Study On The Identification Of Viscera And Meridians In The Prevention Of Disease In Traditional Chinese Medicine

ObjectiveThe formation of chronic disease is a long process,patients generally experience a long-term pre disease state before entering the chronic disease state.Pre disease state is a controllable and reversible process.From the perspective of prevention and control of chronic diseases,we need to achieve the goal of long-term management and control,and moving forward the prevention gateway.Preventive treatment of disease is an important theory of disease prevention in traditional Chinese medicine,but there is still a lack of systematic early warning technology and evaluation tools.Therefore,it is urgent to develop or verify a functional evaluation tool suitable for different health states.This tool can systematically evaluate the overall body function,which is simple,noninvasive,sensitive and effective,and can mobilize the subjective initiative of patients in self-examination,especially for the pre-treatment patients,so as to realize early identification and intervention.Traditional Chinese medicine is people-centered,and the identification of viscera and meridians is the core part of traditional Chinese medicine theory.Among them,meridians are easier to reflect the recent or superficial pathological information,prompt the storage of Qi and blood in viscera,and have diagnostic function for a variety of chronic diseases[1-8].while viscera have more advantages in judging and predicting the core pathogenesis of diseases.The combination of the two can complement each other,and can be expected to improve the overall functional state of the body It has good identification function.But at present,there is no recognized tool for the evaluation of visceral function in clinic,and the meridian evaluation instrument has been questioned due to the lack of scientific research basis.Aiming at the technical problem of the whole evaluation of the function of viscera and meridians in the preventive treatment of diseases,this study developed an evaluation scale for the health status of the five viscera of traditional Chinese medicine,and tested the consistency of the evaluation stability of the meridian instrument.Through the viscera and meridians evaluation database obtained from the physical examination center,the preventive treatment center and the chronic disease center,the objective and subjective identification method of viscera and meridians was evaluated In order to provide scientific basis for clinical application of viscera meridian identification method and improve the ability of disease prevention and chronic disease monitoring.contents and methods1.Develop TCM five viscera health scale:form item pool through literature retrieval,form five viscera scale structure based on TCM original thinking and theory,determine TCM five viscera health scale through three rounds of Delphi expert consultation,and form subjective evaluation tool of viscera function through reliability and validity test.2.Standardized evaluation of meridian measurement tools to obtain the stability evaluation of the instrument.3.TCM five viscera health scale and meridian evaluation tools were used to test and verify the tools for people in different health states,and the norms of meridian value and balance value of healthy people were formed.4.Through the comparison of sub-health state and common chronic diseases such as type 2 diabetes,hypertension,sequelae of cerebral infarction,chronic kidney disease,the effect of differentiation and recognition of different health states by TCM five viscera health scale and conductance meridian detection system was obtained.5.To explore the correlation between viscera and meridians.ResultsIn this study,the identification methods of subjective evaluation of viscera and objective evaluation of meridians were constructed,and the evaluation tools and technical solutions of qualitative,positioning and quantitative evaluation were formed.It was confirmed that the identification method of viscera and meridians has the function of distinguishing and identifying different healthy people.1.Subjective identification of visceraAccording to the physiological and pathological characteristics of viscera,positioning and quantitative function,using the subjective self-evaluation method,following the standardized process of scale development,through literature screening and summary,scale structure analysis,Delphi method expert consultation before and after three rounds to determine the "TCM five viscera health scale".Through the formal investigation of 444 cases,the reliability and validity of the scale were evaluated.The results showed that the scale had good reliability(alpha reliability=0.783,split half reliability=0.777),and validity(kmo=0.76,sphere test=1554.78,P<0.05),The total score of five zang organs and the score of some heart,liver,spleen,lung and kidney sub-systems can distinguish healthy and different types of chronic patients(P<0.05),and the score of Zang Fu organs showing statistical difference is basically consistent with the positioning of Zang Fu organs involved in the pathogenesis of this kind of chronic diseases The developed "TCM five viscera health scale"can identify,locate and quantify the biased viscera of people with different health status,and provide an operable clinical tool for TCM viscera identification method.It can evaluate human viscera function from three dimensions of quantification,qualitative and positioning.2.Objective identification of meridiansBy using the conductance meridian detection system,the functional state of human meridian qi and blood operation was evaluated.Through the consistency evaluation of the detection results of 30 subjects in two hours and 12 subjects by 4 operators,the evaluation stability and instrument scientificity of the conductance meridian detection system were verified.Through the investigation of 318 healthy people,the norm of meridian value and the norm of meridian balance value of different gender and age were established(the total value of Jingyuan acupoint's Yin Yang,left and right,hand and foot meridians was concentrated between 0.6-2.0,and the left and right balance value of Jingyuan acupoint was concentrated between 0.4-2.4);the meridian detection database of 708 people with different health status was established to analyze and evaluate the influence of meridian identification method on different health status The ability to distinguish and identify:the meridians value showed statistical difference between healthy and chronic disease groups(P<0.05),and the meridians value of healthy people showed a high value state,especially in the chronic disease stage,especially in the sequelae stage of cerebral infarction with limb movement disorder,the meridians value showed a low value state(significantly lower than the other three groups of chronic disease:hypertension,type 2 diabetes,ckdl-ckd2 chronic kidney disease)The decision tree model shows that the correct recognition rate of meridian balance value is 84.60%for healthy people and type 2 diabetes,83.00%for healthy people and cerebral infarction sequelae,78.40%for healthy people and chronic kidney disease,and 78.40%for healthy people The correct rate was 76.40%.It is suggested that the meridian value and meridian balance value of the conductance meridian detection system can effectively distinguish healthy people from chronic patients.3.Study on the correlation between viscera and meridiansAccording to the theory of traditional Chinese medicine,the identification of viscera and meridians should be related and homogeneous.Based on the results of viscera identification(total score of TCM five viscera health scale)and meridian detection(total score of meridian imbalance)of different health status people,this study conducted a two factor correlation analysis,and confirmed that there was a moderate positive correlation between the two,which was in line with the theory of traditional Chinese medicine.It also verified the scientific rationality of the evaluation methods and detection tools of viscera and meridian.This study also suggests that the total score of viscera and imbalance is related to the severity of the disease.ConclusionThe method of viscera identification and meridians identification adopted by the research institute have good identification efficiency for people with different health status,and the results of viscera and meridians identification are positively correlated.Based on the original theory of traditional Chinese medicine,in the process of the research on the identification method of viscera and meridians for the prevention of disease,the evaluation tool of "TCM five viscera health scale" for the prevention of disease was produced,which verified the stability and scientificity of the instrument of the meridian detection system by conductance method,established the norm of meridians value and balance value of the healthy people's meridian detection system by conductance method,and verified the relationship between the viscera identification method and meridians identification method It is found that the meridian value of healthy people is higher than that of chronic patients.and the total score of TCM five viscera health scale and the total score of meridian imbalance of healthy people are lower than that of chronic patients.The identification method of viscera and meridians formed or verified in this study has the characteristics of subjective and objective evaluation,and the identification tool has good evaluation efficiency of positioning and quantitative combination,which expands the evaluation technology of TCM preventive treatment,and provides paths and methods for the realization of early identification and prevention of diseases.