摘要
目的:拟以进行相关频数统计分析以探讨类风湿关节炎(rheumatoid arthritis,RA)中医证候及相关规律性。方法:检索2002年1月至2007年10月有关RA证候、辨证相关的文献共231篇,然后运用频数分析对证候进行统计。结果:近五年RA中医辨证大致分为24种证候,其中虚、寒、湿、热、瘀、痰证为常见证候。八纲辨证中,虚实夹杂证频数最高。脏腑辨证中,肾虚精亏频数最高,其次为肝肾亏、肝气郁结、脾气亏虚等证,其中肺气亏虚频数最低。气血津液辨证中,血瘀阻络证的频数最高。结论:频数统计分析提示虚实夹杂证是RA病因的实质,本病发病与肾、肝密切相关,可累及脾、胃、肺、心等多个脏腑。寒热辨证在尪痹(RA)证候分类中起纲领性的作用。同时,痹治疗过程中需勿忘活血通络。
Objective： To discuss frequent syndromes and the related regularity of rheumatoid arthritis （RA） in TCM by frequency statistic analysis. Method： Medical records from Jan.2002 to Oct. 2007 about syndromes or principles of RA were searched and analyzed by frequency statistic analysis. Results： In the past five years, there were about 24 kinds of syndromes of RA, and among them, deficiency, coldness, dampness, heat, stasis and phlegm syndromes were commonly seen. In the syndrome differentiation of eight principles, syndrome of intermingled deficiency and excess was of the maximum frequency. In the syndrome differentiation of zang-fu viscera, the related frequency from high to low were insufficiency of kidney essence, insufficiency of liver and kidney, stagnation of liver qi, insufficiency of spleen qi, and etc. ,with insufficiency of lung qi of the minimum frequency. In the syndrome differentiation of qi, blood and liquid, syndrome of blood stasis was of the maximum frequency. Conclusion： From the frequency statistic analysis, it can be concluded that syndrome of intermingled deficiency and excess reflected the virtual cause of RA, and RA is related to kidney and liver mainly, together with spleen, stomach, heart, and etc., according to causing mechanism. In the syndrome differentiation of Wang numbness （RA）, coldness and heat is of the fundamentally function. What＇s more, the method of promoting blood circulation for removing blood stasis should be noted during the treatment.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2009年第3期356-357,共2页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
类风湿关节炎
证候
频数
统计
分析
Rheumatoid arthritis
Syndrome
Frequency
Statistic
Analysis
