Volume 20 Issue 5
May  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 836-838
ZHU Qiong, CHEN Chun-feng. Application of constitution identification in community hypertension management[J]. Chinese Journal of General Practice, 2022, 20(5): 836-838. doi: 10.16766/j.cnki.issn.1674-4152.002467
Citation: ZHU Qiong, CHEN Chun-feng. Application of constitution identification in community hypertension management[J]. Chinese Journal of General Practice, 2022, 20(5): 836-838. doi: 10.16766/j.cnki.issn.1674-4152.002467
shu

Application of constitution identification in community hypertension management

doi: 10.16766/j.cnki.issn.1674-4152.002467
  • 1.

    Kangjian Street Community Health Service Center of Xuhui District, Shanghai 200233, China

Funds:

 2018SQ027

  • Received Date: 2021-03-22
    Available Online: 2022-09-05
    Abstract
  • Hypertension is a common chronic disease in the community, which has high incidence rate and risk. The focus of effective prevention and management of hypertension is on community chronic disease management. The traditional constitution theory of traditional Chinese medicine (TCM) clarifies the internal relationship between various constitutions and the occurrence and development of diseases. Many investigations have found that the incidence, disease changes and disease outcomes of patients with hypertension are closely related to their own constitution. Therefore, this paper first expounds the relationship between physical factors and the occurrence and development of hypertension and summarises the results of most current investigations and studies. Phlegm dampness and yin deficiency are the most common biased constitution of patients with hypertension. Secondly, the study analyses the main problems and deficiencies in the current situation of community hypertension management mode: lack of effective, scientific and reasonable prevention and treatment and lack of "individualised" management. This paper focuses on the application status and results of TCM constitution identification in community hypertension management in China, so as to clarify the significance of constitution identification in community hypertension management. Finally, the main problems of applying constitution identification to community hypertension management and perfecting this model in the future are explained, such as lack of policy support, information standardisation means and lack of TCM talents. Moreover, the problems that need to be solved and discussed are put forward. Conclusion: the constitution of TCM has an important impact on the incidence and development of hypertension. According to the theory of constitution of TCM, the use of constitution identification, appropriate technology of TCM and timely correction of biased constitution will play a certain role in delaying the occurrence and development of hypertension and preventing the occurrence of target organ damage. The constitution management of TCM provides a reference for the prevention and control of hypertension.

     

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    • References(36)
  • [1]
    中华医学会心血管病学分会, 中国康复医学会心脏预防与康复专业委员会, 中国老年学和老年医学会心脏专业委员会, 等. Chinese guideline on the primary prevention of cardiovascular diseases[J]. Chinese Journal of Cardiology, 2020, 48(12): 1000-1002. doi: 10.3760/cma.j.cn112148-20201009-00796

    Chinese Association of Cardiology, Chinese Association of Rehabilitation Medicine, Chinese Association of Cardiology Prevention and Rehabilitation, Chinese Association of Gerontology and Geriatric Medicine, et al. 中国心血管病一级预防指南[J]. Chinese Journal of Cardiology, 2020, 48(12): 1000-1002. doi: 10.3760/cma.j.cn112148-20201009-00796
    [2]
    马丽媛, 吴亚哲, 王文, 等. 《中国心血管病报告2017》要点解读[J]. 中国心血管杂志, 2018, 23(1): 3-6. doi: 10.3969/j.issn.1007-5410.2018.01.002

    MA L Y, WU Y Z, WANG W, et al. Interpretation of the report on cardiovascular diseases in China(2017)[J]. Chinese Journal of Cardiovascular Medicine, 2018, 23(1): 3-6. doi: 10.3969/j.issn.1007-5410.2018.01.002
    [3]
    陈伟伟, 隋辉, 马丽媛. 中国心脑血管病流行现况及防治进展[J]. 心脑血管病防治, 2016, 16(2): 79-83. doi: 10.3969/j.issn.1009-816X.2016.02.001

    CHEN W W, SUI H, MA L Y. Prevalence and prevention of cardiovascular and cerebrovascular diseases in China[J]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 2016, 16(2): 79-83. doi: 10.3969/j.issn.1009-816X.2016.02.001
    [4]
    胡盛寿, 高润霖, 刘力生, 等. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3): 209-219. doi: 10.3969/j.issn.1000-3614.2019.03.001

    HU S T, GAO R L, LIU L S, et al. Summary of the 2018 Report on Cardiovascular Diseases in China[J]. China Circular Journal, 2019, 34(3): 209-219. doi: 10.3969/j.issn.1000-3614.2019.03.001
    [5]
    北京高血压防治协会, 北京糖尿病防治协会, 北京慢性病防治与健康教育研究会, 等. 基层心血管病综合管理实践指南2020[J]. 中国医学前沿杂志(电子版), 2020, 12(8): 1-7. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQY202008002.htm

