中风病急性期中医证候分布规律的研究  

A Study on the Distributions of TCM Syndromes in patients with Acute Stroke

作　　者：梁伟雄[1,2] 黄培新[1,2] 刘茂才[1,2] 温泽淮 赖世隆[1,2] 莫传伟 王奇[1,2] 陈云波 

机构地区：[1]广州中医药大学DME中心 [2]广州中医药大学第二附属医院

出　　处：《广州中医药大学学报》1997年第2期71-75,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省科学技术委员会科学基金

摘　　要：收集２２１例中风病急性期的病人，进行了中风病中医证候分布规律的调查和研究，根据症状、舌象、脉象的频数分布，发现前人把中风病的病因病机综合为风、火、痰、瘀、气、虚６类是有其临床基础的。研究结果显示血瘀证和痰证是中风发病时的主要病因病机，风证、火热证是中风病诸证组合中的主要证候。对本组病例的覆盖率较高的主要有痰瘀互结证，气虚血瘀证，阴虚风动、血瘀内停证，风火夹痰证，风火上扰、痰瘀互结证５类证候，可以作为制定中风急性期证候分型的参考依据。The paper dealt with the distributions of syndromes of Traditional Chinese Medicine (TCM) in 221 cases with acute stroke.According to the ancient literature,the pathogenesis of stroke was considered to be wind, fire, phlegm, morbid vital energy(Qi), blood_stasis and body deficiency. This concept was proved to be suitable for the patients with acute stroke based on the frequency distributions of symptoms, signs of tongue and pulse demonstrated in this study. The results also showed that blood_stasis syndrome and phlegm syndrome were the primary clinical manifestation in patients with acute stroke, and five kinds of syndromes (i.e., syndrome of combinaton of phlegm and blood_stasis, syndrome of qi_deficiency plus blood_stasis, syndrome of blood_stasis plus wind stirring due to yin_deficiency, syndrome of wind_fire plus blood_stasis, syndrome of wind_fire stirring up and combination of phlegm and blood_stasis) which had high frequency distributions were regarded as the basic syndromes in the acute stage of stroke.

关 键 词：中风 病机 脑血管意外 辨证论治 

分 类 号：R255.2[医药卫生—中医内科学]