| ObjectiveObserve the effect of the modified Delphi method in the intervention of phlegm-dampness constitution.Observe the clinical effect of “Wang Qi’s Phlegm-dampness Constitution Conditioning Formula” to intervene with phlegm-dampness constitution.Method1.Study on the construction of evaluation system for the effects of phlegm-dampness constitution intervention based on modified Delphi method:On the basis of literature research," Classification and Judgment of TCM Constitution ",phlegm-dampness judgment items,guidelines for the treatment of phlegm-dampness syndrome with new Chinese medicines,and expert discussion,the discussion with the members of the research group and the instructors form clinical symptom entries that can be used to evaluate the effects of phlegm-dampness constitution intervention.The improved Delphi method was used to conduct two rounds of investigation and clinical verification of TCM physique related research experts,and to observe the positive coefficient of experts,the expert authority coefficient,the concentration of expert opinions,and the coordination coefficient of expert opinions.Finally,the “Evaluation Table of phlegm-dampness Intervention Effect” is formed.2.Study on the effect of " Wang Qi’s Phlegm-dampness Constitution Conditioning Formula " on the intervention of phlegm-dampness constitution:According to the method of controlled study,52 subjects who met the criteria of "Classification and Judgment of TCM Constitution" were divided into the experimental group in 32 cases and the control group in 20 cases.The experimental group gave lifestyle guidance and “Phlegm-dampness Constitution Conditioning Formula”,the control group only gave lifestyle guidance,and the course of treatment was 8 weeks.The subjects were observed at 0,4,and 8 weeks of intervention,and the subjects were observed for phlegm-dampness conversion score and reduction rate,phlegm-dampness symptom score and reduction rate.The test group observed blood glucose and blood lipid related indicators at 0 and 8 weeks.Result1.The improvement of phlegm and physique was divided into primary and secondary clinical manifestations,which were divided into heavy,medium,light and no grade 4 according to the degree of severity.The main clinical manifestations were body fatness(BMI),abdominal plumpness,0 divided into asymptomatic,3 divided into mild,6 divided into moderate,and 9 divided into severe.Secondary clinical manifestations of rich oil,heavy body,heavy and greasy tongue,0 is asymptomatic,2 is mild,4 is moderate,6 is severe;sticky in the mouth is 0 is asymptomatic,1 divided into mild,2 divided into moderate,and 3 divided into severe.Finally,the “Evaluation Table of phlegm-dampness Intervention Effect” is formed.2.After the intervention,the test group of phlegm-dampness conversion was significantly decreased,and the control group had no change.The experimental group had a significant decrease in the phlegm-dampness conversion before and after the intervention.The reduction rate of phlegm-dampness conversion was 20.57%,and the phlegm-dampness conversion was decreased from 60.2 to 49.48,the difference was statistically significant(P<0.05).There was no significant difference in the conversion of phlegm-dampness after lifestyle guidance(P>0.05),and the reduction rate was-2.00%.3.After the intervention,the total score of the phlegm-dampness symptoms was significantly decreased in the experimental group,and the control group increased slightly.In the experimental group,the total score of phlegm and blood stasis symptoms decreased from the 0th week,from 20.17 to 17.13,and the reduction rate was 15.28%.The difference was statistically significant(P<0.05).The total score of phlegm and physique symptoms increased from week 0 to 17.47,and the score was-8.33%,but the difference was not statistically significant(P>0.05),or was in the holiday with the 8th week.Related.4.The blood glucose and blood lipid related indicators of the test group decreased.The experimental indexes of blood glucose and blood lipid before and after intervention in the experimental group were compared and analyzed.It was found that the results of HbA1 c,apoA,TG and LDL were significantly lower than those before intervention,and the difference was statistically significant(P<0.05);FBG,apoB,TC,There was no significant difference in HDL(P>0.05).ConclusionProfessor Wang Qi’s“Wang Qi’s Phlegm-dampness Constitution Conditioning Formula” can effectively improve the symptoms of phlegm dampness in subjects with phlegm-dampness and reduce the blood sugar and blood lipid related indicators of phlegm-dampness patients to a certain extent. |
PDF Full Text Request