| Objective:This study was conducted under the guidance of the theory of preventive treatment of disease in TCM,and the subjects were analyzed for TCM constitution through constitution identification,and different TCM characteristic therapies combined with lifestyle were used to develop TCM health management programs and intervene on Qi deficiency,in order to investigate the intervention effect and safety of TCM health management on Qi deficiency,and provide evidence-based medical evidence for the clinical application of TCM health management model.Methods:One hundred and sixty subjects from March 2019 to March 2021 who underwent physical examination at the Center of Preventive Treatment of Disease,Guang’an men Hospital,China Academy of Chinese Medicine Science,and were screened to meet the diagnostic criteria of qi deficiency were selected as study subjects.The subjects were divided into 4 groups according to the random number table method,under the unified lifestyle intervention,namely the Chinese herbal tea group,the Thunder-fire moxibustion group,the wuyin therapy group and the control group(lifestyle intervention only),with forty cases in each group,for a period of three months of TCM health management.Before and after the intervention,the TCM qi deficiency scores,Five Viscera Disease Level Dimension qi deficiency scale scores,SF-36 scores,FAI scores,WBC,RBC,HGB changes,and safety indicators such as heart rate,blood pressure,blood sugar,blood routine,urinary routine,liver and kidney function,and electrocardiogram were observed,so as to evaluate the effectiveness and safety of TCM health management on people with qi deficiency.Results:1.General data:a total of 160 subjects who met the diagnostic criteria of qi deficiency were included in the study,and 151 valid cases finally completed the TCM health management,of which seventy four cases(49.0%)were males and seventy seven cases(51.0%)were females.The groups were thirty eight cases in the Chinese herb tea group,thirty eight cases in the thunder-fire moxibustion group,thirty seven cases in the wuyin therapy group,and thirty eight cases in the control group.The general information of each group was compared,and the difference was not statistically significant(P>0.05).2.Qi deficiency scale scores(1)changes in constitution scores:the mean values of body composition scores in the four groups decreased significantly after the intervention compared with those before the intervention.According to the criteria for determining constitution,the Chinese herbal tea group was transformed from qi deficiency to mild constitution;the subjects in the Thunder-fire moxibustion and wuyin therapy groups were transformed from qi deficiency to the tendency of qi deficiency;the mean values of constitution scores in the control group were still within the criteria for qi deficiency,but there was a trend to transform to the tendency of qi deficiency.(2)there was no statistically significant difference in the qi deficiency scores of each group before the intervention(P>0.05);after the intervention,the qi deficiency scores of each group were lower than before(P<0.05),and the scores of each entry were lower than before after the intervention,and the difference was statistically significant(P<0.05);two-by-two comparison:there were significant differences in the Qi deficiency scores between the four groups after the intervention,with the Chinese herbal tea group<the Thunder-fire moxibustion group<the wuyin therapy group<the control group(P<0.05),and the differences were statistically significant.3.Qi deficiency scale scores of the five viscera dimension:there was no statistical difference in the Qi deficiency scale scores of the five viscera dimension among the groups before the intervention(P>0.05).(1)comparison of Qi deficiency scale scores of the liver dimension:the Qi deficiency scale scores of the liver dimension in the four groups after the intervention were lower than those before the intervention(P<0.05),and the difference in the scores of the four groups after the intervention was statistically significant(P<0.05);two by two comparison:the post-intervention scores of the Chinese herbal tea group were lower than those of the Thunder-fire moxibustion group and the control group(P=0.001),but not significantly different from those of the wuyin therapy group(P=0.244);the post-intervention scores of the wuyin therapy group were lower than those of the Thunder-fire moxibustion group(P=0.022).There was no significant difference in post-intervention scores between the Thunder-fire moxibustion group and the control group(P=0.891).