariate logistic regression was used to explore the related factors of anxiety and depression.RESULTS:According to 516 AR patients,the most commonly first-constitution was Yang-deficiency(22.1%)and frequent of all constitutions was inherited-special(21.6%).One third of AR patients(33.5%)suffered from anxiety,nearly half of AR patients(46.5%)were found to be depressive.Inherited-special(27.7%)was the most common constitution in patients with anxiety whereas Yang-deficiency(26.7%)was most common constitution in patients with depression.Sex,duration of symptoms,balanced,Qi-deficiency,phlegm-dampness,Qi-stagnation,and inherited-special constitutions were related with anxiety;Sex,income,duration of symptoms,balanced,Qi-deficiency,Yang-deficiency,phlegm-dampness,Qi-stagnation,and inherited-special constitutions were related with depression.CONCLUSIONS:According to our study,the commonly constitution types of AR were Yang-deficiency and inherited-special.We found that the prevalence value of anxiety and depression were high.People with Qi-deficiency,phlegm-dampness,Qi-stagnation,and inherited-special constitutions were more likely to have mental problems than the others.Controlling these influential factors might be beneficial for clinical health management of AR patients,and the government should apply appropriate mental health treatment services to offer psychiatric support.

Clinical research linking Traditional Chinese Medicine constitution types with diseases:a literature review of 1639 observational studies

OBJECTIVE:To analyze clinical studies on correlations between Traditional Chinese Medicine(TCM)body constitution types and diseases published in the past 10 years,and to provide an evidence base to support the use of such correlations for health maintenance and disease prevention.METHODS:We searched five databases for the period April 2009 to December 2019:China National Knowledge Infrastructure Database,Wanfang Database,China Science and Technology Journal Database,PubMed and Embase.Three types of observational studies on correlation between constitution types and diseases were included:cross-sectional,case-control and cohort studies.Descriptive statistical methods were employed for data analysis.RESULTS:A total of 1639 clinical studies were identified:1452(88.59%)cross-sectional studies,115(7.02%)case-control studies and 72(4.39%)cohort studies covering 30 regions of China and five other countries(Malaysia,South Korea,Singapore,Thailand and France).The collection of studies comprised 19 disease categories and 333 different diseases.The 10 most commonly studied diseases were hypertension,diabetes,stroke,coronary atherosclerotic heart disease(CAHD),sleep disorders,neoplasm of the breast,dysmenorrhea,fatty liver disease,chronic viral hepatitis B and dyslipidemia.We found high distributions for each biased constitution type in different patient populations as follows:Qi-deficiency constitution in stroke,diabetes,chronic obstructive pulmonary disease,acquired immunodeficiency syndrome and hypertension;Yang-deficiency constitution in female infertility,osteoporosis,irritable bowel syndrome,gonarthrosis and dysmenorrhea;Yin-deficiency constitution in hypertension,diabetes,constipation,female climacteric states and osteoporosis;phlegm-dampness constitution in hypertension,stroke,fatty liver disease,diabetes and metabolic syndrome;damp-heat constitution in acne,chronic gastritis,chronic viral hepatitis B,human papillomavirus infection and hyperuricemia;blood-stasis constitution in CAHD,endometriosis and stroke;Qi-stagnation constitution in hyperplasia and neoplasms of the breast,insomnia,depression and thyroid nodules;and inherited-special constitution in asthma and allergic rhinitis.CONCLUSION:Eight biased TCM constitutions were closely related to specific diseases,and could be used to guide individualized prevention and treatment.More rigorously designed studies are recommended to further verify the constitution-disease relationship.

