运用中医“治未病”理论在农民健康体检中进行体质辨识3043例的分析

目的：在农民健康体检中运用中医＂治未病＂理论对受检者进行体质辨识,了解湖州地区农民体质分类分布状况,并为下阶段进行中医药健康干预提供理论依据。方法：制定体质辨识分类标准,制订中医体质辨识表,并对体检医师进行专门培训。由体检医师在健康体检时填写,然后由中医专家进行体质辨识,并进行统计分析。结果：在湖州市三县两区共3043例受检者中,6种体质分布从高到低依次是：平和质1628例（53.49%）、气虚质423例（13.92%）、痰湿质387例（12.71%）、阴虚质248例（8.15%）、阳虚质218例（7.16%）、湿热质139例（4.57%）。结论：在3043例受检者中,气虚质423例,占13.92%,居偏颇体质的第一位;痰湿质387例,占12.71%,加上湿热质139例（4.57%）,则挟湿体质占总人数的17.29%。与古代文献所记载的湖州所处的江南一带居民元气薄弱、易感外邪和患病恒多挟湿、缠绵难愈基本符合。

Analysis of the 3043 Cases of Constitutions of the Peasants Accepted the Health Physical Examination according to the Theory of Preventiving Treatment of Disease of TCM

Objective：Carrying out identifying the constitutions of the peasants who have accepted the Health Physical Examination according to the theory of TCM of Preventiving treatment of disease and finding out the distribution of constitutions of the peasants in Huzhou City,then offering the relevant evidence for the following healthy intervening of TCM.Methods：Establishing the classified standard of identifying the constitutions,making the tables of identifying the constitutions of TCM,and training the members of the research group by specialists of TCM.Then,the physicians of the group identify the constitutions,fill in the tables,and take statistics analysis according to the data.Results： The distribution of the six constitutions in the 3043 cases of the peasants of Huzhou,show that Normal Constitution 1628 cases（53.49%）、Qi-deficiency Constitution 423（13.92%）,Phlegm-dampness Constitution 387（12.71%）,Yin-deficiency Constitution 248（8.15%）,Yang-deficiency Constitution 218（7.16%）,Damp-heat Constitution 139（4.57%） according to the order of the number proportion from more to less.Conclusion：In the 3043 cases,Qi-deficiency Constitution occupy 248 cases（13.92%）,is the first place of the abnormal constitutions;The number of constitutions of Phlegm-dampness and Damp-heat are 526 cases,the rate is 17.29%.The result of the distribution of constitutions conforms to the point of view in the ancient medical works about the people of Huzhou at the Changjiang River Basin,who were deficiency of Primary-Qi,suffered from outer pathogens easily;The diseases due to dampness were commonly seen and difficult to restore for a long time.