摘要
目的:基于文献分析探讨尘肺病中医证候要素的分布规律。方法:从中国知网、中国生物医学文献数据库、万方数据库和维普网数据库中检索相关文献,并对文献信息进行收集整理,采用SPSS 20.0统计学软件包进行统计描述的分析。结果:频率较高的证型依次为燥邪伤肺证(8.28%)、肺阴虚证(7.64%)、肺气虚证(7.64%)、肺脾气虚证(7.01%)和痰湿阻肺证(7.01%)。构成尘肺病的中医证候要素有20个,病性证素中以气虚(30.57%)、阴虚(24.20%)和痰(21.66%)为主,病位证素中以肺(63.69%)为主;在证素组合中,以两证素和三证素组合最常见,累计频率为(89.18%)。单一病性证素中,气虚、阴虚和燥邪出现的频率较高,其频率分别为34.88%、18.60%和15.12%;两病性组合时,气虚+阴虚、痰+湿、痰+瘀和痰+热出现的频率较高,其频率分别为28.57%、17.46%、14.29%和9.52%。结论:尘肺病的主要病理因素以燥邪、气虚、阴虚和痰为主,病位主要在肺。
Objective:To discuss the distribution law of TCM syndrome elements of pneumoconiosis based on literature analysis.Methods:Relevant documents were retrieved from China Knowledge Network,China Biomedical Literature Database,Wanfang Database and Weipu Database,and the literature information was collected and analyzed.SPSS 20.0 statistical software package was used for statistical description analysis.Results:The higher frequency syndromes were followed by dryness invading lung syndrome(8.28%),lung yin deficiency syndrome(7.64%),lung qi deficiency syndrome(7.64%),lung spleen qi deficiency syndrome(7.01%),and phlegm-dampness blocking lung syndrome( 7.01%).There were 20 TCM syndrome elements that constituted pneumoconiosis.Among the disease nature syndrome elements,qi deficiency(30.57%),yin deficiency(24.20%) and phlegm(21.66%) were the main elements.Among the disease location syndrome elements,the lungs were the main syndromes.In the combination of syndrome elements,the combination of two and three syndrome elements was the most common,and the cumulative frequency was 89.18%.Among the single disease nature syndrome element,the frequency of qi deficiency,yin deficiency and dryness was higher,and their frequencies were 34.88%,18.60% and 15.12%,respectively.When the two diseases nature syndrome elements were combined,the frequency of qi deficiency + yin deficiency,phlegm + dampness,phlegm + stasis and phlegm + heat occured more frequently,and the frequencies were 28.57%,17.46%,14.29% and 9.52%,respectively.Conclusion:The main pathological factors of pneumoconiosis are dryness,Qi deficiency,Yin deficiency and phlegm.The location of pneumoconiosis is mainly in the lung.
作者
谢洋
赵虎雷
王佳佳
李建生
XIE Yang;ZHAO Hulei;WANG Jiajia;LI Jiansheng(The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;Diagnosis and Treatment of Respiratory Diseases and Research and Development of New Drugs Henan Collaborative Innovation Center, Zhengzhou Henan China 450046;Henan Key Laboratory of Chinese Medicine for the Prevention and Treatment of Respiratory Diseases, Zhengzhou Henan China 450046;Henan University of Chinese Medicine,Zhengzhou Henan China 450046)
出处
《中医学报》
CAS
2019年第5期1117-1120,共4页
Acta Chinese Medicine
基金
2015年度中医药行业科研专项项目(201507001-01)
河南省特色学科中医学学科建设项目(STS-ZYX-2017025)
河南省高等学校重点科研项目(19A360026)
河南省高校科技创新人才支持计划项目(19HASTIT008)
河南省中医药科学研究专项课题项目(2018ZY1003)
关键词
尘肺
证候
病位证素
病性证素
文献研究
pneumoconiosis
syndrome
disease location syndrome element
disease nature syndrome element
literature research