超重/肥胖患者中医体质特征及与人体成分分析的相关性研究

【目的】研究上海地区超重/肥胖患者的中医体质特征及其与人体成分分析的相关性。【方法】对2020年8月至2022年12月至上海市第十人民医院内分泌科针灸埋线专病门诊就诊的有完整中医体质和人体成分检测的患者数据进行分析,根据体质量指数(body mass index,BMI)情况将患者分为正常体质量组(BMI<24 kg/m2)、超重组(24 kg/m2≤BMI<28 kg/m2)和肥胖症组(BMI≥28 kg/m2),分析3组患者的中医体质分布特征,并采用多元回归分析探讨中医体质与人体成分的关系。【结果】(1)共纳入315例患者,其中正常体质量43例,超重85例,肥胖症187例。(2)正常体质量人群体质分布比例从高到低依次为脾虚>肝郁>湿热>阳虚>阴虚,超重人群体质分布比例从高到低依次为脾虚>肝郁>湿热>阳虚>阴虚,肥胖症人群体质分布比例从高到低依次为脾虚>阳虚>湿热>肝郁>阴虚,超重/肥胖症组体质分布比例从高到低依次为脾虚>湿热>阳虚>肝郁>阴虚。正常体质量人群与超重/肥胖症人群的中医体质分布情况比较,差异无统计学意义(P>0.05);正常体质量和超重/肥胖症患者均以单一体质较多,兼夹体质少见,组间比较,差异无统计学意义(P>0.05)。(3)多元回归分析结果显示:所有患者基础代谢均与阳虚质呈正相关,与湿热质呈负相关,差异均有统计学意义(P<0.01),即阳虚质分数上升1分,基础代谢增加0.54 kcal;湿热质分数下降1分,基础代谢减少1.005 kcal。【结论】在上海地区,肥胖可能是体质改变的主要阶段;肥胖症患者体质除脾虚外,阳虚、湿热、肝郁的占比也较高。在中医体质与人体成分关系方面,基础代谢与阳虚质呈正相关,与湿热质呈负相关,故阳虚质和湿热质患者要注意自身基础代谢水平对疾病发展的影响。

基于“阳化气,阴成形”理论探讨慢性肾脏病的病机与辨治

基于“阳化气,阴成形”理论探讨慢性肾脏病的病机与辨治。“阳化气,阴成形”理论与肾脏正常生理功能密切相关,在此基础上提出慢性肾脏病的病机是“阳化气,阴成形”的功能失调,且以“阳化气”不足为关键。因此,临证强调将温阳化气法贯穿始终,同时,针对“阴成形”的过度与不足,兼以祛除邪实与滋阴填精养血。并附验案1则。

Initial validation of the Yin-Yang Assessment Questionnaire for persons with diabetes mellitus

AIM:To initially test for the content validity,comprehensibility,test-retest reliability and internal consistency reliability of the Yin-Yang Assessment Questionnaire(YYAQ).METHODS:The process of initial validity and reliability test covered:(1)content validation from the findings of 18 multiple-case studies,validated Yin-and Yangdeficiency assessment questionnaires,relevant literatures and registered Chinese medicine practitioners;(2)comprehension with the levels of comprehensibility for each item categorized on a 3-point scale(not comprehensible;moderately comprehensible;highly comprehensible).A minimum of three respondents selecting for each item of moderately or highly comprehensible were regarded as comprehensive;(3)test-retest reliability conducted with a 2-wk interval.The intraclass correlation coefficients(ICCs)and their 95%CIs were calculated using a two-way random effects model.Wilcoxon Signed Rank test for related samples was adopted to compare the medians of test-retest scores.An ICC value of 0.85 or higher together with P>0.05,was considered acceptable;and(4)internal consistency of the total items was measured and evaluated by Cronbach’s coefficient alpha(α).A Cronbach’sαof 0.7or higher was considered to represent good internal consistency.RESULTS:Eighteen Yin-deficiency and 14 Yang-deficiency presentation items were finalized from content validation.Five participants with type 2 diabetes mellitus(T2DM)performed the comprehensibility and testretest reliability tests.Comprehensibility score level of each presentation item was found to be moderate or high in three out of the five participants.Test-retest reliability showed that the single measure ICC of the total Yin-deficiency presentation items was 0.99(95%CI:0.89-0.99)and the median scores on the first and 14thdays were 17(IQR 6.5-27)and 21(IQR 6-29)(P=0.144)respectively.The single measure ICC of the total Yang-deficiency presentation items was 0.88(95%CI:0.79-0.99)and the median scores on the first and 14th days were 10(IQR 6-18)and 14(IQR 7-23)(P=0.144)respectively.The results of a descriptive correlation study on 140 survey participants with T2DM using the YY-AQ showed that internal consistency of the total Yin-deficiency and Yang-deficiency presentation items was satisfactory,with Cronbach’sαof 0.79 and 0.78respectively.CONCLUSION:The YY-AQ will be tested further for comprehensibility,test-retest and internal consistency reliabilities,scoring system validity,construct validity,convergent and discriminant validities,responsiveness and predictive validity.

