摘要
目的探讨中医文献中慢性阻塞性肺疾病(COPD)证候及其证候要素分布特点。方法通过检索文献,选取2000年至2014年有关COPD中医辨证文献,建立Epidata2.0数据库,应用SPSS17.0进行描述性统计分析。结果在COPD发作期,频次出现在前10为的证候类型分别为:痰热蕴肺、痰湿壅肺、痰瘀阻肺、表寒肺热、水凌心肺、肺肾气虚、血瘀证、脾肺气虚、气阴两虚以及风热犯肺;稳定期频次出现在前10为的证候类型依次为:肺肾气虚、痰湿阻肺、肺气虚、气阴两虚、脾肺气虚、肺阴虚、脾气虚、血瘀证、肾阴虚、肾阳虚。对证候要素在发作期,出现频率≥5%的病位类证候要素分别为:肺、脾;≥5%的病性类证候要素为:痰、火(热)、湿(浊)、寒、水饮。在稳定期,出现频率≥5%的病位类证候要素分别为:肺、肾、脾;≥5%的病性类证候要素为:气虚、阴虚、湿(浊)、痰、血瘀。结论 COPD临床辨证分型复杂多样,而证候要素相对简约,对临床辨证论治起到执简驭繁的作用。
Objective： To explore the Chinese literature in chronic obstructive pulmonary disease syndromes and syndrome elements distribution. Methods： The search through the literature from 2000 to 2014 of chronic obstructive pulmonary disease in TCM literature was established by the Epidata2.0 database and analyzed by the SPSS17.0 software. Results： In patients with chronic obstructive pulmonary disease exacerbation frequency,the first 10 syndrome types respectively were heat phlegm,phlegm obstructing lung,phlegm obstructing lung,cold and lung heat,water Ling lung and heart,lung and kidney qi deficiency,blood stasis,qi deficiency of spleen and lung,deficiency of both qi and yin and wind heat invading lung. The stable frequency appears in the first 10 syndrome types were lung and kidney qi deficiency,phlegm,deficiency of lung qi,qi and yin deficiency,qi deficiency of spleen and lung,lung yin deficiency,qi deficiency,blood stasis,deficiency of kidney yin,deficiency of kidney yang. Syndrome factors in period of onset,syndrome elements with frequency ≥ 5% of disease location were lung and spleen. Syndrome elements frequency ≥ 5% of disease nature were phlegm,fire（heat）,wet（turbidity）,cold,water to drink. In the stable phase,frequency ≥ 5% syndrome elements of disease location were lung,kidney and spleen. Frenqency ≥ 5% syndrome elements of disease nature were qi deficiency,yin deficiency,for wet（turbidity）,phlegm and blood stasis. Conclusion： The clinical syndrome of chronic obstructive pulmonary disease type complex,while the syndrome elements are relatively simple,for clinical treatment based on syndrome differentiation to the simplified role.
出处
《中国中医急症》
2015年第1期16-18,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
国家中医药管理局中医药行业科研专项(200807046)
关键词
慢性阻塞性肺疾病
发作期
稳定期
证候
文献分析
Chronic obstructive pulmonary disease
Onset period
Stable period
Syndrome
Literature analysis