(2)comparison of heart dimensional Qi deficiency scale scores:all four groups had lower heart dimensional Qi deficiency scale scores after the intervention than before the intervention(P<0.05),and the difference in scores between the four groups after the intervention was statistically significant(P<0.05);two-by-two comparison:the follow-up scores of the Chinese herbal tea group and Thunder-fire moxibustion groups were lower than those of the wuyin therapy and control groups(P<0.05),and there was no significant difference between the follow-up scores of the Chinese herbal tea group and the Thunder-fire moxibustion groups(P=0.572);there was no significant difference between the wuyin therapy and the control group(P=0.053)..(3)comparison of spleen dimensional Qi deficiency scale scores:after the intervention,all four groups had lower spleen dimensional Qi deficiency scale scores than before the intervention(P<0.05),and the difference in scores between the four groups after the intervention was statistically significant(P<0.05);two-by-two comparison:there were significant differences in the post-intervention scores of all groups,and the post-intervention scores of the Chinese herbal tea group<the Thunder-fire moxibustion group<the wuyin therapy group<the control group(P<0.05).(4)comparison of Qi deficiency scale scores of lungs dimension:after the intervention,the Qi deficiency scale scores of lungs dimension in all four groups were lower than those before the intervention(P<0.05),and there were significant differences in the scores of each group after interventions;two-by-two comparison:the post-intervention scores were lower in the Chinese herbal tea group than in all groups(P=0.000),the post-intervention scores were higher in the Thunder-fire moxibustion group than in the wuyin therapy group and the control group(P<0.05),and there was no significant difference in the post-intervention scores between the wuyin therapy group and the control group(P=0.120).(5)comparison of kidney dimensional qi deficiency scale scores:after the intervention,the kidney dimensional qi deficiency scale scores of all four groups were lower than before the intervention(P<0.05),and the difference between the scores of the four groups after the intervention was statistically significant(P<0.05);two-by-two comparison:there was no significant difference in the post-intervention scores between the Chinese herbal tea group and the Thunder-fire moxibustion group(P=0.763),but the post-intervention scores of the Chinese herbal tea group and the Thunder-fire moxibustion groups were lower than those of the wuyin therapy group and the control group(P<0.05);there was no significant difference in the post-intervention scores between the wuyin therapy group and the control group(P=0.349).4.SF-36 scale scores:there was no statistical difference between the eight SF-36 scale scores of each group before intervention(P>0.05).(1)comparison of PF scale scores:the physiological function conversion scores of the four groups after intervention were higher than those before intervention(P<0.05);the difference in conversion scores of the four groups after intervention was statistically significant(P<0.05);two-by-two comparison:all four groups had unequal conversion scores after the intervention,with the Chinese herbal tea group>the Thunder-fire moxibustion group>the wuyin therapy group>the control group(P<0.05),with statistically significant differences.(2)comparison of RP scale scores:after the intervention,the conversion scores of role-physical in all four groups were higher than those before the intervention(P<0.05);the differences in the conversion scores after the intervention in the four groups were statistically significant(P<0.05);two-by-two comparison:the post-intervention conversion scores were higher in the treatment group than in the control group(P<0.05),and higher in the Chinese herbal tea group and the Thunder-fire moxibustion group than in the wuyin therapy group(P<0.05),with no significant difference between the Chinese herbal tea group and the Thunder-fire moxibustion group(P=0.628).(3)comparison of BP scale scores:after the intervention,the conversion scores of body pain in all four groups were higher than those before the intervention(P<0.05);the difference between the conversion scores of the four groups after the intervention was statistically significant(P<0.05);two-by-two comparison:the post-intervention conversion scores were higher in the treatment group than in the control group(P<0.05),and there was no significant difference in the comparison of the treatment groups(P>0.05).(4)comparison of GH scale scores:the transformation scores of health status in all four groups after intervention were higher than those before intervention(P<0.05);the difference in transformation scores after intervention in the four groups was statistically significant(P<0.05);two-by-two comparison:When comparing the post-intervention conversion scores of each group,the Chinese herbal tea group and the Thunder-fire moxibustion group>the wuyin therapy group>the control group(P<0.05),and there was no significant difference between the Chinese herbal tea group and the Thunder-fire moxibustion group(P=0.101).