摘要
Traditional Chinese Medicine (TCM) constitution types, such as Yang-deficiency and Yin-deficiency, play a pivotal role in diagnosis and treatment within TCM. The Constitution in Chinese Medicine Questionnaire (CCMQ) and the Body Constitution Questionnaire (BCQ) are widely used to classify TCM body constitution types. However, their consistency in classification has been scarcely examined. This study aimed to investigate the consistency of Yang-deficiency and Yin-deficiency classifications among young adults using the CCMQ and BCQ. We conducted a cross-sectional study among 244 university students in southern Taiwan, where participants were instructed to self-complete a questionnaire consisting of the CCMQ and BCQ. Kappa statistics (κ) were used to evaluate the consistency between the questionnaires, with a specific emphasis on whether employing broader definitions (including both definite and probable cases) affects the proportion of unbalanced constitution types. Our results revealed that there was only fair to moderate consistency between the two questionnaires. In addition, employing a broader definition within the CCMQ led to a higher proportion of unbalanced constitution types, which more closely resembled the classifications made using the BCQ. In conclusion, our findings suggest the complexity of classifying TCM constitution types and the necessity for cautious interpretation when using the CCMQ and BCQ interchangeably. Future research using the CCMQ should incorporate both broader and stricter definitions for a more comprehensive assessment of constitution types. Further investigation, including clinical validation, is essential to enhance the accuracy and practical applicability of TCM constitution classification.
關鍵字
body constitution ； traditional Chinese medicine ； questionnaire ； CCMQ ； BCQ
並列摘要
中醫體質類型，如陽虛和陰虛，在中醫診斷和治療中扮演關鍵角色。《中醫體質問卷》（CCMQ）和《體質問卷》（BCQ）廣泛應用於中醫體質類型的分類。然而，這兩種問卷在分類一致性上的研究較為罕見。本研究旨在探究使用CCMQ和BCQ對陽虛和陰虛分類在年輕成人的一致性。以台灣南部地區的244名大學生進行橫斷面研究，參與者完成包含CCMQ和BCQ的問卷。透過Kappa統計量（κ）評估兩種問卷之間的一致性，並分析採用廣泛定義（涵蓋確診與可能病例）對不平衡體質類型比例的影響。結果顯示，兩種問卷之間僅有少至中等的一致性。此外，在CCMQ中採用更廣義的定義導致不平衡體質類型的比例增高，該比例與使用BCQ進行的分類更相似。本研究發現中醫體質類型分類的複雜性，互換使用CCMQ和BCQ時需要謹慎。建議未來使用CCMQ的研究應該同時採用廣泛和嚴格的定義，以便進行更全面的體質類型評估。未來研究應透過臨床驗證，提高中醫體質分類的準確性和實用性。
並列關鍵字
體質類型 ； 中醫 ； 問卷 ； CCMQ ； BCQ
出版資訊
ISSN : 2313-8963
DOI :
出版單位 : 中華國際自然醫學學會 , 台灣
收錄起始 : 1卷1期(2014/09)
學科分類：醫藥衛生 > 醫藥總論
刊頻 : 半年刊 , 正常發行