465例"肝经-腺体病"横断面调查研究OA
A cross-sectional survey of 465 cases with"liver meridian-glandular diseases"
目的:基于经络理论及临床实践提出"肝经-腺体病"假说,通过研究肝经循行区域腺体病变情况明确"肝经-腺体病"基本临床特征,探讨其产生的原因.方法:采用横断面调查,记录于江苏省中医院体检中心进行体检的人员的肝经循行区域腺体患病情况,通过 SPSS 26.0 对所采集的数据进行描述性统计及相关性分析.结果:共纳入 541 例观察对象,其中 465 例肝经循行区域腺体存在病变(85.95%),单腺体病变者 219 例(47.10%),多腺体病变者 246 例(52.90%).女性以甲状腺病变(67.29%)为主,男性则以肝脏(胆囊)病变(86.45%)为主.女性"肝经-腺体病"甲状腺与乳腺病变、卵巢(子宫)与肝脏(胆囊)病变存在相关性;男性"肝经-腺体病"中甲状腺与前列腺病变、甲状腺与肝脏(胆囊)病变存在相关性.结论:"肝经-腺体病"假说的提出有理论和临床依据,肝经循行区域腺体病呈现"双高"现象(总患病率高、多腺体患病率高),"肝经-腺体病"存在明显的性别差异.从现代医学角度分析,可能与足厥阴肝经直接/间接参与的神经免疫抗炎、内分泌代谢等有关.
Objective:Grounded in meridian theory and clinical practice,our research team proposes the"liver meridian-glandular disease"hypothesis.This study aims to clarify the fundamental clinical characteristics of"liver meridian-glandular disease"and explore its underlying mechanisms by investigating glandular diseases within the distribution region of the liver meridian.Methods:A cross-sectional survey was conducted to document glandular disorders in the liver meridian distribution area among individuals undergoing physical examinations at the Health Check-up Center of Jiangsu Provincial Hospital of Chinese Medicine.Descriptive statistics and correlation analyses were performed on the collected data using SPSS 26.0 software.Results:A total of 541 participants were enrolled,among whom 465(85.95%)presented with glandular diseases in the liver meridian distribution area.Specifically,219 cases(47.10%)had single gland disease,and 246 cases(52.90%)had polyglandular diseases.In female participants,thyroid diseases were the most prevalent(67.29%),whereas liver(gallbladder)diseases predominated in male participants(86.45%).For females with"liver meridian-glandular diseases",correlations were observed between thyroid and breast diseases,as well as between ovarian(uterine)and liver(gallbladder)diseases.In males,correlations were identified between thyroid and prostate diseases,and between thyroid and liver(gallbladder)diseases.Conclusion:The proposal of the"liver meridian-glandular diseases"hypothesis is supported by both theoretical and clinical evidence.Glandular diseases in the liver meridian distribution area exhibit a"double-high"phenomenon(high overall prevalence and polyglandular diseases prevalence),with significant gender differences in"liver meridian-glandular diseases".From the perspective of modern medicine,this may be associated with the direct or indirect involvement of the liver meridian of Foot-Jueyin in neuro-immune anti-inflammatory processes,endocrine metabolism,and related pathways.
杨乐;万凌峰;徐天成;宋旭光
南京中医药大学附属医院,江苏 南京,210029南京中医药大学附属医院,江苏 南京,210029南京中医药大学 针药结合教育部重点实验室,江苏 南京,210023南京中医药大学附属医院,江苏 南京,210029
医药卫生
经络理论腺体病肝主疏泄神经免疫抗炎内分泌代谢
Meridian theoryGlandular diseasesThe liver governing the free flow of QiNeuro-immune anti-inflammationEndocrine metabolism
《中医临床研究》 2026 (19)
67-72,6
第四批江苏省中医临床优秀人才研修项目(苏中医科教[2022]1号)国家自然科学基金委员会,青年科学基金项目(82305376).
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