| 摘要: | 當代醫學對於同樣暴露或罹患同一種病原，如何預測或解釋不同個體的歧異性，仍然沒有令人滿意的答案，於是中醫學的體質學說，特別是體質的臨床意義與影響因子、體質與疾病之相關性等，已受到國內外學者的重視。
本研究以台大雲林分院體檢中心健檢個案、接受家庭醫學科社區醫學訓練的醫師、及參加雲林縣社區整合式篩檢的民眾為對象，排除短期內病情不穩定或記錄不完整的個案，共計收案615人。以中醫體質問卷調查受測者之體質類型、生活史和疾病史，同時進行實驗室檢測以作為常見疾病之篩檢，再以多變量分析法探討影響體質之因素。
結果顯示「人口學和生活因子與體質之相關性」可能如下：「陰虛」與「女性」、「精神壓力」、「抽煙」、「不運動」、「油炸食物」有關；「陽虛」與「女性」、「精神壓力」、「抽煙」、「不運動」、「嗜食辛辣」有關；「氣虛」與「女性」、「年齡」、「精神壓力」、「不運動」有關；「血虛」與「女性」和「精神壓力」有關；「痰濕」與「女性」、「熬夜」、「精神壓力」、「嗜食辛辣」有關；「瘀滯」與「精神壓力」、「抽煙」、「不運動」、「嗜食辛辣」有關。
調整人口學和生活因子後疾病因子與體質之相關性可能如下：「高血壓」與陽虛和痰濕存在正相關；「糖尿病」與陰虛、陽虛和血虛存在正相關；「高血脂」與陰虛、氣虛、血虛、痰濕和瘀滯存在正相關；「貧血」與血虛和瘀滯存在正相關；「肝病」與陽虛和氣虛存在正相關；「腎病」與陰虛和陽虛存在正相關；「高尿酸」在多重疾病模式下與痰濕存在負相關；「鼻過敏」與陽虛也可能與陰虛存在正相關；「皮膚過敏」則與陰虛、陽虛、氣虛和血虛存在正相關。
Physical constitution is the basic element of health maintenance and it’s the important factor in the development of diseases. The relationship between constitution and life factors or diseases was emphasized in the theory of Traditional Chinese Medicine. It has been paid more attention in Western Medicine to realize the clinical significance of constitution and the study of the variation of individualized susceptibility to diseases.
We collected the data of total 615 candidates from the medical students and general population who received medical examinations in National Taiwan University Hospital Yu-Lin Branch and the surrounding communities in 2005. We analyzed the relationship between clinical characteristics (age, sex, life factors and diseases) and physical constitutional types of Chinese Medicine by multivariate analysis. The constitutional types are classified by the well-designed questionnaire and the latent variable model.
The results showed Yin-Deficiency type are associated with sex, psychological pressures, smoking, exercise, and fried food; Yang-Deficiency type are associated with sex, psychological pressure, smoking, exercise and spicy food; Qi-Deficiency type are associated with sex, age, psychological pressure, and exercise; Blood-Deficiency type are associated with sex and psychological pressure; Phlegm-Wetness type are associated with sex, staying up, psychological pressure and spicy food; Stasis type are associated with psychological pressure, smoking, exercise and spicy food.
After adjusting demographics and life factors, the relationship between constitution and diseases are as followed. Hypertension is the aggravating factor of Yang-Deficiency and Phlegm-Wetness types. Diabetes is the aggravating factor of Yin-Deficiency,Yang-Deficiency and Blood-Deficiency types. Hyperlipidemia is the aggravating factor of Yin-Deficiency, Qi-Deficiency, Blood-Deficiency, Phlegm-Wetness and Stasis types. Anemia is the aggravating factor of Blood-Deficiency and Stasis types. Hepatic diseases are the aggravating factors of Yang-Deficiency and Qi-Deficiency types. Renal diseases are the aggravating factors of Yin-Deficiency and Yang-Deficiency types. Hyperuricemia is the releasing factor of Phlegm-Wetness type under the model of multiple diseases. Allergic rhinitis is the aggravating factors of Yang-Deficiency and possible Yin-Deficiency types. Skin allergy is the aggravating factor of Yin-Deficiency, Yang-Deficiency, Qi-Deficiency and Blood-Deficiency types. |
