【摘要】近年來，随着中医药事业的不断发展，以及中医药研究的不断深入，中医“治未病”理念以其科学性及实用性正逐步获得临床的认可，并在临床干预中占据不可或缺的一席之地。治未病“全科化”的普及，为糖尿病等慢性、高发性疾病的预防与诊疗拓展了新的思路。中医体质辨识作为“治未病”理念的重要载体，在普及“全科化”的进程中，对逐年升高的糖尿病高危人群防治展现出了独具特色的优越性。中医体质辨识基于中医治未病全科化推广模式的需要，前期尝试全院内网互联互通，实现门诊、治未病（体检）人群的推广和使用，使其能够迅速普及治未病理念，丰富治未病服务内涵;并且发现这一模式具有低成本、高效率和高收益（主要是社会效益）的优点，可能成为我院治未病全科化服务的重要途径之一。现阶段已逐步完成智能化改进，实行内外网互通互联，手机二维码扫码完成建档和体质辨识。对体质偏颇人群分类制定干预方案，治未病科实施健康干预和后续健康管理。微信版推广后受众人群有望进一步扩大---来院就诊人员和陪人只要有需求均可进行体质辨识，辨识后如有中医药需求的可以在院即时进行求诊就医、中医药服务。在人群中早期、高效、准确地识别出糖尿病高危人群，并且对（如肥胖、吸烟、情绪、体力活动、饮食、体质等）可改变的危险因素进行健康干预，积极控制和有效管理，将有效降低糖尿病的发病率和致残率。

【关键词】治未病“全科化”;中医体质辨识;糖尿病高危人群;防治;健康管理

【Abstract】： In recent years， with the continuous development of traditional Chinese medicine and the deepening of traditional Chinese medicine research， the concept of "prevention of disease" in traditional Chinese medicine is gradually gaining clinical favor with its scientificity and practicability， and occupies an indispensable position in clinical intervention. The popularization of "general practice" for disease prevention has expanded new ideas for the prevention and treatment of chronic and high incidence diseases such as diabetes. As an important carrier of the concept of "preventive treatment of disease"， constitution recognition of traditional Chinese medicine has shown its unique superiority in the popularization of "general practice". TCM constitution identification is based on the need of the general promotion model of TCM medical treatment for non-disease. In the early stage， it tries to connect the Intranet of the whole hospital to realize the promotion and use of outpatient and non-disease treatment （physical examination） groups， so that it can quickly popularize the concept of non-disease treatment and enrich the connotation of non-disease treatment services. Moreover， it is found that this model has the advantages of low cost， high efficiency and high benefit （mainly social benefit）， and may become one of the important ways for the general service of untreated diseases in our hospital. At the present stage， the intelligent improvement has been gradually completed， the interconnection between internal and external networks has been implemented， and the two-dimensional code scanning on mobile phones has completed the filing and physical identification. The intervention plan was formulated for the classification of the population with physical bias， and health intervention and follow-up health management were implemented in the treatment department. After the promotion of wechat version， the audience is expected to be further expanded -- all the patients and companions who come to the hospital can be identified as long as they have needs， and those who have TCM needs can seek medical treatment and TCM services in the hospital immediately after identification. Early， efficient and accurate identification of high risk groups of diabetes in the population， and health intervention for modifiable risk factors （such as obesity， smoking， mood， physical activity， diet， physique， etc.）， active control and effective management will effectively reduce the incidence and disability rate of diabetes.