中老年人脾肾虚证实质的探讨

目的：探讨中老年人脾肾虚证实质。方法：调查50－69岁中老年人773例，检测血脂、血中氧化－抗氧化有关物质、性激素、肝肾功能、免疫功能、血常规、血压、肺活量等34项指标。结果：脾虚证（101例）与脂质代谢紊乱关系密切；肾气虚证（334例）与免疫功能低下关系密切；肾阴虚证（156例）与脂质代谢紊乱和高血压关系密切；肾阳虚证（88例）与抗氧化能力减弱、免疫功能低下、性激素内环境紊乱、抗衰老物质显著降低等关系密切，表现为多种功能衰退。结论：中老年人的脾虚、肾气虚、肾阳虚是一个逐渐发展恶的病理过程，是有层次性的，但肾阴不能列入这一层次。

Exploration on Essence of Spleen-Kidney Deficiency in Middle-Aged Pat ients

To explore the essence of Spleen Kidney Defi ciency in middle aged patients. Methods: Investigation was carried out in 773 cases of 50-69 years old to assay 34 parameters in them, including blood lipid, oxidation and a nti oxidation related substance, sex hormone, liver and renal function, immune function, blood routine, blood pressure and lung vital capacity, etc. Results: Spleen Deficiency Syndrome is closely related with li pid metabolism disorder; Kidney Qi Deficiency Syndrome is closely related with hypoimmune function; Kidney Yin Deficiency Syndrome is closely related with lip id metabolism disorder and hypertension, and Kidney Yang Deficiency is closely r elated with weakness of anti oxidation capacity, hypoimmunity, the internal env ironment disorder of sex hormone and aging, manifested as multiple functions aba ting. Conclusion: Spleen Deficiency, Kidney Qi Deficiency and Kidne y Yang Deficiency are different layers of a gradually developed and aggravated p athological process, but Kidney Yin Deficiency could not be listed into this la yer.