慢性阻塞性肺病常见证候和证候要素的现代文献研究  

Modern Literature Research on Common Syndromes and Syndrome Elements of Chronic Obstructive Pulmonary Disease

作　　者：浦斌红[1] 丁宏娟[1] 杨芸峰[1] 郑敏宇[2] 

机构地区：[1]上海市徐汇区枫林街道社区卫生服务中心,上海200030 [2]上海中医药大学附属龙华医院,上海200030

出　　处：《中华中医药学刊》2015年第6期1455-1457,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：上海市徐汇区特色专科配套项目(XHTSZK1013);上海市徐汇区人才培养专项项目(ZYKT2014212)

摘　　要：目的:探讨慢性阻塞性肺病的证候分布特点和证候内部特征,分析慢性阻塞性肺病的常见证候和证候要素以及分布规律,为今后的证候规范研究提供依据。方法:对符合要求的慢性阻塞性肺病的文献中涉及的证候和证候要素进行规范,运用Excel统计软件进行频次统计。结果:慢性阻塞性肺病最常见的证候是痰热壅肺证、痰湿蕴肺证、肺气虚证、肺肾气虚证、血瘀证、阳虚水泛证、肾气虚证、气阴两虚证。证候要素中,病位在肺、肾、脾、心、脑,病性为气虚、阴虚、阳虚、痰、血瘀、热、寒饮,频率在10%以上依次为痰、气虚、热、阳虚、血瘀。结论:慢性阻塞性肺病的发病主要在肺、肾,与脾、心、脑密切相关,病机属于本虚标实,以气虚、阳虚为本,痰、热、血瘀为标。Objective ： To explore the characteristics and internal features of syndrome of chronic obstructive pulmonary disease,and analyze the common syndrome, syndrome elements and the regularities of distribution of chronic obstructive pulmonary disease, in order to provide basis for the syndrome standardization study in the future. Methods ： We standardized the syndrome and syndrome elements of chronic obstructive pulmonary disease in eligible literature relating and counted the frequency using Excel. Results ： The most common syndromes of chronic obstructive pulmonary disease are syndrome of phlegm - heat obstructing lung, syndrome of pulmonary stagnation of phlegm, syndrome of Qi - deficiency of lung, syn- drome of Qi - deficiency of lung and kidney, syndrome of blood stasis, esyndrome of water over - flowing due to Yang - in- sufficiency, syndrome of Qi - deficiency of kidney, syndrome of Qi and Yin - deficiency. In syndrome elements, the loca- tion of disease is in the lung, kidney, spleen, heart, brain, the nature of disease is Qi - deficiency, ~in - deficiency, Yang - deficiency, phlegm, blood stasis, heat and cold fluid, the frequency over 10% are phlegm, Qi - deficiency, heat, Yang - deficiency, blood stasis in turn. Conclusion：The attacks of chronic obstructive pulmonary disease is mainly in lung and kid- ney, and closely related to spleen, heart and brain, the pathogenesis is asthenia in origin and sthenia in superficiality, and the asthenia in origin is Qi - deficiency and Yang - deficiency, the sthenia in superficiality is phlegm, heat and blood stasis.

关 键 词：慢性阻塞性肺病 证候 证候要素 文献研究 

分 类 号：R563[医药卫生—呼吸系统]