流行性乙型脑炎中医证素分布规律的文献研究  

Literature Study of TCM Syndrome Elements Distribution Law in the Japanese Encephalitis

作　　者：罗丕舵 刘志勇[2] 李耘[3] 赵丽娜[4] 

机构地区：[1]河南省郑州市中医院,河南郑州450000 [2]河南中医学院第二附属医院,河南郑州450002 [3]湖北中医药大学,湖北武汉430065 [4]河南省郑州市儿童医院,河南郑州450053

出　　处：《中国中医急症》2015年第1期13-15,41,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局传染病防治行业专项(200907001-8)

摘　　要：目的基于文献报道探讨流行性乙型脑炎证素分布与组合的规律,为流行性乙型脑炎中医证素的分布规律提供依据。方法检索中国生物医学文献数据库(CBM)、中国学术期刊全文数据库(CNKI)和中国中医文献检索系统数据库(TCM)。制定《流行性乙型脑炎中医证候文献整理规范》,建立流行性乙型脑炎证候文献研究数据库,采用SPSS17.0统计软件进行统计描述。结果 27个证素中,频率依次为热火(26.55%)、暑(96.46%)、湿(86.73%)、毒(98.67%)、阴虚(37.61%)、阳虚(85.40%)、虚(10.18%)、实(83.63%)、津亏(8.41%)、亡阴(11.06%)、亡阳(12.83%)等;病位证素依次为脾(70.35%)、肺(34.96%)、心(48.67%)、肝(24.77%)、肾(11.50%)、胃(80.53%)、大肠(5.75%)、下焦(11.06%)、表(26.11%)、里(30.09%)、卫分(57.52%)、气分(64.16%)、营分(30.09%)、血分(17.26%)等。单一证素构成证候主要为阳虚、阴虚、津亏、亡阴、亡阳,累积频率为14.93%;两病性证素构成证候主要为暑热证、毒邪证、暑温证、湿毒证、热毒证、阴虚火旺证、正虚邪恋证等,累积频率为41.63%;三病性证素构成证候主要为暑热毒证、暑热湿证等,其累计频率为25.34%;四病性证素构成证候以热陷营血和肺卫热毒证为主,累积频率为11.31%;五病性证素构成证候以疫毒闭肺表里湿热,毒犯脑络表里热,毒犯心包营血为主,累积频率为2.26%;其他组合较少。结论流行性乙型脑炎的主要病理因素是暑、毒、湿、热(火)、阴虚、阳虚等为主,其间相互兼夹,常相合为病,或袭于卫表、或壅于肺胃,引发疾病;或入里酿成毒邪,侵袭脑络或心包,变化为病。Objective： To explore Japanese encephalitis syndrome element distribution with the combination of the law and To provide a basis for the distribution pattern of of epidemic encephalitis TCM prime. Methods： The retrieval CBM,CNKI and TCM to develop the Japanese encephalitis TCM syndrome literature norms. The establishment of Japanese encephalitis syndrome literature database was used SPSS17.0 statistical software for statistical description. Results： The 27 syndrome elements,the frequency in order to heat fire（26.54%）,summer（96.45%）,wet（86.72%）,drugs（98.67%）,yin deficiency（37.61%） yang deficiency（85.39%）,deficiency（10.17%）,real（83.26%）,jin loss（8.40%）,yin death（11.06%）,yang death（12.83%）. Disease slip prime spleen（70.35%）,lung（34.95%）,heart（48.67%）%,liver（22.47%）%,renal 10（11.50）,stomach（80.53%）,large intestine（5.75%）,under the coke（11.06%）,exterior part（26.10%）,interior part（30.08%）,Weifen（57.52%）,qifen（64.15%）,yingfen（30.08%）,bloodfen（17.25%）. Single syndrome elements constitute a certificate of climate mainly yang,yin,jin loss,Yin death and the Yang death,cumulative frequency for 14.93%;the two disease syndrome elements constitute syndromes heat permit,toxin certificates,summer temperature certificate certificates of poisoning caused by damp,hot toxic syndrome,Yin Huo-wang card,positive imaginary evil love card,the cumulative frequency of 41.65%. The three disease syndrome elements constitute syndromes heat toxic syndrome,damp heat,the cumulative frequency of 25.34%. Four disease syndrome elements of syndrome of heat trapped in the blood of the camp and lung health hot toxic syndrome-based cumulative frequency of 11.29%. The five disease syndrome elements constitute a syndrome to immunotoxin off the lung hot and humid table,the drug traffickers brain network exterior heat,the drug traffickers pericardial camp blood-based,cumulative frequency of 2.25%.Other combinations were few. Conclusion： Japanese encep

关 键 词：流行性乙型脑炎 证素 文献研究 

分 类 号：R512.32[医药卫生—内科学]