Chen Ping-Ho, Huang Sheng-Miauh, Lai Jerry Cheng-Yen, Yu Pei-Jung
Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
Department of Nursing, Mackay Medical College, New Taipei City, Taiwan.
Evid Based Complement Alternat Med. 2020 Oct 19;2020:7237029. doi: 10.1155/2020/7237029. eCollection 2020.
Traditional Chinese medicine (TCM) appears to be the common therapy in middle-aged women. The constitution serves as a guide for TCM treatment. However, little is known about the constitution and related factors in middle-aged women. The objectives of this study were to describe the yang-deficiency, yin-deficiency, and stasis constitutions in middle-aged women. Demographic and health factors related to yang deficiency, yin deficiency, and stasis were also examined.
A total of 1,000 women aged 40-65 years were selected from 2009 through 2018 using random sampling from the Taiwan Biobank Research Database in Taiwan. Yang-deficiency, yin-deficiency, and stasis were assessed using the body constitution questionnaire. Multiple logistic regression analysis was used to identify factors associated with constitution in deficiency or stasis.
The proportions of middle-aged women who had the constitution in yang-deficiency, yin-deficiency, and stasis were 29.7%, 21.7%, and 17.7%, respectively. The result of binary logistic regression showed that current menstruation, abnormal spirometry, and education level were predictive factors of yang deficiency. Women with younger age, abnormal spirometry, or a vegetarian diet had a significantly associated yin deficiency. Younger age, abnormal spirometry, and coffee habit were predictors of stasis.
Middle-aged women in Taiwan with abnormal spirometry had a higher risk for deficiency or stasis constitutions, especially for those younger than 56 years. Healthcare providers should learn patients' constitutions and provide appropriate advice, referring them to safe providers of their desired method.
中医似乎是中年女性常用的治疗方法。体质是中医治疗的指导依据。然而,关于中年女性的体质及其相关因素却知之甚少。本研究的目的是描述中年女性的阳虚、阴虚和血瘀体质。同时也研究了与阳虚、阴虚和血瘀相关的人口统计学和健康因素。
2009年至2018年期间,从台湾生物银行研究数据库中随机抽取1000名40 - 65岁的女性。使用体质问卷评估阳虚、阴虚和血瘀情况。采用多元逻辑回归分析来确定与虚证或血瘀体质相关的因素。
中年女性中阳虚、阴虚和血瘀体质的比例分别为29.7%、21.7%和17.7%。二元逻辑回归结果显示,目前的月经情况、肺功能异常和教育水平是阳虚的预测因素。年龄较小、肺功能异常或素食的女性与阴虚显著相关。年龄较小、肺功能异常和有喝咖啡习惯是血瘀的预测因素。
台湾地区肺功能异常的中年女性出现虚证或血瘀体质的风险较高,尤其是那些年龄小于56岁的女性。医疗服务提供者应了解患者的体质并提供适当建议,将她们转介至提供其所需安全治疗方法的机构。