皮肌炎脏腑辨证及传变规律初探  

Zang-Fu Syndrome Differentiation and Transformation and Development Rules of Dermatomyositis

作　　者：任北大 赵欣[2] 蔡大勇[2] 张保春[1] 

机构地区：[1]北京中医药大学基础医学院 [2]中国医学科学院药用植物研究所

出　　处：《中医杂志》2017年第7期565-567,共3页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81673674);北京市自然科学基金(7132150)

摘　　要：检索中国期刊全文数据库皮肌炎中医证候相关文献,纳入病例1249例。以脏腑辨证分析皮肌炎临床证候分布特征;以病程进展规律分析其证候传变规律。皮肌炎临床证候主要为脾气虚(28.82%)、热毒炽盛(22.98%)、肾阴虚(6.57%)、肺气虚(5.12%)和肝阴虚(4.40%)五类主证,其证候传变为相生两脏共患传变。治疗应从五脏论治,脾气虚贯穿皮肌炎整个病程,证候具有双脏联合传变特征。Articles related to dermatomyositis（DM） were retrieved in China National Knowledge Infrastructure（CNKI）,and 1249 cases were involved. Distribution characteristics of DM clinical syndromes were analyzed by ZangFu syndrome differentiation,and the transformation and development of the syndromes were analyzed in terms of the progress of the disease course. The clinical syndromes of DM were mainly 5 types,including spleen Qi deficiency（28. 82%）,excessiveness of heat toxin（22. 98%）, kidney Yin deficiency（6. 57%）, lung Qi deficiency（5. 12%） and liver Yin deficiency（4. 40%）,and the transformation and development of the syndrome was the comorbidity of the two mutually generated Zang-organs. The treatment needed to be done from five Zang,and the spleen Qi deficiency existed in the whole course of DM. The syndromes could transform and develop between two mutually generated Zang-organs.

关 键 词：皮肌炎 脏腑辨证 证候传变 

分 类 号：R259[医药卫生—中西医结合]