RÉSUMÉ
With the cooperation of Kurobe City, we conducted a basic survey using the nine classification of constitution and an intervention survey using a constitutional guidance program. The basic survey was conducted by the Kurobe group (Kurobe River alluvial fan spring water drinker n=155, 60.6±10.4 years old) and the non-Kurobe group (normal tap water drinker n=99, 50.7±12.8 living in the Hokuriku region without Kurobe City). A total of three surveys were conducted using the constitution Questionnaire (CCMQ-J). As a result, the Gentleness type, which is usually called the healthy constitution, was clearly higher in the Kurobe group, with 44.6 % in the Kurobe group and 22.5 % in the non-Kurobe group. In the proportion of each biased constitution(Mibyo constitution), the Kurobe group had less Wet-heat type (4.5 % vs 11.8 %), Qi-depression type (5.4 % vs 10.7 %), Yin-deficiency type (7.1 % vs 12.3 %) , and Phlegm-wetness type (5.8 % vs 9.6 %) than the non-Kurobe group. After the basic survey was completed, the Kurobe group was randomly divided into two groups, an intervention group (n=65, 62.3±9.3 years old) and a non-intervention group (n=68, 62.7±9.8 years old), and compared with the non-Kurobe group (control group) (n=80, 51.9±13.6 years old). The survey design was a simple comparative study, and the primary endpoint was a comparative study of changes in constitutional scores before and after intervention. As a result, in the Yang-deficiency type, a significant difference was observed between the intervention group, the non-intervention group and the control group at the first time after the intervention (One-way ANOVA p=0.04). No change was seen in the second survey after the intervention. In the comparison of Phlegm-wetness type between the three groups, there was a tendency in the amount of change in the constitutional score (One-way ANOVA p=0.087). From the above, it was suggested that the constitutional survey can not only grasp the health and the pre-symptomatic state, but also improve the pre-symptomatic by combining the guidance methods according to the constitution.
RÉSUMÉ
[Objective] This article elaborated the clinical experience of Professor HAN Xu in the treatment of insomnia by using the theory of biased constitution. [Methods]For the sake of elaborating Professor HAN's experience in the treatment of insomnia, the author summed up the characteristics of old people's constitution and explained the relationship between the two from excess and deficiency syndrome. In order to better describe Professor HAN's experience in insomnia, the author enumerated 7 classic cases from several different aspects, like etiology and pathogenesis, therapy and prescriptions.[Results] Professor HAN believes that the characteristics of insomnia include the two aspects of deficiency and excess. The deficiency constitution should distinguish the deficiency between Qi and blood, Yin and Yang. The ways to treat the disease are invigorating Qi and nourishing blood, warming Yang and dispersing the cold, nourishing Yin and latenting Yang, striking the fire down. The Chinese medicinal formulae to treat the disease may use Decoction for invigorating the spleen, Mahuang Fuzi Xixin Tang, Fire diversion soup, Qianyang Fengsui Dan. The excess constitution should pay attention to phlegmatic hygrosis, stagnant blood, Qi-depression, fire -evil. The ways to treat the disease are soothing liver and invigorating spleen, descending and eliminating phlegm, stimulating circulation to end stasis. The ways include Peipi Shugan Tang, dissipating phlegm, Xuefu Zhuyu Decoction. To distinguish the actual situation of their specimens to take methods of strengthening the body resistance and eliminating evil, clinically has good effects. [Conclusion] Professor HAN makes the program of deficiency and excess and divides the biased constitution of the aged into six different types, like the deficiency of Qi and blood, Yang deficiency and Yin excess, hyperactivity of deficient fire, Liver Qi stagnation, phlegmatic hygrosis, blood stasis. The theory shows promising clinical outcome and is worth of a wide application.