多脏器功能不全并胃肠功能障碍的中医基本辨证要素及证候分布规律研究  

Research of TCM dialectical Elements and Syndrome Distribution Rules of Multiple Organ Dysfunction Syndrome with Gastrointestinal Dysfunction

作　　者：李洁[1] 杨志旭[1] 范铁兵[1] 陈姝[1] 肖宁[1] 易亮[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091

出　　处：《中国中医急症》2013年第3期388-390,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：中国中医科学院西苑医院苗圃课题(XYKY-MP1077-11)

摘　　要：目的探讨多脏器功能不全并胃肠功能障碍的中医基本辨证要素及证候分布规律。方法对30例多脏器功能不全并胃肠功能障碍患者的中医基本辨证要素及证候分布进行前瞻性研究。结果中医基本辨证要素中病性证素分布呈气虚>血虚>痰饮>热盛>阳虚>阴虚>血瘀的趋势;病位证素分布呈脾>胃>肺>肾>心神>心>肝的趋势。证型分布虚实夹杂证呈气血亏虚>邪热壅盛证>脾肾阳虚,痰饮内停证>脾肾阳虚>痰饮扰神证的趋势;虚证呈脾胃气血两虚证>心脾两虚证>心阳暴脱证的趋势;实证较少,主要为痰瘀阻滞证。结论多脏器功能不全并胃肠功能障碍的中医基本病性证素是气虚、血虚、痰饮、热盛等;病位证素是脾、胃、肺、肾等;证候分布是脾胃气血两虚证、气血亏虚邪热壅盛证等。Objective： To discuss TCM dialectical elements and syndrome distribution rules of multiple organ dysfunction syndrome with gastrointestinal dysfunction.Methods： Prospective study was made that was on TCM dialectical elements and syndrome distribution rules of multiple organ dysfunction syndrome with gastrointestinal dysfunction for 30 patients.Results： The disease syndrome factor of TCM dialectical elements had a trend： Qi deficiencyblood deficiencyphlegm problemexcessive heatYin deficiencyblood stasis.Disease location had a trend： Spleenstomach lungkidneystate of mindheartliver.Syndrome distribution of deficiency mixed excessiveness has a trend： Qi and blood deficiency,evil heatspleen yang and kidney yang deficiency,stopped phlegmspleen yang and kidney yang deficiency,Phlegmatic rejection of God.Syndrome distribution of deficiency had a trend： Deficiency of both the spleen and stomach qi and bloodHeart and spleen deficiencysudden depletion of the heart yang.It has a few syndromes of excessiveness mainly with phlegm blocked.Conclusion： TCM dialectical elements of multiple organ dysfunction syndrome with gastrointestinal dysfunction are Qi deficiency,blood deficiency,phlegm problem,excessive heat,etc.Disease locations are spleen,stomach,lung,kidney,etc.Syndrome distribution is Deficiency of both the spleen and stomach qi and blood,deficiency of qi and blood,evil heat,etc.

关 键 词：多脏器功能不全 胃肠功能障碍 辨证要素 证候分布 

分 类 号：R278[医药卫生—中医学]