目的:了解大学生痤疮患者的中医体质类型、情绪状态,并探究其与痤疮发病的相关性.方法:采用《中医体质分类与判定表》《抑郁自评量表》《痤疮发病情况与危险因素调查表》对306名福州在校大学生痤疮患者进行问卷调查,应用SPSS 20.0软件对痤疮发病特点、情绪状态及中医体质类型进行统计分析.结果:在大学生群体中,Ⅰ型痤疮最为常见,占样本总量的59.48％;无抑郁占55.88％,有抑郁占44.12％,轻中度抑郁最多;平和质占48.37％,偏颇体质占51.63％,排名前3的偏颇体质为气虚质、阳虚质、阴虚质;痤疮严重程度与喜好肉类和油性皮肤呈正相关,与喜好水果、经常运动、干性及中性皮肤呈负相关;痤疮等级与情绪积分等级呈正相关;痤疮等级与平和质呈负相关,与多数偏颇体质呈正相关.结论:在痤疮的临床治疗和日常防治上,应有意识地加强心理疏导,根据患者的体质,有针对性地对大学生痤疮患者进行健康教育及生活方式的干预,从整体上调节痤疮患者的情绪状态和体质偏颇,以期达到更好的防治效果.

Objective: To study the distribution regularities of TCM constitution of university students in Fuzhou area. Methods: The questionnaires of TCM constitution scale for 471 university students in Fuzhou area were collected. Results: Constitutions were divided into mixed constitution, simple constitution and other constitutions. Simple constitution was mainly composed of balanced constitution. Mixed constitution was mainly composed of two, five or three type constitutions. The basic constitutions of mixed constitution were yin-deficiency, qi-deficiency, phlegm-dampness and yang-deficiency. Female yangdeficiency constitution is significantly more than male (P<0.05). Conclusion: The healthy people under the category of modern medicine are not equal to the concept of "balanced constitution" of TCM. The factors that influence the formation of the biased constitution are various and complex. There are certain limitations of classification method of nine type constitutions.

目的:探讨福州在校大学生体质类型与体检参数的相关性,了解在校大学生的体质分布特点及健康状况.方法:选择在福建中医药大学附属康复医院进行健康体检的大学生310名,收集身高、体质量、生化等体检参数,采用中医体质量表得出体质类型,应用SPSS 20.0软件对体检结果及中医体质资料进行统计分析.结果:①在校大学生偏颇体质多见,以阳虚质、痰湿质、阴虚质为主.气虚质、阳虚质分布具有性别差异(P＜0.05,P＜0.01).②体检人群血生化(ALT、TC、Urea、UA)异常率存在性别差异(P＜0.05,P＜0.01).③Glu异常与气虚质呈正相关(P＜0.05);HDL-C异常与气郁质呈正相关(P＜0.01);AST、LDL-C异常与湿热质呈正相关(P＜0.05).结论:中医体质辨识结合健康体检对大学生健康管理具有重要意义.

目的 研究福州大学生中医体质与背景情况之间的关系.方法 对315例福州大学生进行背景情况及中医体质量表问卷调查,并用SPSS 20.0软件对体质结果及背景情况进行统计分析.结果 ①福州大学生中医体质以单纯型偏颇体质为主,主要体质分布依次是平和质,阴虚质,阳虚质,气虚质和痰湿质.②中医体质与背景情况相关如下:平和质与运动习惯呈正相关;气虚质与通常入睡时刻呈正相关;痰湿质与饮食口味喜好偏咸、睡眠习惯早睡晚起、平均每天睡眠时间以及体重指数呈正相关,与睡眠习惯晚睡早起以及运动习惯呈负相关;阳虚质与饮食口味偏咸及偏辣、喜食肉类、体重指数呈负相关.结论 ①福州大学生整体健康状况有所欠佳,偏颇体质是大学生健康状态转化的危险因素.②影响体质的因素繁多、复杂.③针对体质偏颇问题及其易感疾病要采取积极的干预措施,倡导大学生保持良好的生活习惯,增强健康意识和疾病防范意识.

本文通过探讨张仲景《伤寒论》中"试探"思维的应用在避免误诊中产生的作用,分析后世医家关于临床误诊的原因以及试探法的应用,认为仲景试探思维的提出进一步丰富、完善了中医临床思维体系,正确地掌握及使用"试探法"有助于提高临床诊治的准确性,对中医临床思维体系的构建亦具有积极意义.

目的 探讨福建及甘肃地区海洛因成瘾者中医证素特征.方法 对福建、甘肃省下属强制戒毒所共462例自愿参加调查的海洛因成瘾者,开展毒品成瘾者中医PRO量表采集,应用证素辨证法提取中医证素.结果 福建及甘肃地区海洛因成瘾者证素均有差异(P＜0.05),甘肃地区证素成立比例明显高于福建.福建排名前三的病位证素为脾、肾、肝,病性证素为气虚、阳虚、气滞;甘肃排名前三的病位证素为肝、肾、脾,病性证素为气虚、气滞、阳虚.结论 毒品成瘾具有多脏腑功能失调,虚实夹杂的症候学特点.肝郁是毒瘾形成的重要诱因,脾肾两虚是主要病理基础,“痰”是“毒瘾”缠绵难愈特性的根本病理因素.在毒品戒断工作中,要加强对于内陆经济文化相对落后地区毒品问题的关注力度.

