湿疹不同分期中医证候的分布规律  

Study on the stage distribution regularity of TCM syndromes in different eczema

作　　者：穆怀喜[1] 张玉环[2] 陆小左[3] 王学民[1] 

机构地区：[1]天津大学精密仪器学院,天津300072 [2]天津市中医药研究院 [3]天津中医药大学中医药工程学院

出　　处：《中国老年学杂志》2013年第13期3009-3010,共2页Chinese Journal of Gerontology

基　　金：国家973项目子课题(No.2011CB505406);国家自然科学基金项目(No.81173202);天津市应用基础及前沿技术研究计划(No.09JCYBJC12700)

摘　　要：目的探讨湿疹不同分期中医证候的分布规律。方法客观记录97例湿疹患者的临床症状,包括局部皮损、全身症状以及舌、脉象等资料,分析湿疹不同分期的中医证候分布规律。结果 97例湿疹患者中湿热困阻型所占比例最高(39.18%),其中湿重于热14例,热重于湿型24例;其次是风湿热困型(23.71%)。97例患者中包括急性湿疹27例,亚急性湿疹25例,慢性湿疹22例,急性发作23例。27例急性湿疹患者证型频率分布排列:湿热困阻型14例,风湿热困型10例,脾虚湿困型1例,风湿热夹脾虚型1例,督虚血瘀型1例;25例亚急性湿疹患者证型频率分布排列:湿热困阻型10例,脾虚湿困型7例,风湿热困型4例,脾肾两虚夹血瘀型2例,血虚风燥型1例,血热风燥型1例;22例慢性湿疹患者证型频率分布排列:脾虚血燥型7例,脾虚湿困型6例,湿热困阻型4例,风湿热困型2例,血虚风燥型2例,湿熟瘀结型1例;23例急性发作湿疹患者证型频率分布排列:湿热困阻型10例,风湿热困型7例,脾虚湿困型4例,脾虚血燥型1例,风湿热夹脾虚型1例。在四种主要证型中性别构成无明显差异(χ2=0.72,P>0.05),不同年龄段的分布无明显差异(χ2=0.26,P>0.05),但在不同病程的分布有明显差异(χ2=4.02,P<0.05)。其中风湿热困型出现的频率随着病程增加呈现上升趋势,其他证型则在0.5～5年的出现频率较高。结论湿疹主要的中医证候有风湿热困、湿热困阻(湿重于热、热重于湿)、脾虚湿困和脾虚血燥四种,在不同病程中分布的频率不同。Objective To study the stages of distribution of TCM syndrome in different eczema.Methods The records of clinical symptoms in 97 cases with eczema were analyzed,including local lesions,systemic symptoms and tongue,pulse data,dialectical analysis of the cases,the differential diagnosis discussed pathogenesis of eczema,the distribution regularity of TCM syndromes in different stages of eczema.Results The patients of damp-heat eczema were trapped in the highest proportion,accounting for 39.18%,of which 14 cases of wet weight in hot,hot on the wet type in 24 cases;followed by rheumatic fever trapped type,accounting for 23.71%;acute eczema 27 examples included in 97 cases of eczema patients,25 cases of subacute eczema,22 cases of chronic eczema,23 cases of acute attack.The frequency distribution of 27 acute eczema patients was included： dampness and heat resistance type in 14 cases,rheumatic fever trapped type in 10 cases,splenasthenic hygrosis type in 1 case,rheumatic fever with spleen deficiency type in 1 case,1 case and deficiency and blood stasis;the frequency distribution in 25 subacute eczema patients with damp-heat syndrome： resistance type in 10 cases,splenasthenic hygrosis type in 7 cases,rheumatic fever trapped type in 4 cases,spleen kidney two falsely with blood stasis type in 2 cases,1 cases of blood deficiency and wind dryness type,1 cases of blood air dryness;the frequency distribution of 22 chronic eczema patients was： spleen Xuezao type 7 cases of spleen deficiency,dampness type 6 cases,the dampness and heat resistance type in 4 cases,rheumatic fever trapped type in 2 cases,2 cases of blood deficiency and wind dryness type,1 case of wet cooked blood stasis;the frequency distribution of 23 acute exacerbation of patients with eczema type was： heat trapped type in 10 cases,rheumatic fever trapped type in 7 cases,splenasthenic Hygrosis type in 4 cases,1 case of spleen Xuezao type,rheumatic fever clip of spleen deficiency type in 1 case.Of the four main types of syndromes of gender comparison had no

关 键 词：湿疹 中医 证候 

分 类 号：R25[医药卫生—中医内科学]