Prevalence of neutralizing antibodies against liver-tropic adeno-associated virus serotype vectors in 100 healthy Chinese and its potential relation to body constitutions

Recombinant adeno-associated virus （rAAV） serotype 2, 3 and 8 vectors are the most promising liver- tropic AAV serotype vectors. Liver diseases are significant problems in China. However, to date, few studies on AAV neutralizing antibodies （Nabs） were working with the Chinese population or with the rAAV3 vectors. The present study aimed to determine the prevalence of Nabs in Chinese population against wild-type AAV2, AAV3 and AAV8 capsids as well as additional two AAV3 variants. In addition, we performed a preliminary analysis to investigate the potential influence of traditional Chinese medicine body constitutions on AAV Nabs. Our work demonstrated that the majority of healthy Chinese subjects were positive for AAV Nabs, with the order of AAV2 〉 AAV3 = AAVLK03 〉 AAV8. There was no difference between： 1）AAV3 and its variants; 2） male and female subjects; and 3） different age cohorts （〈 35, 36- 50, and 〉 51 years old）. People in the Qi-deficiency constitution had significantly increased AAV8 Nabs than people in the Gentleness constitution. Our studies may have impact on the future clinical design of AAV-based gene therapy in the Chinese population.

儿童中医体质特征及调护专家共识

中医体质是在先天禀赋和后天获得基础上形成的人体固有特质,其与健康和疾病关系密切。体质辨识已成为健康管理和“治未病”的重要方法和手段,目前用于辨识成年人的中医体质分类与判定标准已建立,但儿童体质分类与调护尚未达成共识,缺乏统一标准。本文共涉及9种体质,每种体质分别从总体特征、形体特征、常见表现、心理特征、发病倾向、对外界环境的适应能力等方面进行了描述。同时,从药膳食疗、保健推拿、四时起居等方面给出了中医调护建议。本共识进一步规范了儿童中医体质分类及调护,为临床体质辨识及中医调护提供重要的依据。

从“阳化气,阴成形”理论探讨肺癌形成及转移的中医病机

通过对“阳化气,阴成形”的理论内涵进行梳理,从理论层面探讨“阳化气,阴成形”与肺癌形成及转移之间的内在联系。借助阴阳的相对属性及无限可分,从机体物质代谢的角度阐释肺癌的中医理论渊源及“阳化气,阴成形”在生理和病理状态下对肺癌形成与发展的影响。同时,从瘤体增生侵袭的角度探究“阳化气,阴成形”在肺癌转移中的作用。机体与瘤体之间的阴阳消长、化气成形贯穿肺癌产生、发展及转移的全过程,用“阳化气,阴成形”理论来诠释肺癌形成及转移的中医学病机具有高度的普适性和临床价值。

