儿童肺炎证候特点与中医分型关系的研究  

Study on the Relationship between Children Pneumonia Characteristics and TCM Types

作　　者：廖若莎[1] 许尤佳[1] 胡彬文[1] 

机构地区：[1]广东省中医院,广州510120

出　　处：《浙江中医药大学学报》2009年第3期323-325,共3页Journal of Zhejiang Chinese Medical University

基　　金："十五"国家科技攻关项目(No:2004BA721A05)~~

摘　　要：[目的]研究儿童肺炎中医证候特点与分型之间的关系。[方法]对190例儿童肺炎患儿进行中医病证特点的分析,观察各类证型差异。[结果]痰热闭肺证以发热,咳声重浊,痰多,舌红,苔黄腻、厚,脉滑数、指纹紫滞为特点;风热证以发热,咳声重浊,鼻塞流涕,舌红,苔薄黄,脉浮数/指纹浮紫为特点;肺脾气虚证以咳声无力,痰多,面白无华,舌淡,苔白腻,脉细、指纹淡红或淡滞为特点。[结论]儿童肺炎患者的发热,咳嗽声音,咯痰痰壅程度,鼻部情况,面色以及舌脉象(指纹)对证型分类影响较大,是辨证中较为重要的指标。[Objective] To observe the relationship between children pneumonia signs and types. [Method] Make analysis on TCM syndromes of 190 cases of children pneumonia,observe the difference among all syndromes. [Result] The syndrome of phlegm heat blocking lung is featured with fever, heavy cough, much sputum, red tongue, yellow greasy moss, slippery and quick pulse/purple and stagnant finger mark; the syndrome of wind heat with fever, heavy cough, snuffle and runny nose, red tongue, thin and yellow moss,shallow and quick pulse/purple and shallow finger mark;qi deficiency of lung and spleen with impotent cough,much sputum, pale face,light tongue, white and greasy moss, thin pulse/light red or stagnant finger mark. [Conclusion] The fever,cough sound, sputum spitting or phlegm block degree, nose symptoms, face color, tongue and pulse（ finger mark） have much influence on types classification, being the key indexes in differentiation of signs.

关 键 词：儿童肺炎 证候学 辨证指标 中医分型 

分 类 号：R725.6[医药卫生—儿科]