体质易感论OA
Theory of constitution susceptibility
体质易感论是中医体质学"发病四论"的重要内容之一,指不同体质类型对同一致病因素或同一疾病的易感性具有差异,即不同体质类型对特定疾病具有易患性、倾向性.文章从体质易感论的古今中医学认识和现代研究证据系统讨论了其概念提出背景;从体质决定机体对不同致病因素、不同时令诱因、不同地域诱因的易感性三个方面阐释其科学内涵;从指导体病相关的实证研究,未病先防与慢病防控,疾病诊疗模式转变等方面探讨其临床意义.体质易感论的提出对于丰富中医发病学、揭示复杂疾病异质性原理和提升发病预警能力具有重要意义.
The theory of constitutional susceptibility is one of the core components of the'four theories of pathogenesis' in constitutionology of traditional Chinese medicine(TCM).It refers to the differences in susceptibility among individuals with different constitutional types to the same pathogenic factor or disease,meaning that specific constitutional types have a predisposition or tendency to develop certain diseases.This paper systematically discusses the background of the concept of constitutional susceptibility by reviewing the understanding of it in ancient and modern TCM as well as evidence from modern research.Its scientific connotation is explained from three perspectives:how constitution determines the body's susceptibility to different pathogenic factors,seasonal triggers and regional pathogenic factors.Furthermore,its clinical significance is explored in terms of guiding empirical research on constitution-disease correlations,enabling disease prevention before onset and chronic disease management,and transforming disease diagnosis and treatment models.The proposal of the theory of constitutional susceptibility is of great significance for enriching TCM pathogenesis theory,revealing the heterogeneity of complex diseases,and enhancing the ability to predict disease occurrence.
王琦
北京中医药大学王琦书院,北京 100029||北京中医药大学国家中医体质与治未病研究院,北京 100029
中医体质学发病学体质易感论疾病预警
Constitution of traditional Chinese medicineEpidemiologyTheory of constitution susceptibilityDisease warning
《中华中医药杂志》 2026 (2)
379-383,5
中国工程院战略研究与咨询项目(No.2024-XZ-65)
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