| Along with the improving of people' s living standard and the coming of senile society as well as the change of people' s views on health and medical mode, the concept of health doesn' t simply mean no illness or weakness any more, whereas it means the perfect state of body, mental and social activities of people. The medical mode is changing from the simple "biomedicine" to " bio-psycho-social-natural" mode. Based on the characteristics of holistic medicine, TCM may adapt the requirements of patients' lives and living qualities better if it can make full use of its theories and methods on preventing and treating diseases and health care. The estimate of living qualities conforms this trend and now has become an important means and estimating method on the research of senile medicine.According to the scientific characteristics and the practicality of health care massage, we opened the class of senile health care massage especially the thesis on "the self-health care massage of the old" supported by sanitation bureau of china had finished its research in May, 2003. The harvest of this research has changed into product, that is, being made into VCD and published by The electronic video&audio press of the people' s sanitation and was marked out as the important video&audio product of "the tenth five years" of china. Seeing from the opening of the senile health care massage class and the selling of VCD, there are many students like it and their enthusiasm is high, which makes the class very popular, especially from the practice of the health care massage of many old people, the health care massage not only improves the anile symptoms but also cured many diseases. In order to research on the mechanism and its holistic effect of health care massage deeply, considered the factors such as time, outlay etc. This thesis chose " themechanism of self-health care massage on decreasing caducity and improving the living qualities of the old" . The aim of this thesis is to discuss the effect of TCM health care massage on improving the living qualities of the old and i ts probable mechanism on decreasing caducity according to the analysis of living qualities and the detection of some immune targets, so as to supply scientific gist for its wider application.Theoretical researches1 Research methods"Caducity" is an eternal research topic of people from the past to now. TCM is not only much earlier than modern medicine on the mechanism of caducity and on the research of preventing caducity but also set up the doctrine of caducity in the book of "the yellow emperor' s canon of internal medicine" published more than 2000 years ago which set up the basic framework of preventing caducity primarily. Many doctors in different dynasties enriched and developed the caducity theories of "the yellow emperor' s canon of internal medicine" , substantiated the content of health care, preventing caducity, especially supplied many Chinese herbs and formulas on preventing caducity and keep longevity, which made the content of health care of TCM more consummate. Nowadays, there are more and more researches on this subject. How t.o find the valuable materials from so many literatures is really a big project. Directed by my academic advisor, I researched on the doctrine of caducity of TCM and the differences between the viewpoints on caducity of TCM and western medicine firstly, then, found the developing outline of the doctrine of TCM on caducity from these literatures and at last, found the differences between the viewpoints on caducity of TCM and western medicine, especially made it clear the developing headstream of health care massage and the general condition of the modern research on it, so as to ground well for the next research.2 Results and discussionsAccording to the research on the literatures and the understanding and deduct ing on the classical works of caducity, we thought that caducitv is cause by manv factors, mainly by age, diseases. The mechanism of caducitv is caused by the hoi ist ic degradat ion of body, especially by " the deficiency of kidney" . Caducity is inevitable, but, by special means, this phenomenon can be stayedand the degree of it may be alleviated, and, some of the senile diseases and chronic diseases can be avoided. The only effective way to prevent caducity is a synthesized and systematical health care method. Many domestic and overseas scholars also did a lot of research on caducity and they brought forward various kinds of hypothesis on caducity and the ways to stay caducity, but most of these hypotheses are limited and they are hard to be operated, so they had not been accepted by medical field. From this point, the dissertation of TCM on caducity and the methods to prevent caducity and to keep longevity is more general than overseas hypothesis on caducity, because it has special characteristics such as simple, natural ones. The theories of TCM caducity and the ways to prevent caducity came from life but higher than life, and is generally understood and accepted by the old, what more is that these ways of preventing caducity can be operated easily. So, research on Neijing' s caducity theories and health care of the old has important value and practical meaning to modern gerontology.As one of the health care methods of TCM, massage has a long history. More than 2000 years ago, Neijing mentioned : " Based on Yin-Yang and follow the health care methods" and also the methods of " Daoyin and Anqiao" . Anqiao means the person exercises by himself and the form of this activity is to massage the certain part of body. During the Tang and Song dynasty, this kind of activity was very popular, people used it to keep longevity. Self-massage can not only reach the aim of health care, but also can prevent and cure diseases, meanwhile, self-massage is simple to study and it is safe and effective and is suitable to people of different ages, it is especially suitable to mid-aged and old people and those who are suffering from chronic diseases.Clinical research1 Research methodsTo open senile health care massage class and train those old people whoparticipate in the test, make them master the usual acupoints and positions for self-massage, massage principals and key points, requirements and the use of massage and the self-massage methods to deal with familiar diseases such as insomnia, cold, stomachache, lower back pain, headache, frozen shoulder, cervical vertebral diseases, constipation, standardize the techniques and require the