摘要
目的:基于古今医案数据分析咳嗽的证候规律。方法:搜集历代咳嗽医案,建立症状数据库,进行数据统计方法和链接图分析等研究。结果:(1)搜集咳嗽医案1 808个,共记载症状151个,高频症状44个。(2)375例医案记载了发病季节:秋季(10.95%)、冬季(9.96%)、春季(8.74%)、夏季(7.69%)。(3)夜间咳嗽医案136例,晨起咳嗽医案53例。结论:咳嗽的核心症状为咳嗽、咳痰、纳呆、气逆急促、痰多、发热、口咽干等44个。咳嗽证候类型包括虚证、外感、痰饮、火热证、瘀证与郁证等6大类。晨起咳嗽以阳虚和外感为主要原因,夜间咳嗽以阴虚肺燥和肝火犯肺为主要原因,秋季和冬季是咳嗽的易感季节。
Objective：To explore the laws of cough based on the statistical analysis of ancient and modem medical records. Methods：Cough cases of dynasties and modern times were collected and built into symptom database. Researches were made by the method of mathematical statistics and link graph analysis. Results ：Totally 1,1808 medical cases of cough were collected with 151 symptoms and 44 symptoms of high frequency. Totally 375 cases were documented the onset seasons ：autumn （ 10.95% ）, winter （9.96%） ,spring （ 8.74% ） and summer （7.69%）. There were 136 cases with cough at night.53 cases with cough in Lhe morning. Conclusions ： The core. symptoms of cough include cough, expectoration, poor appetite, shortness of breath, excessive phlegm, fever,dry mouth and throat. Syndrome types of cough include deficiency syndrome, exogenous contraction, phlegm, fire-heat syn- drome, blood stasis and depression. The main reasons of morning cough are yang deficiency and exogenous factors：the main rea- sons of night cough are yin deficiency and dryness of the lungs and liver fire attacking the lung. People are susceptible to cough in autumn and winter.
作者
乔羽
姜德友
QIAO Yu JIANG De-you(Heilongiang University of Chinese Medicine, Harbin, Heilongjiang, China, 150040)
出处
《河南中医》
2017年第7期1240-1243,共4页
Henan Traditional Chinese Medicine
基金
国家中医药管理局龙江医学流派传承工作室建设项目(编号:LPGZS2012-14)
黑龙江省中医药生产方式科研项目(编号:ZHY12-209)
黑龙江省教育科学规划课题2015年度青年专项(编号:GJD1215043)
关键词
咳嗽
医案
证候
统计学
证素
时间医学
cough
medical cases
syndrome
statistics
syndrome element
ehronomedicine
