现代中医临床2026，Vol.33Issue(4)：15-24,10.DOI:10.3969/j.issn.2095-6606.2026.04.004
基于八卦-藏象类比关系回顾性分析超重及肥胖症患者中医证候特点
Retrospective analysis of characteristics of TCM patterns based on the analogy between the Eight Trigrams and visceral manifestation in overweight and obesity patients
摘要
Abstract
Objective To retrospectively analyze characteristics of overweight and obesity patients from a Traditional Chinese Medicine(TCM)pattern perspective.Methods Based on data from the Hospital Information System(HIS),the study included 620 overweight and obese patients who visited the Nephrology and Endocrinology Department at Tongzhou Campus of Dongzhimen Hospital from January 1,2022,to June 30,2023.The patients'general information,Eight Trigrams characteristics,and TCM pattern types were collected.Chi-square tests and logistic regression analysis were conducted to explore the distribution characteristics of TCM pattern types in overweight and obese patients and their correlation with the Eight Trigrams.Results A total of 620 overweight and obesity patients were included(216 overweight,404 obesity),with significant gender differences(P<0.05).The most common TCM pattern was spleen qi deficiency,followed by kidney qi deficiency,qi stagnation,excessive heat,and damp obstruction.Logistic regression analysis revealed positive correlations between certain trigrams and TCM pattern types:Kun trigram with spleen qi deficiency,Gen trigram with kidney yin deficiency,Li trigram with heart qi deficiency,Kan and Zhen trigrams with damp obstruction,and Xun trigram with excessive heat(P<0.05).Conclusion The results indicate that there are specific correspondences between the Eight Trigrams and visceral manifestations in overweight and obesity.This correlation aids in initially identifying TCM pattern types through the Eight Trigrams,which can further guide TCM clinical diagnosis and treatment,providing a valuable reference.关键词
超重及肥胖/八卦-藏象/回顾性分析/中医证候特点Key words
overweight and obesity/Eight Trigrams and visceral manifestations/retrospective analysis/characteristics of TCM patterns分类
医药卫生引用本文复制引用
方静,周静鑫,包旼涵,郭翔宇..基于八卦-藏象类比关系回顾性分析超重及肥胖症患者中医证候特点[J].现代中医临床,2026,33(4):15-24,10.基金项目
国家自然科学基金项目(No.82174351) （No.82174351）
北京中医药大学东直门医院临床研究和成果转化能力试点项目(No.DZMG-QNZX-24009) （No.DZMG-QNZX-24009）
北京市通州区科技创新人才资助项目(No.JCQN2024022) （No.JCQN2024022）
中华中医药学会雏鹰计划中医临床青年人才研修项目 （）