members to deal with their own diseases or uncomfortable conditionsaccording to their own situations till all these diseases disappear. After six months' self-massage, the health conditions of the old people are improved, even many chronic diseases which have not been curled for many years are curled. Because insomnia and constipation are the most common diseases among the old, so these two diseases were chosen as our goals. According to the massage practice of the old, we did the research and coordination of the charts, and tried to appraise the clinical effect of massage, our aim is to extend the heal care self-massage among the old and to improve the health condition of them. 2 Results and ConclusionsBy inspiring the functions of jingluo system, the self-massage adjusts the functions of all the ZangFu, organs and organisms to the perfect or access to perfect state, thus to make Qi of the body abundant, strengthen the immunity, thus to strengthen the body, avoid the diseases. "Massage can cause the adjustment of the pallium to the whole body by making the skin receptors make full use of the irritability of the nerve" . Though experimental researches on the anti-caducity function of the massage is still not very deep, this experiment si ill shows that massage is good to the hypo-immunity caused by the retroversion of the organism and organs.2.1 Staving or retrieving the symptoms of caducitySelf-massage can improve the symptoms of caducity or can retrieve the symptoms, such as lower back pain, frequent urine, tinnitis caused by kidney deficiency, and bad appetite, windy disease and maldigestion.2.2 To prevent and treat senile and chronic diseasesSelf-massage can prevent and treat senile diseases effectively, especially to gastroentoric diseases such as stomachache, constipation and cervical vertebral diseases, frozen shoulder, insomnia and also can do good to some senile and chronic diseases and can make the body recover quickly. Among the old who keep on self-massage, most of them felt that now they seldom go to see doctors, which is quite different from the past. Some old people felt that they seldom suffer from the cold now and their body felt stronger than the past, some diseases such as frozen shoulder, lower back pain had disappeared, their joints are becoming more and more flexible.2.2.1 Self-massage treated twenty-six constipation patients caused by Qi deficiencyamong those patients, 19 patients recovered completely, which occupied 73. 1% among all the patients;7 patients felt better after massage therapy, which occupied 26. 9% among all the patients; Most senile constipation patients felt that they cam have stools by themselves, no pains and uncomfortable symptoms appeared during massage. 2. 2. 2 Self-massage treated 33 insomnia patientsamong those patients, 21 patients recovered completely, which occupied 63.6% among all the patients;7 patients felt better after massage therapy, which occupied 21.2% among all the patients;5 patients felt no effect, which occupied 15.2%, the total effective rate is 84.8%. Insomnia is a familiar disease, about one fourth of the old are always suffering from it, if the old can keep on self-massage, combining with the regular daily life, obvious effect would appear.Research on the living qualities1 Research objectsThe retired people of Guangzhou, all of them are over 60 years old, healthy. Among them, there are 123 men, 156 women, altogether 279. Meanwhile, all of them conform the following characteristics, such as independent living state, normal mental state, clear conscientiousness, no physiological disfigurement and severe diseases such as cancers, severe cardiovascular and cerebrovascular diseases, diabetes etc. they should have the ability to do normal physical activities.2 Research methods Choose tested objectsChoose the students of senile university, altogether 42 , who are all healthy according to health standard. Divi si onDivided all the tested objects into three groups randomly. Self-massage groupThese objects all took part in the study of health care class in the senile university and had mastered self-health care massage. After the massage training, their techniques were all standardized and show them the specific requirements. 1 or 2 times a day, altogether 30 minutes and mastered massage for 6 months and the main self-health care massage methods were so-called"tweive met nods" . Taiji groupAil the objects had gotten Taiji training, called 24 or 42 techniques, published by NPH1, 30 minutes a day, or 1 time each other day, 60 minutes each time. Non-sports groupObjects in this group can have normal daily activities but don' t have aimed PE exercises.Except chose SF-36 questionnaire, according to the investigating aim and related material, under the help of statistical scholars, designed "questionnaire of the health state of the old" and " self?judge table of caducity" , we did it in a small scope at first and, after the model investigate, we did the formal investigation. During the investigation, we explained the table to the objects and then the objects fill out the table by themselves, after finished, the table was checked by the investigators.We set ip a data-base, input the investigating material, and the statistical methods include Kruskal-wailis etc by using SPSS11. 5. The results are as the fallowings. 3 Research results3.1 Interference of health care massage to the caducity of the oldAfter the 6 months' exercise, we compared the different groups. Compared the health rare massage group and Taiji group with non-sports group , 1X0.05,the differences has statistical meaning. The symptoms of caducity and the degree of caducity of the old in the health care massage group had been improved obviously, better than Tai ji group and non-sports group and the effect of improvement of the condition of caducity Taiji group was better than non-sports group, which means both the health care massage group and Taiji group have the effect to prevent caducity. Whereas health care massage group has more obv.ous function than Taiji group.3.2 Observation of the effect of heaIth care massage on the I iv i ng qua I i t i es of the oldThe incidence of the top ten diseases among the old all decreased after 6 months' he.ilth care massage or Taiji exercises. Test XJwere used to compare the change ot the incidence of the disease in each group, P<(). Oh in the health care massage and i he change of the top ten diseases among the old has...
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