咳嗽变异型哮喘中医证素特征分析  

Study on TCM Syndrome Elements of Cough Variant Asthma

作　　者：刘朝辉[1] 洪敏俐[2] 杨朝阳[3] 黄小华[2] 郑伟彬[2] 李灿东[3] 

机构地区：[1]福建中医药大学,福建福州350122 [2]漳州市中医院,福建漳州363000 [3]福建中医药大学中医证研究基地,福建福州350122

出　　处：《福建中医药大学学报》2012年第2期8-10,共3页Journal of Fujian College of Traditional Chinese Medicine

基　　金：福建省中医药科技重点课题(WZZZ0909);福建省自然科学基金项目(2011J01391)

摘　　要：目的探讨咳嗽变异型哮喘(CVA)中医证素特征。方法选择符合标准的CVA患者97例,采用证素辨证和积分方法 ,提取病位、病性证素,对其进行统计分析,探讨本病的中医病理特征。结果 CVA病位证素肺、表的频次显著高于肝、胃(P<0.01,P<0.05);实证病性证素痰、热频次显著高于气滞、寒、湿、饮(P<0.01,P<0.05)。病位证素积分肺显著高于表、肝(P<0.01);实证病性证素积分痰、热显著高于气滞、寒、湿、饮(P<0.01,P<0.05)。结论 CVA本位在肺,多兼表;病性以痰、热为主,痰与肺是CVA发病的病理基础。Objective To study the features of TCM syndrome elements of cough variant asthma（CVA）.Methods 97 patients were selected according to the diagnosis criteria of CVA and observed by syndrome elements differentiation and integral methods.The syndrome elements of disease location and disease nature were extracted and analyzed to explore the TCM pathology characteristic of the disease.Results The statistical results of syndrome elements of disease location showed the frequency of lung,exterior was significantly higher than that of liver,stomach respectively（P0.01,P0.05）.The results of syndrome elements of disease nature of excess syndrome showed the frequency of phlegm,heat was significantly higher than that of Qi stagnation,cold,dampness and fluid-retention respectively（P0.01,P0.05）.The integral results of syndrome elements of disease location showed the integral of lung was higher than that of exterior and liver respectively（P0.01）.The integral results of syndrome elements of disease nature of excess syndrome showed the integral of phlegm,heat was significantly higher than that of Qi stagnation,cold,dampness and fluid-retention respectively（P0.01,P0.05）.Conclusion The primary syndrome element of CVA disease location is lung,and it is related to exterior sometimes.The main syndrome elements of disease nature are phlegm and heat,and phlegm and lung may be regarded as the essential pathogenesis of CVA.

关 键 词：咳嗽变异型哮喘 病位证素 病性证素 

分 类 号：R259.622[医药卫生—中西医结合]