1.上海中医药大学附属曙光医院,上海市黄浦区普安路185号,200021
2.中国中医科学院中医临床基础医学研究所
3.上海市中医药研究院特色诊疗技术研究所
4.广州中医药大学第一附属医院
5.浙江中医药大学附属第一医院/浙江省中医院
zhxiaotian@hotmail.com
收稿:2025-03-18,
修回:2025-06-15,
纸质出版:2025-09-17
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韦硕硕,仲茂凤,唐嘉仪等.益气复元膏方对气虚质亚健康状态人群免疫功能的影响及舌脉数据特征分析[J].中医杂志,2025,66(18):1908-1915.
WEI Shuoshuo,ZHONG Maofeng,TANG Jiayi,et al.Effects of Yiqi Fuyuan Paste (益气复元膏方) on Immune Function in Sub-Health People with Qi Deficiency Constitutions and Analysis of the Characteristics of Their Tongue and Pulse Manifestations[J].Journal of Traditional Chinese Medicine,2025,66(18):1908-1915.
韦硕硕,仲茂凤,唐嘉仪等.益气复元膏方对气虚质亚健康状态人群免疫功能的影响及舌脉数据特征分析[J].中医杂志,2025,66(18):1908-1915. DOI: 10.13288/j.11-2166/r.2025.18.010.
WEI Shuoshuo,ZHONG Maofeng,TANG Jiayi,et al.Effects of Yiqi Fuyuan Paste (益气复元膏方) on Immune Function in Sub-Health People with Qi Deficiency Constitutions and Analysis of the Characteristics of Their Tongue and Pulse Manifestations[J].Journal of Traditional Chinese Medicine,2025,66(18):1908-1915. DOI: 10.13288/j.11-2166/r.2025.18.010.
目的
2
探析益气复元膏方对气虚质亚健康状态人群的免疫调节作用,及其对舌象脉象客观化特征参数的影响。
方法
2
纳入气虚质亚健康状态受试者70例,分为对照组和试验组各35例。对照组给予健康生活方式指导,试验组在对照组基础上加服益气复元膏方口服,两组疗程均为60天。干预前后比较两组受试者气虚质各症状因子评分、气虚质转化分、亚健康状态评分;检测受试者外周血清免疫指标水平[CD4
+
、CD4
+
/CD8
+
值、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)、干扰素γ(IFN-γ)、白细胞介素6(IL-6)、白细胞介素2(IL-2)]水平。干预前后检测两组受试者的舌象数据信息(Lab-a、Lab-b、Lab-L)和脉象数据信息[重搏前波幅与主波幅度比值(h3/h1)、主波上1/3处的宽度与相应时象比值(w/t)、主波幅度与左心室快速射血期时值比值(h1/t1)、左心室快速射血期时值(t1)]。
结果
2
与干预前比较,试验组气虚质各症状因子评分及气虚质转化分均降低,亚健康量表评分升高(
P
<0.05或
P
<0.01)。免疫学指标方面,试验组CD4
+
水平、CD4
+
/CD8
+
值、IgA、IgG、IgM和IL-2水平均升高,IL-6水平降低(
P
<0.05或
P
<0.01)。舌象方面,试验组全舌舌色Lab-a值升高,Lab-b值和Lab-L值降低,全舌苔色Lab-L值升高和Lab-b值降低(
P
<0.05或
P
<0.01)。脉象方面,试验组双手脉象h3/h1值、w/t值和t1值均降低,h1/t1值升高(
P
<0.01)。与对照组比较,试验组神疲乏力、气短、心慌、容易感冒、喜静懒言、动则汗出6项气虚质症状因子评分和气虚质转化分均降低,亚健康量表评分升高(
P
<0.05或
P
<0.01)。CD4
+
T细胞水平、CD4
+
/CD8
+
值和IL-2水平均升高,IL-6水平降低(
P
<0.05或
P
<0.01);全舌舌色Lab-a值升高,Lab-L值降低,全舌苔色Lab-a值和Lab-L值均升高,Lab-b值降低(
P
<0.05或
P
<0.01);双手脉象h3/h1值、w/t值和t1值均降低,h1/t1值升高(
P
<0.01)。
结论
2
益气复元膏方可以有效改善气虚质亚健康状态人群的临床症状、健康状态和免疫功能,且舌脉客观化指标可作为中医体质调理疗效评价的参考依据。
Objective
2
To analyze the immune function regulation of
Yiqi Fuyuan Paste
(益气复元膏方) for population with
qi
deficiency constitution and subhealth conditions, and its influence on the objective characteristic para-meters of tongue and pulse manifestations.
