乾癬病人陽氣虛、陰血虛、痰濕瘀滯體質狀態及其相關因素

Status of Yang-Xu, Yin-Xu, Stasis Constitution and its Related Factors in Patients with Psoriasis

黃子芸(Tzu-Yun Huang) ； 鄭慧滿(Hui-Man Cheng) ； 林君黛(Jun-Dai Lin) ； 陳麗麗(Li-Li Chen) ； 許原山(Yuan-Shan Hsu) ； 魏素敏(Su-Min Wei)

《中西醫結合護理雜誌》 4期 (2020/11) Pp. 20-35

https://doi.org/10.6211/TTCMNA.202011_(4).0002

摘要

背景：乾癬為反覆發作的疾病。傳統中醫認為個體體質偏差與疾病復發有關，了解乾癬病人體質偏差情形，可提供醫療人員照護病人之參考。目的：探討乾癬病人中醫陽氣虛、陰血虛、痰濕瘀滯體質情形及其相關因素。方法：採橫斷式相關性研究設計，於台灣中部某醫學中心皮膚科門診進行立意取樣，共收案158位。使用結構式問卷調查，問卷包含中醫體質量表（含陽氣虛、陰血虛及痰濕瘀滯體質量表）、五志問卷及體質相關因素問卷。結果：乾癬病人平均年齡44.06±13.79歲。有陽氣虛、陰血虛及痰濕瘀滯體質者佔45.6%、58.2%及50.6%。經線性複回歸分析發現，情志怒、思、恐、喜好吃甜味食物及目前口服Methotrexate（MTX）為影響乾癬病人陽氣虛體質的因素；年齡、情志怒、思及吃烤炸辛辣食物為影響陰血虛體質的因素；情志怒、悲為影響痰濕瘀滯體質的因素。結論／務實應用：乾癬病人發生陰血虛及痰濕瘀滯體質的比例偏高，情志及飲食喜好是體質偏差的相關因素。醫護人員可依據病人體質偏差狀態，提供情志及飲食調理的中醫照護措施。

關鍵字

傳統中醫體質 ； 陽氣虛體質 ； 陰血虛體質 ； 痰濕瘀滯體質 ； 乾癬

並列摘要

Background: Psoriasis is a recurring disease. In Traditional Chinese Medicine (TCM), it is believed an individual's body constitution is related to disease recurrence. By understanding the deviation of traditional Chinese medicine body constitution and its related factors in patient with psoriasis, it can provide a reference for medical staffs to care for patients. Purpose: To explore the status of TCM Yang-Xu, Yin-Xu, and Stasis constitutions and their related factors in patients with psoriasis. Methods: A cross-sectional correlation study design and purposive sampling was used. A total of 158 psoriasis patients were recruited from the outpatient clinic of the department dermatology in a medical center in central Taiwan. Using a structured questionnaire involving traditional Chinese medicine body constitution questionnaire (BCQ; included Yang-Xu constitution, Yin- Xu constitution, and Stasis constitution questionnaires), questionnaire of five emotions, and questionnaire for body constitution-related factors the questionnaire. Results: 158 participants completed the questionnaires. The average age of participants was 44.06 ± 13.79 years. The percentages of participants with Yang-Xu, Yin-Xu, and Stasis constitutions were 45.6%, 58.2%, and 50.6%, respectively. The multiple linear regression analysis demonstrated the factors that affect Yang-Xu constitution in these patients included the emotions of anger, thinking, and fear as well as the preference for sweet foods and the duration of Methotrexate (MTX) taking; the factors that affect Yin-Xu constitution in these patients included the age, emotions of anger and thinking as well as the preference for grilled, fried, and spicy food; and the factors that affect Stasis constitution in these patients included the emotions of anger and sadness. Conclusion/Implications for Practice: The prevalence of Yin-Xu and Stasis body constitutions in patients with psoriasis is slightly high, and that emotions and dietary favor are factors related to the deviation in body constitution. According to the result, medical staffs could provide suitable Chinese medicine care for patients with psoriasis.

並列關鍵字

Traditional Chinese Medicine (TCM) body constitution ； Yang-Xu constitution ； Yin-Xu constitution ； Stasis constitution ； psoriasis