“思伤脾”状态中医证候要素及证候研究  

Study on traditional Chinese medicine syndromes and their elements in cases with anxiety-impairing-spleen condition

作　　者：李保良[1,2] 张琪[1,2] 费建平[1,2] 陈晶[3] 魏敏[4] 吴勇军[5] 廖祈祈[6] 王东生[7] 周瑜[1] 杨娟[1] 

机构地区：[1]南京中医药大学常州附属医院,常州213003 [2]常州市中医医院,常州213003 [3]广东工业大学,广州510515 [4]福建中医药大学,福州350108 [5]湖南中医药大学,长沙410208 [6]广东药学院,广州510240 [7]中南大学湘雅医学院,长沙410008

出　　处：《中华中医药杂志》2013年第1期265-268,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金资助项目(No.30873214)~~

摘　　要：目的:探讨"思伤脾"状态中医证候及证候要素特征。方法:采用因子分析方法,对"思伤脾"中医证候调查表48个症状进行分析,提取符合要求的公因子,据中医理论对相应症状群进行诠释。结果:提取特征值大于1的公因子共16个,初步提取证候要素16个:即病位类包括肝、脾、胃、胆、大肠、心、肺,病性类包括气滞、气逆、气虚、阳虚、血虚、痰、饮、湿、热,中医证候16个:即肝气郁结、胆胃不和、胃热内盛、痰气交阻、胃肠燥热、肝胃不和、肝脾不和、湿邪困脾、痰饮中阻、脾虚湿困、肝郁脾虚、心脾两虚、肺脾气虚、脾气虚弱、脾阳虚弱、心血亏虚。结论:运用因子分析提取了"思伤脾"状态常见证候要素及中医证候,为其进一步研究奠定基础。Objective： To study the characteristics of traditional Chinese medicine（TCM） syndromes and their elements in people with anxiety-impairing-spleen condition.Methods： On the basis of the data from the questionnaire about the TCM symptoms in people with anxiety-impairing-spleen condition,the diagnostic information was analyzed with principal components analysis.The common factors were extracted and interpreted according to the syndrome differentiation theory of TCM.Results： 16 common factors were extracted,the characteristic roots of which were all more than one.According to TCM theory,the various symptom groups of common factors were initially interpreted.There were 16 syndrome elements,including the disease location elements and disease nature elements.The disease location elements were liver,spleen,stomach,large intestine,gallbladder,heart and lung,and the disease nature elements were stagnation of qi,adverse flow of qi,deficiency of qi,deficiency of yang,deficiency of blood,phlegm,morbid fluid,dampness and heat.There were 16 common syndromes including stagnation of liver-qi,gallbladder-stomach disharmony,abundant stomach-fire,qi depression and phlegm obstruction,dryness in the intestine due to excessive stomach-heat,liver-spleen disharmony,liver-stomach disharmony,phlegm-dampness impairing spleen,retention of phlegm and morbid fluid,damp obstruction due to spleen deficiency,liver stagnation and spleen deficiency,deficiency in heart and spleen,deficiency of lung-qi and spleen-qi,deficiency of spleen-qi,deficiency of spleen-yang,deficiency of heart-blood.Conclusion： The common syndromes and syndrome elements in people with anxiety-impairing-spleen condition obtained on the basis of factor analysis may provide the evidence for syndrome differentiation standardization of anxiety-impairing-spleen condition.

关 键 词：思伤脾 证候 证候要素 因子分析 

分 类 号：R259[医药卫生—中西医结合]