湿热质、痰湿质人群的代谢及电导法穴位测量特征  

Metabolism and characteristics of acupoint measurement by conductance method among damp heat and phlegm humid people

作　　者：胡晓娴 曾亮 王琴 原嘉民 杨志敏 

机构地区：[1]广州市荔湾区骨伤科医院康复科,广东广州510140 [2]广东省中医院广州中医药大学第二附属医院广东省中医药科学院治未病中心,广东广州510120

出　　处：《广东医学》2018年第2期299-303,共5页Guangdong Medical Journal

基　　金：国家重点基础研究发展计划(973计划)(编号:2011CB505404);广东省科技计划项目(编号:2014B010118005);广东省中医药局重点科研课题(编号:20164008;20171116);广东省财政厅-广东省中医院专项项目(编号:粤财工[2016]150号);广东省中医院中医药科学技术研究专项(编号:2016KT1206)

摘　　要：目的探讨湿热质、痰湿质人群的代谢及电导法穴位测量特征。方法采用流行病学调查的方法,对佛山南海某村居民进行中医体质类型辨识、抽血进行代谢指标检测、电导法穴位测量,采用SPSS 18.0统计软件的对应分析方法,研究湿热质、痰湿质人群在代谢及电导法穴位测量方面的相关性。结果共调查居民701人,平和质627人(92.30%),湿热质39人(5.56%),痰湿质35人(2.14%)。胆固醇升高429人(61.20%),三酰甘油升高200人(28.53%),血尿酸升高249人(35.52%),空腹血糖升高55人(7.85%)。电导法穴位测量虚证比例最大为三焦经166人(23.7%)。实证比例最大为心经186人(26.5%)。中医体质与代谢指标对应分析结果提示,相对于湿热质和平和质,痰湿质与总胆固醇、血尿酸高、空腹血糖升高关系较为密切,而相对于痰湿质和平和质,湿热质与三酰甘油升高关系较为密切。中医体质与电导法经络测量对应分析结果提示,相对于湿热质和平和质,痰湿质处于图示的中部与脾、胃、肺、三焦、肾、膀胱经络的虚证关系较为密切,相对于痰湿质和平和质,湿热质处于图示的中部与心包、小肠、胆、膀胱、脾经络的实证关系较为密切。结论湿热质与痰湿质人群虽然以津液代谢异常为共同特征,但两种体质在具体的代谢指标和电导法穴位测量虚实分布上存在各自的特征,这为两种体质的辨识和体病相关的研究与干预提供参考。Objective To investigate the metabolism and the characteristics of acupoint measurement by conductance method among damp heat and phlegm humid people. Methods Using the method of epidemiological survey, TCM Constitution identification, blood metabolism index test and acupoint measurement using conductance method were conducted in among the residents of a village of Nanhai District, Foshan. The correlation analysis was conducted using SPSS 18.0 statistic software. Results A total of 701 residents were investigated, among whom 627 （92. 30% ） were with gentleness type, 39 （5.56%） with humid heat type and 35 （2. 14% ） with phlegm and humid quality. Among them, cholesterol in- crease was revealed in 429 residents （61.20%）, three acylglycerol increase in 200 residents （28.53%）, blood uric acid increase in 249 residents （35.52%）, and fasting blood glucose increase in 55 residents （7.85%）. According to conductance method measurement, the most prominent deficiency type was in Sanjiao （ 166, 23.7% ） ; the most prominent empirical type was heat meridian （ 186, 26. 5% ）. Phlegm dampness was closely correlated with the increases of total cholesterol, high blood uric acid and fasting blood glucose; and damp heat and gentleness types were closely correlated with the increase of three acyl glycerin. Phlegm dampness was correlated with deficiency in spleen, stomach, lung, kidney and bladder meridians. Damp heat was correlated with the empirical in pericardium, small intestine, bladder, spleen meridian and gallbladder. Conclusion Damp heat and phlegm are differed in both metabolic parameters and actual measurement point conductivity distribution, it provides a reference for research, intervention and identification of diseases related to these two kinds of constitution.

关 键 词：湿热质 痰湿质 代谢 穴位测量 

分 类 号：R229[医药卫生—中医基础理论]