摘要
目的探讨上气道咳嗽综合征的中医证候分布规律。方法选取2009年1月至2023年8月于北京中医药大学东方医院呼吸热病科就诊的上气道咳嗽综合征患者117例为研究对象,统计分析其性别、年龄、病史及证候特征,并对高频症状、常用中药进行系统聚类。结果117例患者共159诊次,其中风邪伏肺证最多,湿热郁肺证、痰湿蕴肺证次之。上气道咳嗽综合征患者的中医证型与年龄有关(P<0.05),与性别、常见鼻炎疾病类型无关(P>0.05)。中医证候特征以肺系症状及风、痰、湿、热多见,系统聚类可分为3个关联结合,包括风邪伏肺证、湿热蕴肺证、痰湿蕴肺证。常用中药经系统聚类可分为行气化痰通窍、清热化湿、祛风止咳药3组。结论上气道咳嗽综合征证型以风邪伏肺证为主,湿热郁肺、痰湿蕴肺证次之;证候以风、痰、湿、热多见,临床中可据此进行针对性治疗。
Objective To investigate the distribution of traditional Chinese medicine syndromes of upper airway cough syndrome.Methods A total of 117 patients with upper airway cough syndrome admitted to the Department of Respiratory Heat Disease,Dongfang Hospital of Beijing University of Chinese Medicine from January 2009 to August 2023 were selected as the study objects.Their gender,age,medical history,and syndromes were statistically analyzed,and the high-frequency symptoms and commonly used Chinese medicines were systematically clustered.Results A total of 159 times were diagnosed in 117 patients,among which the syndrome of wind pathogen invading lung was the most,followed by the syndrome of dampness-heat stagnated in lung-defense phase and syndrome of phlegm-damp amassing in lung.The traditional Chinese medicine syndrome type of patients with upper airway cough syndrome was related to age(P<0.05),but was not related to sex or common rhinitis disease type(P>0.05).Traditional Chinese medicine syndromes were characterized by lung symptoms,wind,phlegm,dampness,and heat.Systematic clustering could be divided into three association combinations,including the syndrome of wind pathogen invading lung,the syndrome of dampness-heat stagnated in lung-defense phase,and syndrome of phlegm-damp amassing in lung.By systematic clustering,the commonly used Chinese medicine can be divided into three groups:the drugs of activating qi-flowing and dissipating phlegm for resuscitation,clearing heat and eliminating dampness,and dispelling wind and arresting cough.Conclusion The main syndromes of upper airway cough syndrome are wind evil and lung stagnation,followed by dampness-heat stagnation and phlegm-dampness accumulation of lung.The manifestations of wind,phlegm,dampness,and heat are common.Therefore,targeted treatment can be carried out in clinic.
作者
罗景舒
马建岭
史利卿
王丽云
季坤
董尚娟
范钰晗
刘智霖
LUO Jingshu;MA Jianling;SHI Liqing;WANG Liyun;JI Kun;DONG Shangjuan;FAN Yuhan;LIU Zhilin(The Second Clinical School of Medicine,Beijing University of Chinese Medicine,Beijing100078,China;Department of Respiratory Heat Disease,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing100078,China)
出处
《中国医药导报》
2023年第34期139-143,共5页
China Medical Herald
基金
国家自然科学基金资助项目(81373588)
北京市自然科学基金资助项目(7192115、7184224)
北京中医药大学东方医院“1166”人才培养项目。
关键词
上气道咳嗽综合征
风邪伏肺证
临床研究
证候特点
Upper airway cough syndrome
Syndrome of wind pathogen invading lung
Clinical study
Syndromic features