Obective:To study the distribution of Traditional Chinese Medicine syndrome among Fujian female methamphetamine addicts.Methods:Seventy seven female methamphetamine users take part in the epidemiological investigation.Results:First,location element of pattern frequency from high to low in turn is the top five spleen kidney heart and bone;Second,sexual disease syndrome factor in frequency from high to low in turn is the top five blood deficiency Yin deficiency of qi and Yang deficiency;Third,according to the results of cluster analysis,liver blood deficiency syndrome,kidney-yin deficiency syndrome and yang deficiency syndrome is the main component.Conclusion:There are more excess syndrome,and less deficiency syndrome in Fujian province female methamphetamine addicts.

Objective To research the regular pattern of college students' health condition and influences of five evolutive phases and six climatic factors to physique condition in Min hou university Town.Fuzhou.Methods To do a questionnaire survey about the physique of Traditional Chinese Medicine on college students in Fuzhou area and collect information and ues the way of professor Wang Qi nine physiques to classify physiques.Results The healthy college student's main physique is the balanced physique,the secondary are deficiency of yin,deficiency of vital energy,other physiques are less;There are different distributions of deficiency of yang between those college students were born in 1996 or 1997 and who were born in 1998.Conclusion The healthy man in modern medicine included nine physical and mixed coontitutions fiom professor wang qi and no disease;Five evolutive phases and six climatic factors have some influences on the formation of physiques,The influence of Yang deficiency constitution is more obvious.

目的 了解福州在校大学生整体睡眠情况,分析体质与睡眠质量的关系.方法 采用分层抽样的方法,选择福州市136例在校大学生进行问卷调查,对PSQI(匹兹堡睡眠质量指数)量表及中医体质资料进行分析.结果 ①大学生睡眠障碍发生率为14.7%,熬夜现象多见.PSQI分析显示大学生日间功能障碍、睡眠质量较差、入睡时间长问题较为突出;②大学生偏颇体质居多,阳虚质、气虚质、气郁质多见;③睡眠状况与偏颇体质存在相关性.结论 大学生睡眠问题较为普遍,纠正偏颇体质一定程度上可以改善大学生睡眠状况.

目的:探讨生物反馈脑波治疗对冰毒成瘾者中医证素的影响.方法:运用生物反馈仪对129例冰毒成瘾者进行脑波治疗,于治疗前后采用毒品成瘾者中医PRO量表对成瘾者中医证素进行提取,分析治疗前后中医证素变化情况.结果:①生物反馈治疗前后病位证素均以肝为主,其次为肾、脾;实性证素以气滞为主,其次为湿;虚性证素以气虚为主,其次为血虚、阳虚、阴虚;②生物反馈治疗前后冰毒成瘾者病位证素心、心神及病性证素阴虚、热积分比较差异具有统计学意义(P＜0.05).结论:生物反馈治疗对冰毒成瘾者的病位证素心、心神及病性证素阴虚、热有一定影响,其对冰毒成瘾有一定的治疗作用.

Objective:To analyze the epidemiological features and the TCM syndrome factors in male methamphetamine (meth) addicts from Fujian and Gansu Province.Methods:Using The PRO Scale of TCM Drug Addiction to investigate the epidemiological characteristics and the characteristics of TCM syndrome.Results:1) The epidemiological features:There was no statistically significant difference between the two groups of meth addicts in age,and year of drug use (P ＞ 0.05).There was significant difference in occupation,education,daily drug use,frequency of drug use,drug abusing administration and relapse (P ＜ 0.05).2) The characteristics of TCM syndrome:two groups in the syndrome distribution trend of percentage difference was large,and frequency of each syndrome element in Gansu was higher than Fujian.The disease location both lied mainly in liver,the main pathological characteristics syndrome element was yin deficiency.Two groups had significant difference in TCM syndrome such as qi deficiency and heat (P ＜ 0.05).Conclusion:There are some differences in demographic characteristics,drug abuse,and TCM syndrome element distribution characteristics in male methamphetamine addicts in Fujian and Gansu area,indicating that it is necessary to adopt different control strategies according to their different characteristics.

从古至今毒品滥用都是一个巨大的问题,且吸毒人群逐年上升,毒品对人类健康、社会和经济发展都造成了极大的危害.中医研究戒毒已经有200年的历史,有丰富的经验,于是对近10余年来有关毒品成瘾的中医认识进行综述,以期望对未来中医戒毒提供帮助.