From The College Students' Health Condition 4 "8" Dynamic Change Rule To Explore "liver Factor" Control Function Of The Physiological Research

The liver dispersion theory is the main content of the liver’s function in TCM viscera manifestation theory. In recent years. with the constant introduction of modern research methods, more and more explore and research occurred from a physiological point to view TCM viscera function gradually and increasingly in which the liver dispersion theory-related evoked much attention to the field.Based on a series of rigorous screening, selecting healthy students subjects in the study by College Students Health Status Questionnaire in four seasons and eight solar terms at Beijing University of Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shanxi College of Traditional Chinese Medicine respectively, a thorough dynamic tracking survey was carried out. From physiological point of a comprehensive assessment of the dynamic variation of the health of college students, summed up in a variation of the four seasons and eight solar terms, and also through the analysis of changes in the law to explore the regulatory mechanism of TCM liver dispersion physiological function.Objective1. Through literature analysis, preparation of TCM physical status questionnaire, to form a College Students Health Status Questionnaire initially, which could be used to evaluate the college students’ health status.2. Completing the test screening of healthy college students subjects in3TCM colleges in Beijing, Shandong, Shanxi province.3. Finishing the dynamic tracking survey through a cl inical epidemiology methods in three college students in four seasons and eight solar terms, to summarize, analyze the students’ health status.4. By stratified analysis, summarizing the representative of the health status of different populations of neurotic characteristics, and the dynamic changes of seasons, in order to analyze the important regulatory role in liver controlling dispersion in the process of psychological stress.Methods1. Through literature analysis, expert argumentation, according to psychology scale developed method, to draw up TCM physical health status questionnaire. 2.Through strict screening criteria, inclusion criteria, exclusion criteria, to select college students subjects.3.By using epideraiological survey method, dynamic tracking investigation was carried out to healthy college students subjects in four seasons and eight solar terms.Results1. TCM physical health status questionnaire:The questionnaire covered58items in whole body, diet, sleep, stool and urine, gynecological aspects, which involves46four graded items and12gynecological items.2. College Students Health Status Questionnaire:includes TCM physical health status questionnaire, Beck Self-Rating Anxiety Scale(BAI), Beck Depression self-rating scale (BDI), Eysenck Personality Questionnaire-Revised, Short Scale for Chinese (EPQ-RSC), Adolescent Self-Rat ing Life Events Check List (ASLEC). The quest ionnaire was designed for the health of col lege students in four seasons and eight solar terms dynamic investigation3. Subjects screening:551questionnaires were distributed,546returned, which recovery rate was98.5%. After the screening,364subjects remained, which accounted for66.67%of the initial screening of the total number. Totally, there were332college students attended medical examination. Finally,312subjects passed physical examination, accounting for93.98percent of the total.4. Dynamic survey of subjects in four seasons and eight solar terms.4.1BAISignificant difference in different four seasons and eight solar terms. Among them, the beginning of winter (Lidong), the winter solstice(Dongzhi) are significantly higher than other solar terms; the beginning of spring(Lichun), beginning of summer(Lixia), the summer solstice (Xiazhi) are significantly higher than the beginning of autumn(Liqiu); significant differences between the autumnal equinox (Qiufen) solar terms, the vernal equinox(Chunfen), the beginning of autumn (Liqiu)(P<0.05). The overall trend is the highest score in winter, followed by spring, summer, the lowest score in autumn.4.2BDISignificant difference in different four seasons and eight solar terms. Among them, beginning of winter(Lidong), the winter solstice (Dongzhi) significantly higher than the vernal equinox(Chunfen), summer sols t ice(Xiazhi), the beginning of autumn (Liqiu), autumnal equinox (Qiufen)(P<0.05); the beginning of spring(Lichun), beginning of summer (Lixia) significantly higher than the beginning of autumn(Liqiu), autumnal equinox (Qiufen)(P<0.05), the summer solstice (Xiazhi) significantly higher than Autumnal Equinox (Qiufen)(P<0.05). The overall trend is the highest score in winter, followed by spring, summer, the lowest score in autumn,.4.3Mental or emotional statusThe mood scores eight mental or emotional score showed a significant difference. Among them, the beginning of winter (Lidong), the winter solstice(Dongzhi) significantly higher than the other six solar terms (P<0.001), the beginning of spring (Lichun), the vernal equinox (Chunfen), the beginning of summer (Lixia), the summer solstice (Xiazhi) significantly higher than the beginning of autumn (Liqiu), autumnal equinox(Qiufen)(P<0.001). The overall trend:the highest score in winter, followed by spring, summer, the lowest score in autumn.4.4Physical statusSignificant difference in different four seasons and eight solar terms. Among them, the beginning of winter(Lidong), the winter solstice (Dongzhi) are significantly higher than other solar terms (no statistically significant d if ference between two solar terms), the beginning of spr ing (Lichun), beginning of summer (Lixia), the summer solst ice (Xiazhi) are significantly higher than the beginning of autumn(Liqiu), autumnal equinox(Qiufen) solar terms, the vernal equinox (Chunfen) was significantly higher than the beginning of autumn (Liqiu)(P<0.05).8items such as dry eyes, throat