基于调查的中重度原发性痛经中医病因病机探讨  

Discussion about traditional Chinese medicine causes and pathogenesis of moderate and severe primary dysmenorrhea based on questionnaire investigation

作　　者：刘玉祁[1] 佘延芬[2] 朱江[1,3] 宋佳杉[1] 陈寅萤[4] 郑媛媛[5] 马增斌[6] 陈旭[7] 杨欢 解秸萍[1,3] 苑鸿雯[1] 

机构地区：[1]北京中医药大学,北京100029 [2]河北医科大学中医学院,石家庄050017 [3]国家中医药管理局针灸特色疗法评价重点研究室,北京100029 [4]中国中医科学院中医临床基础医学研究所,北京100700 [5]北京市垂杨柳医院,北京100022 [6]卫生部北京医院,北京100730 [7]北京中医药大学附属护国寺中医医院,北京100035 [8]北京市羊坊店医院,北京100038

出　　处：《中华中医药杂志》2012年第1期54-58,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2012CB518506);教育部博士点基金项目(No.20090013110005);国家自然科学基金面上项目(No.30973793)~~

摘　　要：目的:对女大学生进行问卷调查以探讨中重度原发性痛经的中医病因病机。方法:以中重度原发性痛经女大学生为调查对象,调查其平时、痛经及证型分布情况并进行描述性统计分析。结果:163例被调查者中,有69.94%平时较怕冷,57.06%易手脚冰冷,77.30%喜热饮热食,83.44%每周运动少于3次。78.53%、64.42%的患者因吃冰品冷饮或用冷水洗衣服引起或加重腹痛,66.26%、74.23%因吃热食热饮或热敷腹部缓解腹痛。腹痛时69.33%的患者排便次数增加且大便变稀软;61.35%、56.44%左侧或右侧尺脉沉。68.10%的患者被诊断为寒湿凝滞证。结论:调查发现中重度原发性痛经的中医病因为寒邪,病机以外感寒邪而致寒湿凝滞胞宫为主。Objective： To discuss traditional Chinese medicine（TCM） causes and pathogenesis of moderate and severe primary dysmenorrheal（PD） through questionnaire investigation among female college students.Methods： Female college students with moderate and severe PD were investigated.The ordinary times status,menstrual period conditions and pattern distribution of these patients were surveyed and analyzed by descriptive statistics.Results： Of all the 163 female college students with moderate and severe PD who finishied this investigation,at ordinary times,69.94% averted to cold,57.06% had cold limbs,77.30% preferred warm food and drinks and 83.44% did physical activities less than 3 times a week.There were 78.53% and 64.42% patients whose menstrual pain were caused or aggravated by taking cold food and drinks or by washing clothes with cold water.While there were 66.26% patients whose menstrual pain were relieved by eating warm food and drinks and 74.23% by applying hot compress on lower abdomen.When menstrual pain occurred,69.33% patients had more motions and more watery,soft stools than usual and 61.35% and 56.44% had sunken pulse in the left and right Chi position respectively.68.10% was diagnosed as the pattern of accumulation of cold-dampness.Conclusion： This study suggested that for moderate and severe PD,the TCM cause is cold pathogen and the major TCM pathogenesis is accumulation of cold and dampness in uterus resulting from exterior cold pathogen.

关 键 词：中重度原发性痛经 中医病因病机 问卷调查 女大学生 

分 类 号：R271.113[医药卫生—中医妇科学]