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首页> 外文期刊>Journal of Acupuncture and Meridian Studies >Development of a Novel Questionnaire for the Traditional Chinese Medicine Pattern Diagnosis of Stress
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Development of a Novel Questionnaire for the Traditional Chinese Medicine Pattern Diagnosis of Stress

机译:压力模式中医诊断新问卷的研制

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Currently, there is no definitive diagnosis or list of signs and symptoms for “stress” in either modern biomedicine or Chinese medicine (CM). While modern theories on stress relate to the neurological interaction of a stressor or stimuli on the autonomic nervous system, it is generally regarded as subjective in nature and as such each individual will likely present varying somatic or cognitive signs and symptoms. A questionnaire was therefore developed, based on textual research, that incorporated both general as well as gender specific signs and symptom responses to determine the most common CM patterns associated with individuals who report as feeling stressed. For the 45 females who completed the questionnaire, the mean percentage of symptoms per CM pattern showed?that the pattern with the highest average percentage was heart qi deficiency (61.88%) followed by liver blood deficiency (60.23%) and then heart blood deficiency (60.12%). For males ( n ?=?16), heart qi deficiency was also the highest scoring CM pattern?with a scoring percentage of 54.81%. In males, however, heart blood deficiency was second with 53.29% followed by liver blood deficiency with 51.10%. Of the general non gender-specific symptoms collected ( n ?=?65 symptoms), the symptom most commonly reported by both men and women was “anxious or racing thoughts”, followed by “constant worrying” and “inability to concentrate”. The CM diagnostic pattern results?may prove useful for clinicians as the change in diagnostic understanding will also?modify the treatment principle and subsequent treatment with acupuncture or herbal medicine. Future CM research studies should consider including the questionnaire?either as a diagnostic aid or as an outcome measure for acupuncture or herbal medicine studies related to stress.
机译:当前,在现代生物医学或中医(CM)中都没有针对“压力”的明确诊断或体征和症状列表。现代有关压力的理论与压力或刺激在自主神经系统上的神经系统相互作用有关,但通常被认为是主观的,因此每个人都可能表现出不同的躯体或认知征象和症状。因此,在文本研究的基础上,开发了一个调查表,该调查表综合了一般性症状和性别特异性症状以及症状反应,以确定与报告有压力的人相关的最常见的CM模式。在完成问卷调查的45位女性中,每种CM模式的平均症状百分比显示:平均百分比最高的模式是心气虚(61.88%),其次是肝血不足(60.23%),然后是心血不足( 60.12%)。对于男性(n = 16),心气不足也是得分最高的CM模式,得分百分比为54.81%。但是,在男性中,心脏血液缺乏症以53.29%位居第二,其次是肝脏血液缺乏症,为51.10%。在收集的一般非性别特定症状(n = 65症状)中,男性和女性最常报告的症状是“焦虑或赛车思想”,其次是“持续担忧”和“无法专心”。 CM诊断模式的结果可能对临床医生有用,因为对诊断理解的改变也将改变治疗原理以及随后使用针灸或草药的治疗方法。未来的CM研究应考虑将调查表包括在内,作为与压力相关的针灸或草药研究的诊断辅助手段或结果指标。

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