本文選題：濕疹 + 韓醫(yī)四象體質(zhì)�。� 參考：《北京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的王琦教授依照"三辨"診療模式,提出了"膚一體相關(guān)論",認(rèn)為個(gè)體體質(zhì)的差異性對(duì)皮膚病的發(fā)病與轉(zhuǎn)歸有顯著影響。通過本調(diào)查觀察濕疹患者的不同證型與體質(zhì)的關(guān)系,為臨床防治濕疹提供拓展思路。中韓兩國的體質(zhì)學(xué)說都源于《內(nèi)經(jīng)》,目前有對(duì)中醫(yī)體質(zhì)學(xué)與韓醫(yī)四象體質(zhì)學(xué)的比較研究,但偏重在理論比較研究,尚未基于具體疾病的中、韓體質(zhì)相關(guān)性研究。濕疹是皮膚科的最常見疾病之一,根據(jù)濕疹患者的中、韓體質(zhì)分類判定結(jié)果,從臨床角度探索中醫(yī)體質(zhì)類型與四象體質(zhì)類型的對(duì)應(yīng)關(guān)系。方法選取124例18歲到65歲間的濕疹患者,根據(jù)《中華人民共和國中醫(yī)藥行業(yè)標(biāo)準(zhǔn)·中醫(yī)皮膚科病證診斷療效標(biāo)準(zhǔn)》制定辨證分型,運(yùn)用《中醫(yī)體質(zhì)量表》和《四象體質(zhì)量表TS-QSCD》分別進(jìn)行體質(zhì)類型判定調(diào)查。計(jì)數(shù)資料用卡方檢驗(yàn),計(jì)量資料采用均數(shù)士標(biāo)準(zhǔn)差。相關(guān)性分析用列聯(lián)系數(shù)和Lambda值。采用對(duì)應(yīng)分析方法探索各體質(zhì)之間對(duì)應(yīng)關(guān)系。以P0.05為有統(tǒng)計(jì)學(xué)意義。結(jié)果1.濕疹患者的中醫(yī)證型中,濕熱浸淫證(41.9%)最多,脾虛濕蘊(yùn)證次之(33.9%),血虛風(fēng)燥證(24.2%)最少。2.124例濕疹患者的中醫(yī)體質(zhì)類型由高至低依次為濕熱質(zhì)(21.8%)、氣虛質(zhì)(13.7%)、平和質(zhì)(12.9%)、陽虛質(zhì)(12.1%)、陰虛質(zhì)(12.1%)、痰濕質(zhì)(10.5%)、氣郁質(zhì)(6.5%)、瘀血質(zhì)(5.6%)、特稟質(zhì)(4.8%)。3.124例濕疹患者的韓醫(yī)四象體質(zhì)高至低依次為太陰人(38.7%)、少陰人(31.5%)、少陽人(25.0%)、太陽人(4.8%)。4.中醫(yī)證型與中醫(yī)體質(zhì)類型之間具有相關(guān)關(guān)系(列聯(lián)系數(shù)=0.554,Lambda值=0.207)。濕熱浸淫證多見濕熱質(zhì)、平和質(zhì)、痰濕質(zhì);脾虛濕蘊(yùn)證多見氣虛質(zhì)、濕熱質(zhì);血虛風(fēng)燥證多見陰虛質(zhì)、陽虛質(zhì)。5.中醫(yī)證型與四象體質(zhì)類型之間具有相關(guān)關(guān)系(列聯(lián)系數(shù)=0.605,Lambda值=0.459)。濕熱浸淫證多見太陰人;脾虛濕蘊(yùn)證多見少陰人;血虛風(fēng)燥證多見少陽人。6.中醫(yī)體質(zhì)類型與四象體質(zhì)類型之間具有相聯(lián)關(guān)系(列聯(lián)系數(shù)=0.503,Lambda值=0.168)。陰虛質(zhì)、陽虛質(zhì)與少陽人聯(lián)系較為密切,氣虛質(zhì)、濕熱質(zhì)與少陰人聯(lián)系較為密切,平和質(zhì)、痰濕質(zhì)、濕熱質(zhì)、瘀血質(zhì)、氣郁質(zhì)、特稟質(zhì)與太陰人聯(lián)系較為密切。結(jié)論從中醫(yī)體質(zhì)角度,濕熱浸淫證患者多屬濕熱質(zhì)、脾虛濕蘊(yùn)證患者多為氣虛質(zhì)、血虛風(fēng)燥證患者多為陰虛質(zhì);從韓醫(yī)體質(zhì)角度,濕熱浸淫證多見太陰人;脾虛濕蘊(yùn)證多見少陰人;血虛風(fēng)燥證多見少陽人。體質(zhì)與病機(jī)之間有一定程度的一致性。臨床角度觀察中韓兩國體質(zhì)的關(guān)系,顯示陰虛質(zhì)、陽虛質(zhì)與少陽人聯(lián)系較為密切,氣虛質(zhì)、濕熱質(zhì)與少陰人聯(lián)系較為密切,平和質(zhì)、痰濕質(zhì)、濕熱質(zhì)、特稟質(zhì)與太陰人聯(lián)系較為密切。提示濕疹患者的中醫(yī)體質(zhì)類型與四象體質(zhì)類型之間有相關(guān)性,但并不是完全對(duì)應(yīng)的關(guān)系。四象體質(zhì)學(xué)根據(jù)患者的臨床表現(xiàn)選用四象人的處方,主要治療原則是調(diào)和各體質(zhì)的氣液和水谷代謝均衡,導(dǎo)致臟局大小平衡,重視治療維持各體質(zhì)的正氣均衡,需要隨著患者臨床表現(xiàn)加減藥物,通過體質(zhì)方面的研究,對(duì)頑固性濕疹治療的指導(dǎo),結(jié)合中韓體質(zhì)的理論相應(yīng)條件的藥物運(yùn)用可以提高療效。中韓兩國傳統(tǒng)醫(yī)學(xué)在體質(zhì)學(xué)上存在理論差異,值得進(jìn)一步對(duì)比探究。
[Abstract]:The purpose of Professor Wang Qi in accordance with the "three" discrimination treatment model, put forward the "related theory" that individual differences in skin, physical disease of skin diseases have a significant impact and outcome. Through this investigation observation of different syndrome type and constitution of eczema, provide ideas for clinical prevention and treatment of eczema. The constitution of China and South Korea the theory comes from the < >, the comparative study of Korean medicine and four constitution theory of TCM Constitution, but the emphasis on comparative research in theory, not based on specific disease in the study of the Han physique correlation. Eczema is most common disease in Department of Dermatology, according to eczema patients in the Korean constitution classification the exploration of relationship between TCM Constitution Types and four constitution types from a clinical perspective. Methods 124 patients aged 18 to 65 years between eczema patients, according to the People's Republic of China Chinese medicine industry standard of TCM Department of Dermatology disease 璇佽瘖鏂枟鏁堟爣鍑，

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