摘要
目的探究亚急性甲状腺炎(subacute thyroiditis,SAT)证候、证候要素及应证组合类型。方法采用证候要素分析方法,检索中国知网学术期刊数据库(CNKI),查阅2008年11月—2018年11月的全部期刊,从符合研究标准的28篇期刊文献中的1037例SAT患者病例中提取证候要素,对其进行归类合并,总结证候要素及靶位,揭示SAT的应证组合规律。结果1037例文献病例中可归纳出证候要素8个,主要包括实热783例(46.55%),痰298例(17.72%),气滞232例(13.79%);证候靶位主要在肝,与肺、胆等相关;其应证组合中单因素证候占45.14%,双因素证候占42.96%,三因素证候占11.91%。结论实热、痰、气滞是SAT较为多见的证候要素,其病位主要涉及肝,其次为肺;临床常见实热单因素证候,其次为实热兼夹气滞、实热兼夹痰两种应证组合。
Objective:To explore the syndrome,syndrome elements and combination of syndrome elements of subacute thyroiditis(SAT).Methods:A syndrome element analysis method was used to search Academic Journal Database of the China National Knowledge Infrastructure(CNKI),and to review all the journals from November 2008 to November 2018.The syndrome elements were drawn from 1037 cases of SAT patients in 28 journal articles meeting the research criteria.These elements were classified,merged,summarized and position-targeted to reveal the rules of the SAT's combination of syndrome elements.Results:In 1037 cases,8 syndrome elements were classified,including 783 cases of excess heat(46.55%),298 cases of phlegm(17.72%)and 232 cases of qi stagnation(13.79%).The target positions of syndromes were mainly in liver,related to lung and gallbladder.In the combination of syndrome elements,single-factor syndrome accounted for 45.14%,double-factor syndrome for 42.96%,and three-factor syndrome for 11.91%.Conclusion:Excess heat,phlegm and qi stagnation are the more common syndrome elements of SAT.The disease location mainly involves liver,followed by lung.The excess heat of the single factor syndrome in clinical is common,followed by excess heat with qi stagnation and excess heat with phlegm.
作者
曹高雨
王麟鹏
CAO Gao-yu;WANG Lin-peng(Beijing University of Traditional Chinese Medicine,Beijing 100029;Capital Affiliated Hospital of Traditional Chinese Medicine,Beijing 100010)
出处
《云南中医中药杂志》
2019年第11期31-33,共3页
Yunnan Journal of Traditional Chinese Medicine and Materia Medica
基金
国家自然科学基金项目(81373593)
关键词
亚急性甲状腺炎
证候要素
应证组合
证候靶位
subacute thyroiditis
syndrome elements
combination of syndrome elements
syndrome target position