    Beijing Association of Hypertension Prevention and Control, Beijing Association of Diabetes Prevention and Control, Beijing Association of Chronic Disease Prevention and Health Education, et al. Practise guideline(2020)for integrated management of cardiovascular diseases in primary hospitals[J]. Chinese Journal of the Frontiers of Medical Science(Electronic Version), 2020, 12(8): 1-7. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQY202008002.htm
    [6]
    王培玉, 刘爱萍, 刘宝花. 高血压的健康管理[J]. 中华健康管理学杂志, 2007, 1(1): 18-21. https://cdmd.cnki.com.cn/Article/CDMD-10149-1020414848.htm

    WANG P Y, LIU A P, LIU B H. Hypertension' s health management[J]. Chinese Journal of Health Management, 2007, 1(1): 18-21. https://cdmd.cnki.com.cn/Article/CDMD-10149-1020414848.htm
    [7]
    王琦. 中医体质学[M]. 北京: 人民卫生出版社, 2009: 2.

    WANG Q. Constitution of traditional Chinese medicine[M]. Beijing: People' s Medical Publishing House, 2009: 2.
    [8]
    潘立文, 李光富, 李海艳. 痰湿体质实质探究[J]. 辽宁中医药大学学报, 2017, 19(7): 154-158. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201707045.htm

    PAN L W, LI G F, LI H Y. Exploration and research on the esscence of phlegmatic hygrosis constitution[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2017, 19(7): 154-158. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201707045.htm
    [9]
    陈明霞, 荆朝霞, 王瑞莉, 等. 高血压病患者中医体质与生存质量的相关性研究[J]. 中华全科医学, 2014, 12(10): 1657-1658, 1661. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201410050.htm

    CHEN M X, JIN Z X, WANG R L, et al. Correlation research of body constitution in traditional chinese medicine and quality of life in hypertensive patients[J]. Chinese general practice, 2014, 12(10): 1657-1658, 1661. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201410050.htm
    [10]
    张伯臾. 中医内科学[M]. 上海: 上海科学技术出版社, 2018: 204-207.

    ZHANG B Y. Internal medicine of traditional Chinese Medicine[M]. Shanghai: Shanghai Science and Technology Press, 2018: 204-207.
    [11]
    刘银云, 陈慎, 王亚林. 社区原发性高血压患者中医体质辨识与分析[J]. 上海医药, 2017, 38(4): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201704018.htm

    LIU Y Y, CHEN S, WANG Y L. Identification and analysis of TCM constitution in the patients with community essential hypertension J]. Shanghai Medical & Pharmaceutical Journal, 2017, 38(4): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201704018.htm
    [12]
    林碧容, 卢兴凤, 王益平. 泸州地区原发性高血压病患者中医体质分布特征调查[J]. 中西医结合护理(中英文), 2019, 5(8): 45-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201908012.htm

    LIN B R, LU X F, WANG Y P. Investigation and analysis on distribution of Traditional Chinese Medicine constitution among patients with primary hypertension in Luzhou, China[J]. Nursing of Integrated Traditional Chinese and Western Medicine, 2019, 5(8): 45-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201908012.htm
    [13]
    赵明. 70例高血压病(具有家族史)体质分布情况研究[J]. 世界最新医学信息文摘, 2019, 19(85): 233-234. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201985153.htm

    ZHAO M. Study on Constitution Distribution of 70 Cases of Hypertension (with Family History)[J]. World Latest Medicine Information, 2019, 19(85): 233-234. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201985153.htm
    [14]
    曹媛, 吕玮坤, 任耀龙, 等. 高血压病患者中医体质特点与心血管危险因素分析[J]. 陕西中医药大学学报, 2020, 43(1): 89-91. https://www.cnki.com.cn/Article/CJFDTOTAL-SXXY202001023.htm

    CAO Y, LYU W K, REN Y L, et al. Analysis of TCM constitution characteristics and cardiovascular risk factors in patients with hypertension[J]. Journal of Shaanxi University of Chinese Medicine, 2020, 43(1): 89-91. https://www.cnki.com.cn/Article/CJFDTOTAL-SXXY202001023.htm
    [15]
    雷贻禄, 卢健棋, 李成林, 等. 中医体质与高血压相关性研究进展[J]. 河南中医, 2019, 39(12): 1933-1935. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201912038.htm

    LEI Y L, LU J Q, LI C L, et al. Research progress on constitution of TCM and hypertension[J]. Henan Traditional Chinese Medicine, 2019, 39(12): 1933-1935. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201912038.htm
    [16]
    张雪梅, 杨雪, 陈皓田, 等. 老年人中医体质及体质指数与高血压的关系[J]. 实用预防医学, 2019, 26(12): 1462-1465. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201912015.htm