(5)comparison of VT scale scores:after the intervention,the energy conversion scores of the four groups were all higher than before the intervention(P<0.05);the difference in the conversion scores after the intervention of the four groups was statistically significant(P<0.05);two-by-two comparison:there was a significant difference in the conversion scores of all groups after the intervention,and the Chinese herbal tea group>the Thunder-fire moxibustion group>the wuyin therapy group>the control group(P<0.05).(6)comparison of SF scale scores:the post-intervention social function conversion scores of the treatment group were higher than those before the intervention(P<0.05),and the post-intervention conversion scores of the control group were not significantly different from those before the intervention(P>0.05);the differences in the post-intervention conversion scores of the four groups were statistically significant(P<0.05);two-by-two comparison:The post-intervention conversion scores were higher in the Chinese herbal tea group and the Thunder-fire moxibustion group than in the wuyin therapy group and the control group(P<0.05),and there was no significant difference between the Chinese herbal tea group and the Thunder-fire moxibustion group(P=0.264);there was no significant difference between the five tone therapy group and the control group(P=0.063).(7)comparison of RE scale scores:the post-intervention conversion scores of the treatment emotion function were all higher than those before the intervention(P<0.05),and there was no statistically significant difference in the conversion scores of the control group compared with those before the intervention(P>0.05);the difference in the conversion scores of the four groups after the intervention was statistically significant(P<0.05);two-by-two comparison:the post-intervention conversion scores were higher in the treatment group than in the control group(P<0.05),and there was no significant difference in the comparison of the treatment groups(P>0.05).(8)comparison of MH scale scores:mental health conversion scores of all four groups were higher after intervention than before intervention(P<0.05),and the difference in conversion scores of the four groups after intervention was statistically significant(P<0.05);two-by-two comparison:The conversion scores of all treatment groups were higher than those of the control group(P<0.05);among them,the Chinese herbal tea group>the Thunder-fire moxibustion group and the wuyin therapy group>the control group(P<0.05),and there was no significant difference between the conversion scores of the Thunder-fire moxibustion group and the wuyin therapy group after the intervention(P=0.599).5.FAI scale scores:there was no statistically significant difference in FAI scores between the four groups before intervention(P>0.05),after intervention,FAI scores in all four groups were lower than before intervention(P<0.05),and there was a significant difference in scores between the four groups after intervention(P<0.05);two-by-two comparison:there were significant differences in the post-intervention scores of each group,and the post-intervention FAI scores of the Chinese herbal tea group<the Thunder-fire moxibustion group<the wuyin therapy group<the control group,with statistically significant differences(P<0.05).6.WBC,RBC,HGB:there was no significant difference in the comparison of WBC,RBC and HGB before and after each group’s own intervention(P>0.05);two-by-two comparison:there was no statistically significant difference between groups in WBC,RBC and HGB before and after each group’s intervention(P>0.05).7.Follow-up:subjects in the treatment group had statistical differences in Qi deficiency score,Qi deficiency scale score of the five visceral disease position dimensions,SF-36 score,and FAI score compared with those before the intervention(P<0.05).8.Safety evaluation:no adverse reactions were observed in subj ects of all groups;there were no statistically significant differences in blood routine,liver function,kidney function,blood sugar,urine routine,and electrocardiogram before and after the intervention(P>0.05).Conclusion:Chinese medicine health management based on the theory of preventive treatment of disease has significant efficacy on people with qi deficiency,especially the Chinese herb tea group and the Thunder-fire moxibustion group;and the wuyin therapy is especially suitable for people with qi deficiency who have liver qi deficiency,mental depression or anxiety.According to the results of safety evaluation,all TCM health management programs in the treatment group had a high safety level. |
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