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通过中医体质和脉象揭示亚健康状态。

Disclosure of suboptimal health status through traditional Chinese medicine-based body constitution and pulse patterns.

机构信息

Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.

Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan, ROC; Sleep Research Center, National Yang-Ming University, Taipei, Taiwan, ROC; Brain Research Center, National Yang-Ming University, Taipei, Taiwan, ROC.

出版信息

Complement Ther Med. 2021 Jan;56:102607. doi: 10.1016/j.ctim.2020.102607. Epub 2020 Nov 19.

Abstract

OBJECTIVES

Suboptimal health status (SHS) is a dynamic state wherein people have not been diagnosed with a disease but tend to develop diseases. People with SHS often experience fatigue and other nonspecific symptoms, which are related to a deviated body constitution in traditional Chinese medicine (TCM). However, the correlation between TCM constitution and SHS has not been adequately investigated. Furthermore, no study has explored the radial pulse analysis-an assistive objective indicator of TCM constitution-in healthy people and people with SHS.

DESIGN

A cross-sectional study.

SETTINGS/LOCATION: Center for Traditional Medicine, Taipei Veterans General Hospital, Taiwan.

SUBJECTS

Sixty-six adults (27 healthy participants and 39 participants with SHS) who were aged 20-39 years.

OUTCOME MEASURES

The body constitution questionnaire (BCQ) scores, suboptimal health status questionnaire-25 (SHSQ-25) scores, and radial pulse waves detected using sphygmography were recorded. Pulse wave analyses are presented as the ratio of frequency below 10 Hz to that above 10 Hz (SER10), which represent energy changes in organ blood flow.

RESULTS

Participants with SHS had significantly higher Yang-Xu, Yin-Xu, and stasis scores of BCQ compared with healthy participants. The SHSQ-25 scores of the participants with SHS were moderately correlated with their Yang-Xu, Yin-Xu, and stasis scores (r = 0.65, 0.66, and 0.72, respectively; all p < 0.001), but weak correlations were discovered for healthy participants. The participants with SHS had significantly higher SER10 at the left guan (the "liver" system in TCM) than did the healthy participants.

CONCLUSIONS

SHS is moderately correlated with TCM-based constitution and those with SHS had increased SER10 at the leftguan of the radial pulse.

摘要

目的

亚健康状态(SHS)是一种人们尚未被诊断出患有疾病但易患疾病的动态状态。患有 SHS 的人常经历疲劳和其他非特异性症状,这与中医(TCM)中的体质偏差有关。然而,TCM 体质与 SHS 之间的相关性尚未得到充分研究。此外,尚无研究探讨健康人和 SHS 人群中的桡动脉脉搏分析——TCM 体质的辅助客观指标。

设计

横断面研究。

地点/地点:中国台湾台北荣民总医院中医中心。

受试者

66 名成年人(27 名健康参与者和 39 名 SHS 参与者),年龄 20-39 岁。

结果

记录了体质问卷(BCQ)评分、亚健康状态问卷-25(SHSQ-25)评分和脉波描记术检测到的桡动脉脉搏波。脉搏波分析以低于 10Hz 的频率与高于 10Hz 的频率的比值(SER10)表示,代表器官血流能量变化。

结果

与健康参与者相比,患有 SHS 的参与者的 BCQ 的 Yang-Xu、Yin-Xu 和血瘀评分明显更高。患有 SHS 的参与者的 SHSQ-25 评分与他们的 Yang-Xu、Yin-Xu 和血瘀评分呈中度相关(r=0.65、0.66 和 0.72,均 p<0.001),但与健康参与者相关较弱。患有 SHS 的参与者的左侧关(TCM 的“肝”系统)的 SER10 明显高于健康参与者。

结论

SHS 与基于 TCM 的体质中度相关,且患有 SHS 的患者的左侧关桡动脉脉搏的 SER10 增加。

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