    ZHANG X M, YANG X, CHEN H T, et al. Correlation of traditional Chinese medicine constitutions and body mass index with hypertension in the elderly[J]. Practical Preventive Medicine, 2019, 26(12): 1462-1465. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201912015.htm
    [17]
    颜静禛, 饶江红, 周小军, 等. 南昌市青云谱区老年人中医体质类型与高血压患病的相关性[J]. 南昌大学学报(医学版), 2019, 59(4): 77-81. https://www.cnki.com.cn/Article/CJFDTOTAL-JXYB201904019.htm

    YAN J Z, RAO J H, ZHOU X J, et al. Relationships between constitutional types of Traditional Chinese Medicine and elderly hypertension in Qingyunpu district of Nanchang city[J]. Acta Academiae Medicinae Jiangxi, 2019, 59(4): 77-81. https://www.cnki.com.cn/Article/CJFDTOTAL-JXYB201904019.htm
    [18]
    李莉, 秦玉革, 王凯, 等. 上海松江区某镇老年高血压患者的中医体质分布[J]. 上海医药, 2019, 40(20): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201920020.htm

    LI L, QIN Y G, WANG K, et al. Distribution of constitution of traditional Chinese medicine in elderly patients with hypertension in a community of Songjiang District, Shanghai[J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40(20): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201920020.htm
    [19]
    李静, 杨乐. 长春市社区老年人群的中医体质辨识分析[J]. 智慧健康, 2019, 5(19): 46-47. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHJK201919021.htm

    LI J, YANG L. Analysis of TCM constitution identification of the elderly in Changchun city community[J]. Smart Healthcare, 2019, 5(19): 46-47. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHJK201919021.htm
    [20]
    肖蕾, 欧洋, 王建华, 等. 急性心肌梗死与中医体质类型及不良生活方式的相关性研究[J]. 中华中医药学刊, 2018, 36(6): 1368-1371. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201806022.htm

    XIAO L, OU Y, WANG J H, et al. Study on correlation between acute myocardial infarction and types of Traditional Chinese Medicine constitutions and its unhealthy lifestyle[J]. Chinese Archives of Traditional Chinese Medicine, 2018, 36(6): 1368-1371. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201806022.htm
    [21]
    刘芬, 何毅芳, 谢凡慈, 等. 高血压病患者中医体质特点与心血管疾病危险因素的关联分析[J]. 医学理论与实践, 2021, 34(2): 222-224. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202102020.htm

    LIU F, HE Y F, XIE F C, et al. Correlation analysis of traditional Chinese medicine constitution characteristics and cardiovascular disease risk factors in patients with hypertension[J]. The Journal of Medical Theory and Practice, 2021, 34(2): 222-224. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202102020.htm
    [22]
    曾逸笛, 梁昊, 简维雄, 等. 高血压与中医体质相关性的荟萃分析[J]. 世界科学技术-中医药现代化, 2019, 21(8): 1731-1735. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX201908027.htm

    ZENG Y D, LIANG H, JIAN W X, et al. Meta-analysis of correlation between hypertension and TCM constitution[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2019, 21(8): 1731-1735. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX201908027.htm
    [23]
    赵梦茹, 王睿瑞, 任光为, 等. 社区老年高血压病患者的中医体质类型及相关危险因素分析[J]. 安徽中医药大学学报, 2020, 39(6): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-AHZY202006005.htm

    ZHAO M R, WANG R R, REN G W, et al. Traditional Chinese Medicine Constitution types and related risk factors in elderly hypertensive patients in communities[J]. Journal of Anhui University of Chinese Medicine, 2020, 39(6): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-AHZY202006005.htm
    [24]
    尉敏琦, 余峰, 诸光花, 等. 808例社区老年高血压病患者中医体质状况与相关因素分析[J]. 中医杂志, 2016, 57(3): 228-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201603013.htm

    WEI M Q, YU F, CHU G H, et al. Analysis of Chinese Medicine Constitution Status and the related factors of 808 elderly hypertension community-based patients[J]. Journal of Traditional Chinese Medicine, 2016, 57(3): 228-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201603013.htm
    [25]
    BODENHEIMER T. Disease management[J]. N Engl J Med, 1999, 340(15): 1202-1205.
    [26]
    中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华高血压杂志, 2011, 19(8): 701-743. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201108003.htm

    China Hypertension Prevention and Control Guidelines Revision Committee. 2010 Chinese guidelines for the management of hypertension[J]. Chinese Journal of Hypertension, 2011, 19(8): 701-743. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201108003.htm
    [27]
    中国高血压防治指南修订委员会. 中国高血压防治指南2018年修订版[J]. 心脑血管病防治, 2019, 19(1): 5-32. https://www.cnki.com.cn/Article/CJFDTOTAL-XIXG201901003.htm

