中医体质辨识在中医治未病健康管理中的应用
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摘要
目的:探讨中医体质辨识在健康管理中的应用价值及方法体会。方法:选取20～45岁体检人员207人,在常规体检的基础上增加中医体质辨识,并进行相应健康指导,3个月后进行体质干预效果评价。结果:(1)受检人员中未有指标异常的主要体质类型是:平和质、血瘀质、气郁质、阳虚质、湿热质;有指标异常人群的主要体质类型是:湿热质、阳虚质、痰湿质、气郁质;亚健康风险主要表现为:乏力、怕冷、易过敏、胸闷/腹胀、眩晕、焦虑等;(2)有针对性进行干预调理后,偏颇体质人群减少,平和质人群显著增加。结论:(1)问卷调查的方式对于体质辨识能如实反映受检人员长期生活状态,通过体质辨识可增加亚健康状态及潜在健康风险检出率,很好地弥补常规体检的不足;(2)将中医体质辨识纳入常规体检,联合现代检测技术,结合临床望闻问切辨证分析,有针对性改善亚健康人群状态,为健康管理模式的实施完善提供思路。
Objective: To explore the application value and methods of TCM constitution identification in health management. Methods: A total of 207 health check-up people aged 20-45 years were selected. On the basis of routine health check-up, identification of constitution types was conducted and corresponding health advice was given. The effect of constitution intervention was evaluated after 3 months. Results:(1)The main types of constitution without abnormal indexes were: calm, blood stasis, qi-stagnation, yang-deficiency and damp-heat constitutions; the main types of constitution with abnormal indexes were damp-heat, yang-deficiency, phlegm-dampness, and qi-stagnation constitutions; the main sub-health risks were fatigue, aversion to cold, susceptibility to allergy, chest tightness/abdominal distension, dizziness, anxiety, etc.(2)After targeted intervention, the number of problem constitution decreased and balanced constitution markedly increased. Conclusion:(1)Questionnaire survey can accurately reflect the long-term life status of the subjects and identification of constitution types may increase relevance ratio of sub-health and potential health risks, which makes up the deficiency in normal health check-up.(2)The physical identification of traditional Chinese medicine should be incorporated into routine physical examination, combined with modern detection technology, and combined with clinical practice. Through dialectical analysis, we can improve the sub-health population and provide ideas for the implementation of health management model.
Objective: To explore the application value and methods of TCM constitution identification in health management. Methods: A total of 207 health check-up people aged 20-45 years were selected. On the basis of routine health check-up, identification of constitution types was conducted and corresponding health advice was given. The effect of constitution intervention was evaluated after 3 months. Results:(1)The main types of constitution without abnormal indexes were: calm, blood stasis, qi-stagnation, yang-deficiency and damp-heat constitutions; the main types of constitution with abnormal indexes were damp-heat, yang-deficiency, phlegm-dampness, and qi-stagnation constitutions; the main sub-health risks were fatigue, aversion to cold, susceptibility to allergy, chest tightness/abdominal distension, dizziness, anxiety, etc.(2)After targeted intervention, the number of problem constitution decreased and balanced constitution markedly increased. Conclusion:(1)Questionnaire survey can accurately reflect the long-term life status of the subjects and identification of constitution types may increase relevance ratio of sub-health and potential health risks, which makes up the deficiency in normal health check-up.(2)The physical identification of traditional Chinese medicine should be incorporated into routine physical examination, combined with modern detection technology, and combined with clinical practice. Through dialectical analysis, we can improve the sub-health population and provide ideas for the implementation of health management model.
引文
[1]王琦.中医体质辨识在公共卫生服务中的应用.福建中医药大学学报,2011,21(2):1-4
[2]马晓峰,王琦.论体质辨识在健康管理中的应用及意义.中华中医药学刊,2007,25(11):2265-2267
[3]王琦.体质辨识是“治未病”的“抓手”.环球中医药,2008,1(3):5-6
[4]中华中医药学会.中医体质分类与判定.北京:中国中医药出版社,2009
[5]国家中医药管理局医政司.中医药健康管理服务技术规范.2013
[6]韩俊昌,杨玲玲.刮痧疗法在治未病中的运用.河南医学研究,2017,26(8):1405-1407
[7]杨玲玲,倪诚,李英帅,等.灸法改善阳虚质临床体会.河南中医,2017,37(4):727-729
[8]靳琦.王琦“辨体-辨病-辨证诊疗模式”的理论要素与临床应用.北京中医药大学学报,2006,29(1):41-45,55
[9]国务院办公厅.中医药健康服务发展规划(2015-2020年).2015
[10]李江,淘沙,李明,等.健康管理的现状与发展策略.中国工程科学,2017,19(2):8-15
[2]马晓峰,王琦.论体质辨识在健康管理中的应用及意义.中华中医药学刊,2007,25(11):2265-2267
[3]王琦.体质辨识是“治未病”的“抓手”.环球中医药,2008,1(3):5-6
[4]中华中医药学会.中医体质分类与判定.北京:中国中医药出版社,2009
[5]国家中医药管理局医政司.中医药健康管理服务技术规范.2013
[6]韩俊昌,杨玲玲.刮痧疗法在治未病中的运用.河南医学研究,2017,26(8):1405-1407
[7]杨玲玲,倪诚,李英帅,等.灸法改善阳虚质临床体会.河南中医,2017,37(4):727-729
[8]靳琦.王琦“辨体-辨病-辨证诊疗模式”的理论要素与临床应用.北京中医药大学学报,2006,29(1):41-45,55
[9]国务院办公厅.中医药健康服务发展规划(2015-2020年).2015
[10]李江,淘沙,李明,等.健康管理的现状与发展策略.中国工程科学,2017,19(2):8-15