《临证指南医案》之喘病证素与辨证研究  

Study of Syndrome Element and Syndrome Differentiation about Dyspnea Disease from A Guide to Clinical Practice with Medical Record

作　　者：董文军[1] 鲁琴[1] 刘今[1] 邢志峰[1] 贾智玲[1] 

机构地区：[1]河北中医学院基础医学院,河北石家庄050200

出　　处：《四川中医》2017年第5期33-37,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：河北省高等学校科学技术研究项目"基于证素的<临证指南医案>辨证研究"(编号:QN20131063)

摘　　要：文章选取《临证指南医案》中喘病展开研究。首先对证候要素作初步筛选,筛选出病位证候要素17项,病性证候要素22项。继而提取规范共性证素,病位证素12项,分别为肺、肾、胃、脾、下焦、上焦、肝、心、大肠、小肠、膀胱和肌肤;病性证素16项,分别为气逆、气虚、阴虚、饮、痰、热、寒、阳虚、阳浮、动风、水停、湿、气闭、气滞、气不固和亡阳。然后由证素组合基本证型27项,再由基本证型或证素组合反映病案机理的复合证型。最后揭示出应用证素分析方法分析病案对于研究病案和指导临床辨证的意义。A research has been carried out about dyspnea disease from a guide to clinical practice with medical record in this article. Firstly, to choose syndrome elements preliminarily, 17 syndrome elements on disease location has been chosen, 22 syn- drome elements on nature of disease has been chosen. And then to extract syndrome elements of specification and common, 12 syndrome elements of specification and common on disease location is extracted, they are lung, kidney, stomach, spleen, lower Jiao, upper Jiao, Liver, heart, large intestine, small intestine, bladder and skin. 16 syndrome elements of specification and common on nature of disease are extracted, they are adverse rising of Qi, Qi deficiency, Yin asthenia, Yin, phlegm, fire, cold, Yang asthenia, outward dispersion of Yang, wind symptom, excessive fluid, dampness, Qi blockade, Qi stagnation, loss of Qi controlling action, collapse of Yang. Furthermore, 27 basic syndrome type are combined by syndrome elements. And composite syndrome type which reflectes the mechanism of medical record are combined by basic syndrome type and syndrome elements. At last, the significance for the research of medical record and the guide of clinical syndrome differentiation applicating the analysis method of syndrome elements to analyze the medical record is revealed.

关 键 词：医案 喘病 证素 辨证 

分 类 号：R249[医药卫生—中医临床基础]