    China Hypertension Prevention and Control Guidelines Revision Committee. Chinese Guidelines for Prevention and treatment of Hypertension, revised 2018[J]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 2019, 19(1): 5-32. https://www.cnki.com.cn/Article/CJFDTOTAL-XIXG201901003.htm
    [28]
    中国医师协会高血压专业委员会, 中国高血压联盟, 中国医师协会心脏病学会. 家庭血压监测中国专家共识[J]. 中华高血压杂志, 2012, 20(6): 525-529. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201206013.htm

    Chinese Hypertension Committee of the Chinese Medical Doctors Association, Chinese Hypertension League, Chinese Society of Cardiology of the Chinese Medical Association. Home blood pressure monitoring: A consensus document of China[J]. Chinese Journal of Hypertension, 2012, 20(6): 525-529. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201206013.htm
    [29]
    张恩达, 陈松怡. 中医体质辨识的本质与临床意义探讨[J]. 山西中医, 2012, 28(3): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-SHIX201203000.htm

    ZHANG E D, CHEN S Y. Approach of the essence and the clinical significance on body constitution differentiation in TCM[J]. Shanxi Journal of Traditional Chinese Medicine, 2012, 28(3): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-SHIX201203000.htm
    [30]
    刘登, 王志泉, 曹海涛, 等. 社区高血压中医健康管理服务模式研究与实践[J]. 中华全科医学, 2013, 11(11): 1751-1753. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201311052.htm

    LIU D, WANG Z Q, CAO H T, et al. Research and practice of TCM health management service model for hypertension patients[J]. Chinese general practice, 2013, 11(11): 1751-1753. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201311052.htm
    [31]
    汤聪, 张雪芳, 张敏, 等. 辨体质调护在轻中度高血压病病人中的应用效果[J]. 中西医结合心脑血管病杂志, 2019, 17(22): 3638-3642. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201922052.htm

    TANG C, ZHANG X F, ZHANG M, et al. Application effect of constitution nursing in patients with mild to moderate hypertension[J]. Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease, 2019, 17(22): 3638-3642. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201922052.htm
    [32]
    尉敏琦, 周热娜, 王健, 等. 中医辨体调治健康管理对老年高血压患者生存质量的效果分析[J]. 中华全科医学, 2017, 15(9): 1570-1572. doi: 10.16766/j.cnki.issn.1674-4152.2017.09.036

    WEI M Q, ZHOU R N, WANG J, et al. Evaluation on QOL of elderly patients with hypertension adopting TCM constitution-based health management[J]. Chinese general practice, 2017, 15(9): 1570-1572. doi: 10.16766/j.cnki.issn.1674-4152.2017.09.036
    [33]
    郁丘婷, 胡春蕊, 赵外荣, 等. 耳穴贴压联合西药治疗社区原发性高血压的临床观察[J]. 上海中医药杂志, 2018, 52(12): 44-47. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ201812015.htm

    YU Q T, HU C R, ZHAO W R, et al. Clinical observation on auricular point pressing combined with western medicine in the treatment of essential hypertension in community[J]. Shanghai Journal of Traditional Chinese Medicine, 2018, 52(12): 44-47. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ201812015.htm
    [34]
    谢梦. 高血压发病情况与中医体质干预在健康管理中的应用效果[J]. 光明中医, 2019, 34(21): 3221-3223. https://www.cnki.com.cn/Article/CJFDTOTAL-GMZY201921001.htm

    XIE M. Analysis on the Hypertension incidence in physical examination and application of Traditional Chinese Medicine constitution intervention in health management[J]. Guangming Journal of Chinese Medicine, 2019, 34(21): 3221-3223. https://www.cnki.com.cn/Article/CJFDTOTAL-GMZY201921001.htm
    [35]
    魏建梁, 彭伟, 杨传华. 社区高血压健康管理与中医药综合干预模式探讨[J]. 中西医结合心脑血管病杂志, 2019, 17(20): 3133-3135. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201920015.htm

    WEI J L, PENG W, CHEN C H. Discussion on community health management of hypertension and comprehensive intervention mode of traditional Chinese medicine[J]. Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease, 2019, 17(20): 3133-3135. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201920015.htm
    [36]
    宋润娣, 陈峻鹏, 单莉, 等. 中医体质辨识及干预在高血压前期治未病健康管理中的效果研究[J]. 四川中医, 2018, 36(12): 195-197. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY201812071.htm

    SONG R D, CHEN J P, SHAN L, et al. Study on the effect of traditional Chinese medicine constitution identification and intervention in health management of prehypertension[J]. Journal of Sichuan of Traditional Chinese Medicine, 2018, 36(12): 195-197. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY201812071.htm
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