Methods
2
A total of 70 sub-health participants with
qi
deficiency constitutions were included and divided into a control group and a treatment group, with 35 participants in each group. The control group was given guidance on a healthy lifestyle, and the treatment group was additionally given
Yiqi Fuyuan Paste
. The treatment course for both groups was 60 days. Compare the scores of symptom factors of
qi
deficiency constitution, the conversion score of
qi
deficiency constitution, and the sub-health scale score between groups before and after treatment; measure the levels of peripheral serum immune markers such as [CD4
+
, CD4
+
/CD8
+
ratio, immunoglobulin A (IgA), immunoglobulin G (IgG), immunoglobulin M (IgM), interferon-γ (IFN-γ), interleukin-6 (IL-6) and interleukin-2 (IL-2). Before and after intervention, measure tongue image data including Lab-a, Lab-b, Lab-L, and pulse image data including the ratio of the amplitude of the pre-systolic wave to the main wave amplitude (h3/h1), width at the upper 1/3 of the main wave and corresponding time phase ratio (w/t), main wave amplitude and left ventricular rapid ejection phase time value ratio (h1/t1), and left ventricular rapid ejection phase time value (t1)].
Results
2
Compared with that before intervention, the scores of
qi
deficiency symptoms and the
qi
deficiency transformation score in the treatment group decreased, while the subhealth scale score increased (
P
<0.05 or
P
<0.01). In terms of immunologi
cal indicators, the levels of CD4
+
T cells, CD4
+
/CD8
+
ratio, IgA, IgG, IgM, and IL-2 in the treatment group increased, the level of IL-6 decreased (
P
<0.05 or
P
<0.01). Regarding tongue image, the Lab-a value of the entire tongue color in the treatment group increased, while the Lab-b and Lab-L values decreased; the Lab-L value of the entire tongue coating increased, and the Lab-b value decreased (
P
<0.05 or
P
<0.01). In terms of pulse diagnosis, the h3/h1 value, w/t value, and t1 value of both hands in the treatment group decreased, while the h1/t1 value increased (
P
<0.01). Compared to the control group, the scores of six
qi
deficiency symptom factors, including fatigue, shortness of breath, palpitations, tendency to catch colds, preference for quietness and reluctance to speak, and the
qi
deficiency transformation score in the treatment group all decreased, while the subhealth scale score increased (
P
<0.05 or
P
<0.01); the levels of CD4
+
T cells, CD4
+
/CD8
+
ratio, and IL-2 increased, while the level of IL-6 decreased (
P
<0.05 or
P
<0.01); the Lab-a value of the entire tongue color increased, while the Lab-L value decreased, and the Lab-a and Lab-L values of the entire tongue coating increased, and the Lab-b value decreased (
P
<0.05 or
P
<0.01); the h3/h1 value, w/t value, and t1 value of both hands decreased, while the h1/t1 value increased (
P
<0.01).
Conclusion
2
The
Yiqi Fuyuan Paste
can effectively improve the clinical syndromes, health status, and immune function of people with
qi
deficiency constitution and subhealth conditions. Moreover, the objective indicators of tongue and pulse diagnosis can serve as a reference for the evaluation of the curative effec
t of traditional Chinese medicine constitution conditioning.
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