8448例一般人群中医体质兼夹状况分析  

Research on traditional Chinese medicine composite constitution in 8448 cases of general population

作　　者：朱燕波[1] 王琦 虞晓含 吕晓颖 贾丽燕 ZHU Yan-bo;WANG Qi;YU Xiao-han;LYU Xiao-ying;JIA Li-yan(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学管理学院,北京100029 [2]北京中医药大学中医学院,北京100029

出　　处：《中华中医药杂志》2020年第9期4337-4341,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药大学重点攻关项目(No.2020-JYB-ZDGG-073);科技部科技基础性工作专项(No.2013FY114400-5);国家重点基础研究发展计划(973计划)项目(No.2005CB523501)。

摘　　要：目的:探究我国一般人群体质兼夹发生率、体质兼夹倾向等问题。方法:利用与我国15岁以上人口结构一致的8448例一般人群中医体质横断面调查数据库数据,对研究对象的体质状况进行分类统计。以平和质之外的8种偏颇体质(气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质及特禀质)得分为基础,进行各偏颇体质间的双变量相关分析及因子分析。以是否判定为8种偏颇体质为基础,进行各偏颇体质间的聚类分析。结果:①53.80%的研究对象存在体质兼夹现象,气虚质最易与其它偏颇体质形成体质兼夹,特禀质最不易与其它偏颇体质形成体质兼夹。②不同偏颇体质之间的关联程度不同,"气虚质-阳虚质""气虚质-气郁质""阴虚质-湿热质""阴虚质-血瘀质""痰湿质-湿热质""气虚质-阳虚质-气郁质""阴虚质-湿热质-血瘀质""阴虚质-痰湿质-湿热质-血瘀质"等组合存在较强的体质兼夹倾向。结论:体质兼夹现象具有普遍性,部分偏颇体质间易于形成体质兼夹状态。对于无体可辨及多种偏颇体质兼夹的特殊体质状态,应考虑更为灵活的辨识评价方法。Objective:To explore the incidence and tendency of composite constitutions in general population of China.Methods:Cross-sectional survey database of traditional Chinese medicine(TCM)constitutional identification was based on 8488 subjects which were consistent with the population structure over 15 years old in China,and the TCM constitution status of the subjects was classified and counted.Based on the scores of eight biased constitution types(qi deficiency,yang deficiency,yin deficiency,phlegm dampness,dampness heat,blood stasis,qi depression and specific diathesis)besides the balanced constitution type,the bivariate correlation analysis and factor analysis were carried out among the biased constitution types.Cluster analysis was carried out among the biased constitution types based on identified.Results:①53.80%of the subjects had the phenomenon of composite constitution type.The qi deficiency constitution type was the most likely to form the composite constitution,while special diathesis constitution type was the least likely to form the composite constitution.②The correlation degree differed in biased constitutions,‘qi deficiency-yang deficiency type’,‘qi deficiency-qi depression type’,‘yin deficiency-dampness heat type’,‘yin deficiency-blood stasis type’,‘phlegm dampness-dampness heat type’,‘qi deficiency-yang deficiency-qi depression type’,and‘yin deficiency-phlegm dampness-blood stasis-dampness heat type’had strong tendencies of composite constitution type.Conclusion:There is a universal phenomenon among TCM composite constitution type and some biased constitutions types may turn to composite constitution types easily.More flexible identification and evaluation methods should be considered for the special constitution types with no constitution to be identified as well as complex composite constitution type.

关 键 词：中医体质 体质兼夹 体质辨识 中医体质量表 

分 类 号：R229[医药卫生—中医基础理论]