758 例体检者的“上火”体验的回顾性调查.docVIP

758 例体检者的“上火”体验的回顾性调查 吴金飞1 梁嵘1王召平2王盛花12 1北京中医药大学基础医学院中医诊断系 2首都医科大学附属北京同仁医院体检中心是“ Excessive internal heat ” in 758 body-check people Wu Jinfei e1, LIANG Rong1, WANG Zhao-ping2, HUANG Qing-mei3, WANG Sheng-hua1 REN Jiping2 (1 Department of Traditional Chinese Diagnostics, School of Preclinical Medicine, Beijing University of Chinese Medicine,100029,Beijing,China;2 Medical Examination Center of Beijing TongRen Hospital,100730,Beijing,Chin) Abstract Object The study was try to analyze the symptom characters and correlation factors of the “ Excessive internal heat ”. Methods A respective survey was conduct in 758 body-check people. Research subjects were asked on a series of retrospective questions about the causes，the symptoms，and the treatment of the excessive internal heat. Results 91% people have experienced the excessive internal heat, Overall incidence of the excessive internal heat was 4.2％. Femail especially the aged are more easier to suffer from excessive internal heat and with longer duration than male. There is a significant difference between sex about some symptoms of the excessive internal heat. Conclusion So called excessive internal heat is a sub-health state which possess dry syndrome and hot syndrome, Unhealthy living habits are a significance factor, The symptom difference is correlated with sex and age. To correct the unhealthy behavior and lifestyle are an most important measure to the treatment and the prevention of the excessive internal heat . key words excessive internal heat ; retrospective review；symptom; body conception “上火”一词是民间对身体出现较轻的异常热象的俗称，通常在出现口干渴、口舌生疮、牙龈肿痛、便秘等症状时，老百姓便称之为上火。在明清时期的小说以及笔记中，已经可以看到“上火”、“动热”、“动火”等的说法[1,2,3 ]，直到现在，这种传统的身体感与身体观依然存在。但是检索现代文献，从上火进行研究者寥寥无几，在中医古籍中亦少有明确的记载。随着预防医学的发展，亚健康研究的深入和中医养生保健方法的广泛应用，对传统的身体感与身体观和进行重新认识具有重要的现实意义。本文通过对健康体检者进行上火的回顾性调查，对上火的认知率、症状特征和相关因素进行了初步的探讨。 1对象和方法 1.1 对象 为2007年1月～ 2007年3月在首都医科大学附属北京同仁医院体检中心进行健康体检和入职体检者，体检者来自北京市的单位、外企、高校及外地进京的入职人员。总投放问卷800份，收回768份问卷，有效问卷758份。758例调查