从生态医学探讨长航疲劳的发病及证候特点  

Discussion on the incidence and syndrome characteristics of fatigue in long voyage from ecological medicine

作　　者：于清茜 王若冲 吴凤芝 张炜悦[1] 吕心怡 张翼飞 刘燕[1] 李峰[1] YU Qingqian;WANG Ruochong;WU Fengzhi;ZHANG Weiyue;LYU Xinyi;ZHANG Yifei;LIU Yan;LI Feng(Beijing University of Chinese Medicine,Beijing 102488,China;Journal Center,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学,北京102488 [2]北京中医药大学期刊中心,北京102488

出　　处：《中华中医药杂志》2024年第12期6873-6877,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81874428);国家自然科学基金青年科学基金项目(No.82204978)。

摘　　要：长航疲劳是中枢疲劳的一种表现,是在长期航海过程中由于特殊环境、过度且单一的工作、高度紧张的心理等引起的,以精神倦怠、注意力无法集中、反应迟钝、记忆力减退并伴有负面情绪为主的疲劳状态。生态医学模式是研究生态环境变化对人体健康以及疾病影响的一门新兴学科,其理念内核与中医学息息相关。目前大多认为长航疲劳的发生与自然环境因素、社会环境因素及生物源因素有关,但对其病因、病机认识尚不充分,缺乏系统的研究。文章基于生态医学模式从自然环境因素、社会心理因素、生活方式因素3个维度,探讨长航疲劳的发病因素及中医证候特点,以期为长航疲劳的研究提供参考。Fatigue in long voyage is a manifestation of central fatigue.It is caused by special environments,excessive and monotonous work,highly tense psychology,etc.during long-term voyages.It is a fatigue state mainly characterized by mental lethargy,inability to concentrate,slow reaction,memory decline,and accompanied by negative emotions.The ecological medical model is an emerging discipline that studies the impact of ecological environment changes on human health and diseases.Its ideological core is closely related to traditional Chinese medicine(TCM).At present,it is mostly believed that the occurrence of fatigue in long voyage is related to natural environmental factors,social environmental factors,and biogenic factors.However,the understanding of its etiology and pathogenesis is still insufficient,and there is a lack of systematic research.Based on the ecological medical model,this article discusses the pathogenic factors and TCM syndrome characteristics of fatigue in long voyage from three dimensions:natural environmental factors,social psychological factors,and lifestyle factors,in order to provide a reference for the research of long-voyage fatigue.

关 键 词：长航疲劳 生态医学 湿邪 肝郁脾虚 天人相应 中医 证候 发病因素 

分 类 号：F55[经济管理—产业经济]