Tso-ngon (Qinghai) University Tibetan Medical College, Xining, Qinghai Province, PR China.
Tso-ngon (Qinghai) University Tibetan Medical College, Xining, Qinghai Province, PR China.
Explore (NY). 2024 Jul-Aug;20(4):580-587. doi: 10.1016/j.explore.2024.03.004. Epub 2024 Apr 2.
Previous studies have attempted to develop measurement tools for constitutional identification in Traditional Tibetan Medicine (TTM), but they have limitations. We developed a new constitution self-assessment tool that is more firmly grounded in the Gyüzhi, the foundational text of Tibetan Medicine. This new self-assessment tool takes the form of a questionnaire in which the items represent the diagnostic criteria of the three central elemental dynamics of Tibetan medicine (rLung, Tripa, Béken) and are related to the body, psychology, and diet preferences. We tested versions of the new questionnaire in three samples of Tibetan adults (total n = 973) in Qinghai Province and evaluated its validity in 90 respondents randomly selected from the main samples. These respondents completed the questionnaire and were independently evaluated by Tibetan Medicine experts using traditional methods of constitution identification. A comparison of the results led us to revise the original questionnaire. Based on expert advice, we combined similar and overlapping items to simplify and improve the scale. Cronbach's alpha was used to assess internal consistency and indicated that the final scale is reliable. There was 80-93 % agreement between experts' identifications and self-assessment responses in the survey when both types of data were available. The Traditional Tibetan Medicine (TTM) constitution scale developed in this paper has a strong basis in theory and TTM practice. It can be used by Tibetan medical practitioners, other health care providers, researchers, and the lay public to identify individual constitution and help determine appropriate treatment.
先前的研究试图为藏医（TTM）的体质辨识开发测量工具，但存在一定的局限性。我们基于藏医基础理论著作《四部医典》，开发了一种新的体质自我评估工具，使其更具坚实的理论基础。这种新的自我评估工具采用问卷形式，其中的项目代表藏医三种中心元素动力（隆、赤巴、培根）的诊断标准，与身体、心理和饮食偏好有关。我们在青海省的三个藏族成年人样本中测试了新问卷的版本，并在主要样本中随机选择了 90 名受访者对其有效性进行评估。这些受访者完成了问卷，并由藏医专家使用传统的体质辨识方法进行独立评估。对结果进行比较后，我们对原始问卷进行了修订。根据专家的建议，我们将相似和重叠的项目进行了合并，以简化和改进量表。采用克朗巴赫α系数评估内部一致性，结果表明最终量表具有可靠性。当两种数据都可用时，调查中专家鉴定与自我评估之间的一致性为 80-93%。本文开发的藏医（TTM）体质量表具有坚实的理论和 TTM 实践基础。它可被藏医从业者、其他医疗保健提供者、研究人员和普通大众用于识别个体体质，帮助确定合适的治疗方法。
