四诊合参辅助诊疗仪辨识量化人体气血状态应用研究
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摘要
目的:通过四诊合参辅助诊疗仪辨识诊断人体健康和亚健康状态,形成中医诊断健康状态和亚健康状态气血津液辨证的数据集,数字化量化人体气血状态。方法:收集符合纳入标准的健康和亚健康人122名,通过数字化量化中医的四诊"望、闻、问、切"得出诊断结果,形成气虚组、气滞组、血虚组和健康组的数据集并分析,分别给予相应的处方建议。结果:与健康组比较,气虚组脉搏力度小,气滞组脉弦紧度大,脉搏波传导速度快,血虚组脉搏力度小,脉搏波传导速度快(P<0.05)。与健康组比较,气虚组舌瘀斑增加;与健康组比较,气滞组舌瘀斑增多,血虚组舌质颜色以红色为主,苔色黄增加,舌瘀斑增多(P<0.05)。闻诊体质辨识,气虚组、血虚组、健康组人均以金型为主,气滞组人以土型为主。结论:四诊合参辅助诊疗仪可以对人体的气血状态数字化量化辨识,对亚健康状态实现早期诊断并给予处方建议,可推广应用。
Objective: Diagnose human body's health and sub-health state through four diagnostic and auxiliary instrument to form the data set of healthy state and sub-health state, and quantify the state of qi and blood of the human body digitally. Methods: A total of 122 healthy and sub-healthy people were collected and diagnosed by four digital diagnoses methods of TCM to form data set of qi deficiency, qi stagnation, blood deficiency and health groups and give the corresponding prescription suggestions respectively. Results: Compared with the healthy group, qi deficiency group had lower pulse intensity, qi stagnation group had greater pulse tightness, faster pulse wave velocity, blood deficiency group had small pulse intensity, faster pulse wave velocity(P<0.05). Compared with the healthy group, the tongue ecchymosis in the qi deficiency group increased, the qi stagnation group has increased tongue ecchymosis, blood deficiency group of tongue color is dominated by red, with more yellow moss,tongue ecchymosis increased(P<0.05), the recognition of TCM constitution by listening and smelling, qi deficiency group, blood deficiency group, health group constitution are mainly gold, qi stagnation group are mainly soil. Conclusion: Four diagnostic methods and Auxiliary instrumentcan quantify the status of the human body to quantify the status of qi and blood, to achieve early diagnosis of sub-health status and give prescription advice, it can be extended and applied.
Objective: Diagnose human body's health and sub-health state through four diagnostic and auxiliary instrument to form the data set of healthy state and sub-health state, and quantify the state of qi and blood of the human body digitally. Methods: A total of 122 healthy and sub-healthy people were collected and diagnosed by four digital diagnoses methods of TCM to form data set of qi deficiency, qi stagnation, blood deficiency and health groups and give the corresponding prescription suggestions respectively. Results: Compared with the healthy group, qi deficiency group had lower pulse intensity, qi stagnation group had greater pulse tightness, faster pulse wave velocity, blood deficiency group had small pulse intensity, faster pulse wave velocity(P<0.05). Compared with the healthy group, the tongue ecchymosis in the qi deficiency group increased, the qi stagnation group has increased tongue ecchymosis, blood deficiency group of tongue color is dominated by red, with more yellow moss,tongue ecchymosis increased(P<0.05), the recognition of TCM constitution by listening and smelling, qi deficiency group, blood deficiency group, health group constitution are mainly gold, qi stagnation group are mainly soil. Conclusion: Four diagnostic methods and Auxiliary instrumentcan quantify the status of the human body to quantify the status of qi and blood, to achieve early diagnosis of sub-health status and give prescription advice, it can be extended and applied.
引文
[1]Yao Y,Wang L,Chen Y,et al.Correlation analysis of anxiety status and sub-health status among students of 13-26 years old.Int J Clin Exp Med,2015,8(6):9810-9814
[2]Wu S,Xuan Z,Li F,et al.Work-recreation balance,health-promoting lifestyles and suboptimal health status in southern China:A crosssectional study.Int J Environ Res Public Health,2016,13(3):339
[3]中华中医药学会.亚健康中医临床指南.北京:中国中医药出版社,2006:1-2
[4]杨学智,司银楚.便携式四诊合参辅助诊疗仪医疗器械注册产品标准,Q/140000BD001-2009,2009年7月1日发布;中华人民共和国医疗器械注册证;注册证编号:晋食药监械(准)字2010第2270004号;有效期肆年(至2014年2月10日)
[5]杨学智,司银楚.便携式四诊合参辅助诊疗仪医疗器械注册产品标准,Q/140000BD001-2009,2009年7月1日发布;中华人民共和国医疗器械注册证;注册证编号:晋食药监械(准)字2014第22700043号;有效期肆年(至2019年7月6日)
[6]Satoh H,Saijo Y,Kishi R,et al.Brachial-ankle pulse wave velocity is an independent predictor of incident hypertension in Japanese normotensive male subjects.Environ Health Prev Med,2011,16(4):217-223
[7]牛欣,司银楚,马良宵,等.基于人体气味、声音的中医气机生物学网络构建及机制探讨.衡阳:第九次全国中西医结合诊断学术研讨会论文集,2015:184-187
[8]王天芳,李灿东,朱文锋.中医四诊操作规范专家共识.中华中医药杂志,2018,33(1):185-192
[9]袁冰,范钢.中医学如何走进人工智能时代.中华中医药杂志,2018,33(2):698-703
[10]牛婷立,芦煜,马良宵,等.气血津液的动态检测方法及其识别装置研究.衡阳:第九次全国中西医结合诊断学术研讨会论文集,2015:207-209
[2]Wu S,Xuan Z,Li F,et al.Work-recreation balance,health-promoting lifestyles and suboptimal health status in southern China:A crosssectional study.Int J Environ Res Public Health,2016,13(3):339
[3]中华中医药学会.亚健康中医临床指南.北京:中国中医药出版社,2006:1-2
[4]杨学智,司银楚.便携式四诊合参辅助诊疗仪医疗器械注册产品标准,Q/140000BD001-2009,2009年7月1日发布;中华人民共和国医疗器械注册证;注册证编号:晋食药监械(准)字2010第2270004号;有效期肆年(至2014年2月10日)
[5]杨学智,司银楚.便携式四诊合参辅助诊疗仪医疗器械注册产品标准,Q/140000BD001-2009,2009年7月1日发布;中华人民共和国医疗器械注册证;注册证编号:晋食药监械(准)字2014第22700043号;有效期肆年(至2019年7月6日)
[6]Satoh H,Saijo Y,Kishi R,et al.Brachial-ankle pulse wave velocity is an independent predictor of incident hypertension in Japanese normotensive male subjects.Environ Health Prev Med,2011,16(4):217-223
[7]牛欣,司银楚,马良宵,等.基于人体气味、声音的中医气机生物学网络构建及机制探讨.衡阳:第九次全国中西医结合诊断学术研讨会论文集,2015:184-187
[8]王天芳,李灿东,朱文锋.中医四诊操作规范专家共识.中华中医药杂志,2018,33(1):185-192
[9]袁冰,范钢.中医学如何走进人工智能时代.中华中医药杂志,2018,33(2):698-703
[10]牛婷立,芦煜,马良宵,等.气血津液的动态检测方法及其识别装置研究.衡阳:第九次全国中西医结合诊断学术研讨会论文集,2015:207-209