discomfort, palpitation, frequent sighing, nausea, abdominal discomfort, dry mouth, headache appear with no significant difference (P>0.05) among the solar terms in frequency (P<0.05).10items such as ringing in the ears, distension in chest, distension in lateral thorax, nausea, vomiting, back discomfort, leg discomfort, constipation, pains in lateral thorax, lumbago, with no significant difference (P>0.05) in severity among8solar terms. From a comprehensive view of the occurrence frequency and severity of physical items, following features occurred:Epigastric discomfort is more serious at the beginning of winter(Lidong), the winter solstice(Dongzhi), the beginning of autumn (Liqiu), autumnal equinox (Qiufen)solar terms, but less serious at the beginning of spring(Lichun), the vernal equinox (Chunfen), the beginning of summer (Lixia), the summer solst ice (Xiazhi);Sweating in palms and soles is more serious the beginning of spring (Lichun), the vernal equinox(Chunfen), the beginning of summer(Lixia), the summer solstice(Xiazhi) the autumnal equinox(Qiufen), but less serious at the beginning of winter(Lidong)(frequency), winter solstice(Dongzhi)(severity) and the beginning of autumn(Liqiu);Sleep problems (including poor sleep, dreamy, difficulty falling asleep) only not serious at the beginning of autumn(Liqiu) solar terms, but more serious at the rest of the7solar terms;Frequent sighing is more serious at the beginning of winter(Lidong), the beginning of spring (Lichun) the beginning of summer (Lixia), but less serious at the winter solstice(Dongzhi), the vernal equinox (Chunfen), the summer solstice(Xiazhi), the beginning of autumn (Liqiu) and the autumnal equinox(Qiufen);Defecation problems (constipation, diarrhea) constipation is more serious at the beginning of spring(Lichun), the vernal equinox (Chunfen), the beginning of summer(Lixia), but both is more serious at the summer solstice(Xiazhi),the beginning of autumn(Liqiu), autumnal equinox(Qiufen) solar term;Waist discomfort is more serious only at the summer solstice(Xiazhi),the beginning of autumn(Liqiu), autumnal equinox(Qiufen) solar term.4.5ASLEC scores in significant difference. Except the other factor, the5ASLEC factors scores in significant differences (P<0.05).5. The scores of mental or emotional, BAI, BDI scores exists with significantly different (P<0.05) between higher and lower neuroticism group, but physical status no significant difference (P>0.05). Low neuroticism group, the various indicators of the level of events to the inter-packet comparison of BAI score differences are not significant with P>0.05, remaining indicators are exist significant differences (P<0.05) high neuroticism low-life events have grouped1ife event score without significantly with differences (P>0.05), the remaining three groups, there were significant differences between seasons (P<0.05). Four o’clock high neuroticism and low life events group, the low neuroticism high1ife events group BAI score no s ignif icant difference (P>0.05), whi le the other two groups, there were significant differences between seasons (P<0.05). Seasons each group BDI score, there were significant differences (P<0.05). Seasons emotional condition score, there were significant differences (P<0.05). Four o’clock the high neuroticism low life events have grouped life events score no statistically significant difference (P>0.05), and the remaining three groups, there were significant differences between seasons (P<0.05)Conclusion1. College students healthy subjects in the physical, psychological, and social adaptation conditions of section four eight to certain rules, with the role of TCM Liver dispersion.2. In this study, analysis of the body and the emotional state of the nervous crowd, the high neuroticism crowd body and emotional status is more significant, and the low neurot icism crowd relat ively mi Id. By comparison, the characteristic of these high neuroticism group entry significantly more than the low neuroticism group, there are significant performance both from a physical or emotional crowd of high neuroticism group. From the perspective of traditional Chinese medicine theory analysis, the high neuroticism crowd characteristic performance suggest that under physiological conditions, outstanding emotional, somatic manifestation liver catharsis gas machine, Regulating systemic blood inadequate function of emotions thus exhibiting the above characteristics; correspondingly, the the low neuroticism crowd catharsis function more significantly, regulating emotions, regulate the function of blood more stable state, it is physical, emotional performance is not prominent.By subjects living circumstances of the incident investigation and analysis, this study found that life events as stressors on the body were obvious impact, emotional, and BDI, BAI status.Analys is of the trends of level of neurot ic pm indicators, high neurot ici sm group in the four seasons of the indicators, such as physical, emotional fluctuations and differences are significant changes, the corresponding low neuroticism group indicators significantly more gentle. It is worth mentioning that the high, low neuroticism group life events crowd situation, although there are some changes, but overall, the crowd still high neuroticism group for the percept ion of life events more sensitive and dramatic. This suggests that, in the seasons change, for the body in a process to deal with the psychological stress due to the individual’s ability to regulate and control the different result of this difference. Liver dispersion thus linked to the theory of TCM Viscera, its basic function is to regulate blood Regulating Emotions, if associated with psychological stress reaction, then, is precisely the physiological functions of the liver controlling dispers ion regulatory funct ions of heal thy ind iv iduals play in the process of psychological stress. Chinese medicine is not the concept of "psychological stress".