不同中医体质超重与肥胖患者人体成分特点研究

目的探讨不同中医体质类型超重与肥胖患者人体成分的特点。方法选取2018年7月-2022年10月就诊于中国中医科学院西苑医院体重管理门诊的超重/肥胖患者149例,进行中医体质类型判定与人体成分检测(包括体质指数、总水分率、骨骼肌比率、体脂率、细胞外水分比率、腰臀比、骨矿物质含量、体细胞质量指数、骨骼肌指数、脂肪质量指数、50 kHz全身相位角、内脏脂肪面积、躯干脂肪比、躯干去脂体重比、上下肢细胞外水分比率、上臂肌围、Δ下-上肢细胞外水分比率、Δ下-上肢去脂体重比、下肢脂肪率、躯干脂肪率),分析不同中医体质类型患者各人体成分指标的特点。结果共纳入超重/肥胖患者143例,其中阳虚质患者骨矿物质含量、体细胞质量指数、骨骼肌指数、躯干脂肪比均偏低,细胞外水分比率、Δ下-上肢细胞外水分比率均偏高;痰湿质患者体质指数、体脂率、腰臀比、脂肪质量指数、内脏脂肪面积、躯干脂肪比均偏高;阴虚质患者体脂率、细胞外水分比率均偏高;气郁质患者腰臀比、骨矿物质含量、内脏脂肪面积均偏低,下肢脂肪率偏高。结论不同体质超重/肥胖患者的人体成分各有特点,体重管理过程中应予以重视,以便尽早诊断、精准辨治,防止疾病的进一步演变。

超重和肥胖人群的中医体质和经络检测特点研究

【目的】探讨超重和肥胖人群在中医体质和经络检测上的特异性表现,结合中医治未病理论,以期为临床防治肥胖和优化体质量管理模式提供新思路。【方法】采用横断面研究方法,回顾性收集2021年10月至2022年6月在佛山市中医院体检和治未病中心门诊进行体检的人群共409例,根据体质量指数(BMI)情况将研究对象分正常体质量组253例及超重和肥胖组156例。分析超重和肥胖人群的体质类型和经络检测特点。【结果】(1)在中医体质方面,超重和肥胖人群以偏颇体质为主,占79.5%(124/156),其中居前3位的偏颇体质分别为痰湿质(19.9%)、湿热质(16.7%)、阳虚质(14.7%),其体质类型分布与正常体质量人群比较,差异有统计学意义(χ^(2)=28.225,P<0.01);Logistic回归分析结果显示,痰湿质人群超重和肥胖的危险度显著增高[OR=2.71,95%CI(1.29-5.69)]。(2)在经络检测层面,超重和肥胖人群的上下值和最大值/最小值高于正常体质量人群,其中的上下值组间比较,差异有统计学意义(P<0.05);在单经检测方面,与正常体质量人群相比,超重和肥胖人群的脾经左侧、膀胱经左侧、膀胱经右侧、肝经左侧的经络检测值偏低,差异均有统计学意义(P<0.05),提示超重和肥胖与脾经左侧、膀胱经左右侧及肝经左侧的经络检测值具有相关性。【结论】中医体质方面,痰湿质与超重和肥胖密切相关;经络检测方面,超重和肥胖人群存在上下失衡表现,其形成可能与脾、肾、肝等脏腑功能失调有关。把握这些特征可更精确地为超重和肥胖人群提供体质量管理方案,从而达到更好的诊疗效果。

基于信号通路的中医药治疗痛风性关节炎作用机制研究进展

痛风性关节炎发生进展的主要病理过程是反复出现的局部无菌性炎症反应,如何干预这类炎症反应已成为当前治疗痛风性关节炎的研究热点。近年来,大量动物或组织细胞模型实验研究发现,中医药防治痛风性关节炎发生进展的作用机制与多信号通路紧密相关。本综述以多信号通路为导向,总结单味中药活性成分提取物或中医药经典复方均具有抑制NLRP3/ASC/Caspase-1信号通路、TLR/MyD88/NF-κB转导途径、COX-2/mPGES-1/PGE2转导途径、JNK信号通路、NLRP6/ASC/Caspase-1信号通路等作用,进一步下调IL-1β、IL-6、IL-8、TNF-α和IL-18等促炎因子的趋化,减轻局部炎症级联放大反应,治疗痛风性关节炎,为中医药通过调节多信号通路作用机制防治痛风性关节炎提供重要理论参考依据。

