青年健康状态中医证素分布特征研究  

Study on Distribution Characteristics of Traditional Chinese Medicine Syndrome Elements in Youth Health Status

作　　者：刘少渝[1] 林冰菲 张斐 陈圆 齐嘉妍[1] LIU Shaoyu;LIN Bingfei;ZHANG Fei;CHEN Yuan;QI Jiayan(Office of Student Affairs,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China;College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China)

机构地区：[1]福建中医药大学学生工作处,福建福州350122 [2]福建中医药大学中医学院,福建福州350122

出　　处：《福建中医药》2024年第12期11-13,共3页Fujian Journal of Traditional Chinese Medicine

基　　金：中国共产主义青年团福建省委员会基金(FJTSW2022QSNFZ04);福建省社科联项目(FJ2024TWWY007)。

摘　　要：目的分析福建地区青年群体健康状态分布特点,为青年群体中医健康管理提供科学依据。方法通过随机数字表随机抽取的方式,选择2022年1—12月在福建省第二人民医院、福建省第三人民医院中医门诊体检的18~35岁健康青年共312例,采用证素辨证的方法,分析健康状态,包括状态分布、疾病分布、病位要素、病性要素的特点。结果163例(52.24%)的青年人群处于欲病状态、已病状态,常见临床症状主要包括心悸、口干、头痛、寐差、乏力、腰酸。中医疾病病名诊断分布主要包括心悸、胃痛、不寐、胸痹、痞满、淋证、胁痛。病性要素方面,实的病性要素主要有热、湿、痰、食积,虚的病性要素主要有阴虚、血虚;病位要素方面,涉及脏的病位要素主要有肝、心,腑的病位要素主要是胆。结论青年群体的健康水平不容乐观,病位上呈现出多脏腑功能问题并见,病性上呈现虚实夹杂。Objective:To analyze the distribution characteristics of the health status among youths in a certain region of Fujian Province and provide a scientific basis of traditional Chinese medicine(TCM)health management for youths.Methods:A total of 312 youths aged 18-35 years who underwent TCM outpatient physical examinations at the Second People's Hospital of Fujian Province and the Third People's Hospital of Fujian Province from January to December 2022 were randomly selected using a random number table.The syndrome differentiation method was employed to analyze their health status,including the distribution of states and diseases,disease location elements,and disease nature elements.Results:Among the participants,163(52.24%)youths were identified in predisease or disease states.Common clinical symptoms included palpitations,dry mouth,headache,and insomnia,fatigue,soreness of loins.Frequent TCM disease diagnoses were palpitations,stomach pain,insomnia,chest obstruction,and epigastric fullness,stranguria,hypochondriac pain.Regarding disease nature elements,the excess conditions mainly included heat,dampness,phlegm,and food stagnation,while the deficiency conditions mainly included yin deficiency and blood deficiency.In terms of disease location elements,the liver and heart were primarily involved among the Zang-organs,while the gallbladder was mainly involved among the Fu-organs.Conclusion:The health status of youths is not optimistic,characterized by multi-organ involvement in disease location elements and a deficiency-excess complex in disease nature elements.This situation should be taken seriously,and targeted health support for youths should be implemented under the guidance of the TCM concept of preventing disease.

关 键 词：健康状态 证素 病位要素 病性要素 

分 类 号：R25[医药卫生—中医内科学]