Study On The Scheme And Method Of Constitution Recognition Of Yin-yang And Five Elements People In Traditional Chinese Medicine

Objectives:To propose a method for the classification of human physique based on the theory of yin-yang and five elements,verify the scientificity and feasibility of the identification method for human physique based on the theory of yin-yang and five elements in traditional Chinese medicine(TCM)and summarize the shortcomings in the research,and thereby accumulating experience and providing reference for further optimization of identification methods for human physique based on the theory of yin-yang and five elements in TCM.Methods:By literature review combined with expert consultation and theoretical research,the theoretical basis,practical demands,advantages,connotative elements,identification standards,scale formulation and intervention programs of the classification of human physique based on the theory of yin-yang and five elements in TCM were comprehensively studied.Results:Based on the classification of constitution classification methods in The Inner Canon of Huangdi,the constitution viewpoints in Febrile Disease,and the main constitution classification methods at home and abroad in modern times,through comments on the existing problems in various constitution identification theories at all times and all over the world,it was found that the constitution classification method was rarely seen,which combined the theory with the clinic,owns reasonable theory,clear method,convenient application,the connecting of theory,diagnostic method,prescription and medicine.However,this has brought inconvenience to the development and promotion of preventive treatment of disease in traditional Chinese medicine.It is the practical needs to construct the constitution recognition method of Yin-Yang and five elements people in traditional Chinese medicine.Based on the relevant theories in The Inner Canon of Huangdi,rooted in theory of Yin and Yang,five elements theory in traditional Chinese medicine,with rational innovation,the constitution classification method of Yin-Yang and five elements people in traditional Chinese medicine was constructed,with five elements as the guiding principle and Yin and Yang as the subheads.By adopting a variety of research methods,such as literature arrangement,theoretical research,scale,expert consultation,etc.,the paper conducts research on the method of constitution classification of Yin-Yang and five elements people in traditional Chinese medicine.Through sort and classification of ancient books and records such as the Internal Canon in Chinese Medical Dictionary(Version 5,2014),the paper discusses the definition of “five elements” in the Internal Canon from 19 aspects such as five elements and five colors,five elements and five flavors.In combination with generalization for modern literature and definition of constitution,this paper summarizes and analyzes the relevant literature materials on Yin-Yang and five elements people in traditional Chinese medicine from four aspects of physical features,psychological characteristics,physiological characteristics and pathological features.Based on the result of literature study and the basic theories of five elements system,centered on the definition and connotation of constitution in traditional Chinese medicine,the connotation elements that determine the judgement standards of Yin-Yang five and elements people should include six aspects of physical features,psychological characteristics,vital signs,predilection symptoms,predilection season and predilection parts,and then the paper extracts the constitution classification standard of Yin-Yang and five elements people,namely the “Six Dimensions Three Types”.“Six Dimensions” refer to physical features,psychological characteristics,vital signs,predilection symptoms,predilection season and predilection parts;“Three Types” refer to Yin,neutral and Yang.Through comprehensive application of the judgement standard and judgement on the five elements and Yin-Yang from six dimensions,the constitution and five elements belong of the body was finally determined.At the same time,the physical(neutral)and pathological(Yin,Yang)constitution of the body were clear.For the practical application of constitution recognition method of Yin-Yang and five elements people in traditional Chinese medicine,scaling method was introduced in the study.Based on the constitution classification standard of Yin-Yang and five elements people,items were extracted into 6 major classifications of physical features,psychological characteristics,vital signs,predilection symptoms,predilection season and predilection parts and 33 clauses.Preliminary assessment scale of constitution assessment for Yin-Yang and five elements people in traditional Chinese medicine was compiled.Besides,expert consulting work was carried out to improve the preliminary assessment scale.Intervention plan for preventive treatment of disease was put forward according to constitution classification method of Yin-Yang and five elements people in traditional Chinese medicine.The intervention should be carried on from 8 aspects,namely compatibility and incompatibility of diet,life living,health exercise,diet therapy,music therapy,acupuncture therapy,massage therapy and drug therapy,Thus the objective of restraining the powerful,helping the weak and balancing the health can be realized.The physical constitution of the body was judged firstly according to constitution classification method of Yin-Yang and five elements people in traditional Chinese medicine,then pathological constitution was distinguished,then physical identification and syndrome differentiation can be distinguished correctly;judge the five elements belong of the body according to the belonging and shortage of the five elements of the body;intervention plan for preventive treatment of disease was put forward through application of interrelationship between generation and restriction of the five elements,which enriched the content and methods of physical conditioning.The construction of constitution recognition method of Yin-Yang and five elements people in traditional Chinese medicine enriches the content and methods of the constitutional theory,and has positive prevention significance for the preventive treatment of disease in traditional Chinese medicine.Conclusions:1.Physique identification and effective clinical intervention are advantages and characteristics of TCM.The TCM theory of physique is scattered in ancient TCM works,such as the Yellow Emperor’s Canon of Internal Medicine and the Treatise on Febrile Diseases,which contain rich thoughts on physique.However,due to limitations of the times,these classification methods for physique are not suitable for modern application.Main modern classification methods for physique are characterized by confusing theoretical concepts,ununified classification standards,subjectivity and confusion of physique identification with clinical syndrome differentiation;therefore,their clinical application is difficult.2.A novel classification method for human physique based on the theory of yin-yang and five elements in TCM is proposed,with the five elements as outline and yin-yang for division.This method is characterized by solid theoretical basis of TCM,reasonable structure,feasible program and obvious advantages.3.Classification standards for human physique based on the theory of yin-yang and five elements in TCM are constructed,with “6-dimension and 3-type” as frame and connotation,and connotative elements of the identification scale for human physique based on the theory of yin-yang and five elements in TCM are confirmed,which are continuously modified and improved in epidemiological investigation.4.Based on the TCM theory of preventive treatment for diseases,identification and clinical intervention programs are proposed for human physique based on the theory of yin-yang and five elements in TCM.Intervention and guidance for the preventive treatment of diseases in TCM are conducted from 8 aspects including living,nourishing and exercises,dietary compatibility and incompatibility,musicotherapy,dietotherapy,acupuncture treatment,massage therapy and drug therapy.The classification is comprehensive,theoretical analysis is reasonable,and practical application is feasible.