辨体调质干预对中青年空腹血糖受损兼痰湿体质人群血糖的影响

目的探讨辨体调质干预对中青年空腹血糖受损兼痰湿体质患者血糖的影响。方法选取2020年1月-12月笔者所在医院收治的中青年空腹血糖受损兼痰湿体质患者113例,采用随机数字表法将其分为干预组57例,对照组56例。对照组给予常规的生活方式干预,干预组在对照组的基础上给予辨体调质干预。分别于干预前,干预3、6个月后比较2组中医痰湿体质积分、体质指数(BMI)、腰围、空腹血糖(FPG)、糖负荷后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)的变化。结果2组FPG、糖负荷后2 h血糖(2hPG)、HbA1c、中医痰湿体质积分、体质指数(BMI)、腰围在时间、组间、交互效应上比较,差异均有统计学意义(P<0.05)。结论对中青年空腹血糖受损兼痰湿体质人群进行辨体调质干预,可有效改善其痰湿体质及血糖水平。

中医体质类型与高血压的相关性研究

目的:研究中医体质类型与原发性高血压的相关性,为体质与疾病相关理论提供流行病学调查依据。方法:汇集我国9省市(江苏、安徽、甘肃、青海、福建、北京、吉林、江西、河南)横断面中医体质调查数据7782例。中医体质调查采用标准化的中医体质量表实施,体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)的判定应用判别分析法。采用多元逐步logistic回归分析筛选原发性高血压有意义的主要体质影响因素。结果:控制性别、年龄、婚姻状况、职业、文化程度因素后,多元逐步logistic回归分析模型入选了3个中医体质因素,按影响程度的大小依次为痰湿质、阴虚质和气虚质,其比值比(oddsratio,OR)和95%可信区间(confidenceinterval,CI)分别为2.00[1.58,2.55]、1.66[1.33,2.08]和1.37[1.13,1.66]。以性别分层分析,男性高血压的主要体质影响因素是痰湿质、阴虚质,其OR值和95%CI分别为1.61[1.22,2.14]、1.60[1.17,2.19];女性高血压的主要体质影响因素是痰湿质、阴虚质和气虚质,其OR值和95%CI分别为2.80[1.79,4.39]、1.55[1.13,2.14]和1.39[1.05,1.84],痰湿质对女性高血压的影响更显著。结论:痰湿质、阴虚质和气虚质是原发性高血压的主要体质影响因素,男性和女性高血压的中医体质影响因素不同。

1003例中医体质类型流行病学调查分析

目的:初步了解安徽省自然人群的中医体质类型分布状况。方法:采用标准化的9种中医体质量表对1 003例自然人群实施横断面现状调查。结果:平和质561例,单纯偏颇体质247例,兼夹偏颇体质195例。8种偏颇体质总的分布状况是,气虚质最多(235例,单纯气虚质与兼夹体质中气虚质例数之和,下同),其次为湿热质(128例)、气郁质(122例)、痰湿质(80例);阳虚质(71例)、阴虚质(52例)和瘀血质(42例)最少,阴虚质与瘀血质主要出现在兼夹体质中。结论:9种体质在人群中的分布存在一定的差异性,兼夹体质在人群中占有一定的比例。

近视的中医体质及防治进展

近些年我国近视发病率一直居高不下,传统中医对于近视有独特的理解与防治方法。中医治疗近视以外治研究为主,主要有针刺、敷贴耳穴、推拿等方法。通过刺激穴位、通经活络、调节经气、补益气血等达到提高视力的目的,对近视患者视力改善均有不错的效果。而且中医偏颇体质为近视的易患因素,可以通过改善中医偏颇体质和防止久视伤血损伤视力来预防近视。