Discussion On Health Status Assessment Method And Software Modular Construction Based On The Idea Of "four Seasons Regulating Yang" To Prevent Disease

Part one: Establishment of a New System of Health Condition Assessment Based on the Concept of "Four Seasons Regulating Yang"By sorting out and analyzing domestic or foreign literature,the development course of the concept of "Preventive treatment of disease" is summarized,and the connotation and clinical significance of " Four Seasons Regulating Yang" are thoroughly explained.Guided by the thought of " Four Seasons Regulating Yang " to cure the disease,a new theoretical system of "Preventive treatment of disease " was constructed.It evaluates five“mastering states”in the changes of yang qi,two“following states”in the changes of yin qi,and three“attached states”of fluid and blood.Establish the concept of "focusing on regulating Yang,simultaneously regulating Yin,and obediencing Yang qi in four periods" was established,which under the guidance of "adjusting Yang in four periods" Part two: Health status identification scales of "Yang-harmony state" and "Yang-deficiency state" were developed based on the new systemObjective: Guided by the concept of " Four Seasons Regulating Yang",represented by two main states of "Yang-harmony state" and "Yang-deficiency state",and based on the method of "Syndrome Differentiation of Elements",this study developed a multi-level and multi-dimensional TCM health status evaluation scale.Methods: Relevant literature,teaching materials and diagnostic criteria were sorted out to collect and normalize the syndrome elements and symptoms of Yang He state and Yang Deficiency state to form the scale item pool.The items were screened through expert consultation,and 110 healthy people and 150 patients with Yang deficiency were collected for the scale clinical pre-test.Combined with the difficulty analysis,response analysis,correlation coefficient method and other methods,the items were screened to form the preliminary scale for the evaluation of Yang-harmony and Yang-deficiency states.Through expert consultation,the items of the scale are assigned to form a calculation formula.Cronbach’s α,split-half reliability,factor analysis and t test were used to evaluate the reliability and validity of the scale in 230 healthy people and 154 patients with Yang deficiency.Results:1.Scale contents: The formal scale of the Positive and Physical Assessment Scale contains20 items and 3 dimensions,including 12 items of "physical strength" dimension,5 items of "spiritual strength" dimension and 3 items of "vital strength" dimension;The official scale of Yang Deficiency Assessment Scale contains 29 items and 3 dimensions,including 12 items of "mild-deficiency" dimension,9 items of "moderate-deficiency" dimension and 8 items of "severe-deficiency" dimension.2.The examination of the Scale:After correction,the split half reliability of the whole Yang-harmony & Yang deficiency scale and the "mild-deficiency" dimension were 0.731,0.707 and 0.610,respectively.For Cronbach’s α coefficient,the values were 0.715,0.634,0.612,and both were greater than 0.6,indicating that their internal consistency is acceptable.A total of 230 healthy people and 154 patients with Yang deficiency were collected.There were significant differences in the scores of the two scales(P < 0.01),indicating that the two scales had good discriminative validity.For Yang-deficiency scale,factor analysis extracted10 common factors,explainning about 63.108% information about the original variables of scale,the actual test results were in good agreement with the theoretical dimension.And for Yang-harmony scale,the total variance interpretation could reach 64.810% by extracting 7common factors.Conclusion: Based on the idea of " Four Seasons Regulating Yang ",the scale for evaluating the state of Yang-harmony & Yang deficiency has the characteristics of " Preventive treatment of disease" and scientific significance,and can reflect the overall health status of patients and the degree of Yang deficiency.It is innovative and practical in clinical practice,and provides a method for evaluating the health status of the new system,and provides a good foundation for the construction of the health management network module of traditional Chinese medicine.Part three: The construction and improvement of TCM health management network module based on the new systemObjective: Based on the guidance of the concept of "Four Seasons Regulating Yang",this project takes the change of "Four Seasons" of Yang qi as the main line to build a TCM health network management module with functions such as health status assessment,continuous monitoring,health plan formulation and so on.Methods: This software system is designed for the B/S architecture(Browser/Server architecture),based on the Browser access system.The functions of health status assessment,continuous monitoring,health plan formulation and so on are realized by compiling the code of Microsoft Project software to form an operable system.The first round of the trial collected data from 200 patients with coronary heart disease to test and evaluate fluency,accuracy,comprehensiveness and other functions.After the upgrade and improvement,the data of 100 patients with coronary heart disease and 200 patients from other populations were collected through the second round of trials to test and evaluate its fluency,accuracy,comprehensiveness,applicability and other functions.After sorting out the data and upgrading and improving the system module,the mature TCM health management network module is finally formed.Results:1.Fluency of interface and operation.Through the improvement and upgrade of the system,the negative rating rates of the 10 researchers on the interface appearance,TAB setting,input selection and operation fluency decreased from 30%,40%,0% and 10% to 10%,10%,0% and0% respectively,indicating that the system interface is acceptable and has good fluency.2.Accuracy of TCM health status evaluation.The system calculates the health status of 200 cases in the first round and 300 cases in the second round,and the results are consistent with those calculated by Microsoft Office Excel 2019,indicating that the system has a high accuracy in evaluating the health status.3.Comprehensiveness of information collection.The preset collection information of the system can basically meet the requirements of health status assessment,and on the basis of two rounds of clinical trials,the preset collection information of the system can be supplemented or deleted.4.Applicability of health recommendations.Both the investigators and the patients evaluated the health plan developed by the system.The poor evaluation rates of the researchers on the emotional care,daily life care,diet care,exercise care,meridian and acupoint care,ear and foot bath care in the health plan were 20%,0%,10%,10%,0%,10%,10% respectively;The patients’ evaluation was 3.00%,2.23%,2.67%,3.00%,4.33%,1.67%,7.00%,respectively.It shows that the applicability of health recommendations is acceptable.Conclusion: The TCM health management network module built under the new system has been upgraded and improved,and has good fluency,accuracy,comprehensiveness and applicability,which can provide TCM solutions for the health management of sub-healthy-chronic diseases.