火热证的辨证分型标准研究  

STUDIES ON DIFFERENTIATION STANDARDS OF FIRE-HEAT SYNDROME

作　　者：刘四军[1] 黄兆胜[1] 吴庆光[1] 黄张杰[1] 吴立蓉[1] 闫文丽[1] 张伦博 杨政 

机构地区：[1]广州中医药大学,广州510405 [2]高露洁棕榄(中国)有限公司,广州510730

出　　处：《中国中医药科技》2013年第2期105-105,114,共2页Chinese Journal of Traditional Medical Science and Technology

摘　　要：目的:在总结火热证研究文献的基础上,建立火热证的辨证分型标准。方法:通过文献检索,对中医火热证进行了总结与梳理。应用卡方检验筛选出火热证的证素,建立调查问卷。通过主成分分析方法确立火热证的辨证分型标准。结果通过卡方检验得到火热证27个证素,应用主成分分析将火热证分为实火、虚火两个大类,然后从脏腑辨证分为心火上炎、肺胃实火、肝肾阴虚、肺阴虚四个主要证型。回顾性检验发现与临床医生诊断的一致率为69.4%,前瞻性检验发现与临床医生诊断一致率为70.1%。结论:利用主成分分析得到的分型标准基本符合临床实际,为中医辨证分型研究开拓了新的思路。Objective: To build the differentiation standards of fire-heat syndrome by summarizing literatures on fire-heat syndrome. Methods: Summarizing and carding fire-heat syndrome of traditional Chinese medicine by means of literature search,screening out syndrome factors about fire-heat syndrome by χ2 test,building questionnaire,establishing the differentiation standards of fire-heat syndrome by means of the principal component analysis method.Results: 27 syndrome factors were obtained by χ2 test,fire-heat syndrome was classified into two sorts by applying the principal component analysis method,they were excess fire and deficiency fire,that was assorted four types according to zang-fu viscera,they were flaring up of heart-fire,excess fire in lung-stomach,yin-deficiency of liver-kidney and yin-deficiency of lung. The review test results showed that the rate of concordance with clinicians’ diagnosis was 69.4%,the prospective test results showed that the rate of concordance with clinicians’ diagnosis was 70.1%. Conclusion: The differentiation standards of fire-heat syndrome which were got by the principal component analysis method were according with clinical practice,that provided a new thought for differentiation of syndromes of traditional Chinese medicine.

关 键 词：辨证分型 辨证规范化 人类 

分 类 号：R241[医药卫生—中医诊断学]