脑梗死中医证素分布与组合规律研究  

Study on the Distribution and Combination Rule of Traditional Chinese Medicine Syndrome Elements in Cerebral Infarction

作　　者：季梦漂 周德生[2] 李中[1] 向茗[1] 李鑫[1] 李琳[1] 胡志希[1] JI Mengpiao ZHOU Desheng LI Zhong XIANG Ming LI Xin LI Lin HU Zhixi(Hunan University of Chinese Medicine, Changsha 410007, Hunan, China The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China)

机构地区：[1]湖南中医药大学,湖南长沙410007 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《辽宁中医杂志》2017年第1期9-11,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81373550)

摘　　要：目的:以中医辨治脑梗死期刊文献的医案、验案为对象,探讨脑梗死中医证素分布与组合规律,以期为临床辨证提供参考。方法:检索2005—2015年中国期刊全文数据库等有关脑梗死经验性诊治病案,建立医案数据库并进行数据分析。结果:脑梗死主要病位证素为经络、肝、心神,主要病性证素为痰、动风、湿、血瘀、阴虚。病位与病性证素可组成证名,中经络:肝阳上亢证、肝肾阴虚风动证、风痰瘀阻证、痰热腑实证、气虚血瘀证、气血两虚证、气虚阳脱证;中脏腑:风火闭窍证、痰火闭窍证、痰湿蒙神证等。证素聚类规律:经络、痰;肝、动风;肾、阳虚、气虚、血虚;热、阳亢、阴虚;心神、闭;湿;血瘀。结论:通过文献研究发现脑梗死中医证素分布特点、组合规律与临床实际相符,可作为临床辨证辅助的参考,有助于中医证型标准化的建立。Objective ： Articles in journals of traditional Chinese medicine in the treatment of cerebral infarction as the object, to investigate the distribution and combination rule of TCM syndrome elements in cerebral infarction, so as to provide reference for clinical. Methods ： Collect the journal literature of domestic periodicals about Chinese herbal treatment of Cerebral infarction from 2005 to 2015, and set up a database. Results：Cerebral infarction location mainly concerns meridian,liver and brain, disease resist- ance is mainly phlegm, wind, damp, blood stasis, Yin deficiency. Syndrome elements can composition of Meridian ： liver yang hyperactivity syndrome, yin deficiency of liver and kidney Fengdong syndrome, syndrome of stagnation of wind phlegm and blood stasis, phlegm heat syndrome, deficiency of Qi and blood stasis syndrome, Qi and blood deficiency syndrome, Qi deficiency Yang off syndrome;Viscera：wind and fire blocking orifices, fire phlegm blocking orifices syndrome, the phlegm damp blocking mind syndrome. The combination laws of syndrome and factor is ： meridian, sputum;hver, wind; kidney, Qi deficiency, Yang deficiency, blood deficiency ; heat, Yang hyperactivity, Yin deficiency ; brain, closed ; wet ; blood stasis. Conclusion ： Through literature study, the distribution characteristics of TCM syndrome elements of cerebral infarction were found, and the combination pattern was consist- ent with the clinical practice, which can be used as a reference for clinical syndrome differentiation and helpful to the standardiza. tion of TCM syndrome types.

关 键 词：脑梗死 现代医案 证素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]