新型H7N9禽流感中医证候特点分析  

Specialties of traditional Chinese medicine syndrome of novel H7N9 avian influenza infection

作　　者：陈晓蓉[1] 陆云飞[1] 杨宗国[1] 王强[1] 徐庆年[1] 汤伯宗[1] 

机构地区：[1]上海市(复旦大学附属)公共卫生临床中心,上海201508

出　　处：《中华中医药杂志》2013年第7期1929-1932,I0001,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家"十二五"科技重大专项(No.2012ZX10004301004);上海市中医药事业发展三年行动计划(No.ZYSNXD-GW-JDJS)~~

摘　　要：目的:分析新型H7N9禽流感的中医临床证候特点。方法:通过对18例H7N9感染者的中医证候、舌象、脉象的分析,总结新型H7N9禽流感可能存在的中医临床症候群。结果:①18例H7N9患者中50%以上患者发病时存在发热(88.9%)、咳嗽(77.8%)、咳痰(55.6%)、乏力(50.0%)、纳差(83.3%)、咽干(72.2%)、口渴(72.2%)、喘促(66.7%)、胸闷(66.7%)及口苦(61.1%)等证候。②18例H7N9患者中舌质多为红(77.8%)、绛(16.7%),舌苔多黄,其中厚苔、薄苔、腻苔与焦苔分别占44.4%,55.6%,22.2%,33.3%。舌面津液以少津(55.6%)、干燥(33.3%)表现为主。脉象以细(61.1%)、数脉(55.6%)为主。结论:H7N9禽流感舌象以红绛舌黄苔为主,脉以细数占多;新型人感染H7N9发病直接入气分、营分多见,或为卫气同病,卫分证不明显。Objective： This study aims to analyze the specialties of traditional Chinese medicine（TCM） syndromes of novel H7N9 avian influenza infection.Methods： According to the analysis of TCM syndromes,tongue pictures and pulse,we try to conclude the clinical TCM syndromes of novel H7N9 infection.Results： ①More than half of the 18 H7N9-infected patients suffered from fever（88.9%）,cough（77.8%）,expectoration（55.6%）,fatigue（50.0%）,poor appetite（83.3%）,dry throat（72.2%）,thirst（72.2%）,breathlessness（66.7%）,chest tightness（66.7%） and month bitter（61.1%）.②Most of the 18 H7N9-infected patients had red tongue proper or deep red tongue proper.The distribution of tongue coats were thick and yellow（44.4%）,thin and yellow（55.6%）,yellow greasy fur（22.2%）,dry and yellow（33.3%）,with little fluid on tongue surface（55.6%）,even dry tongue surface（33.3%）.Tready and rapid were the main features of the pulse in H7N9-infected patients.Conclusion： Most of the H7N9-infected patients suffered from red or deep red tongue picture with yellow tongue coats,and tready pulse and rapid pulse.The TCM pathogens of H7N9 infection were mainly qi system syndrome and ying system syndrome,or wei-qi system syndrome,rarely with Wei system syndrome.

关 键 词：禽流感 H7N9 证候 舌象 脉象 

分 类 号：R254[医药卫生—中医内科学]