阳虚证病、证、症分布特点文献研究  

Literature Research on Distribution Characteristics of Disease,Syndrome and Symptom in Yang Deficiency Syndrome

作　　者：林雪娟[1,2,3] 万信[1,2] 李灿东[1,2,3] 甘慧娟[1,2,3] 闵莉[1,2,3] 俞洁[1,2,3] LIN Xuejuan WAN Xin LI Candong GAN Huijuan MIN Li YU Jie(Chinese Medicine Syndrome Research Centre, Fujian University of Chinese Medicine, Fuzhou, 350122 Key Laboratory of Chinese Medicine Health Status Differentiation of Fujian Province 2011 Chinese Medicine Health Management Co-Innovation Center of Fujian Province)

机构地区：[1]福建中医药大学中医证研究基地,福建省福州市闽侯上街大学城350122 [2]福建省中医健康状态辨识重点实验室 [3]福建省2011中医健康管理协同创新中心

出　　处：《中医杂志》2017年第15期1323-1326,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81230087)

摘　　要：目的基于文献总结阳虚证的病、证、症分布特点。方法检索中国学术文献网络出版总库(CNKI)和维普(VIP)数据库2007年1月至2014年6月有关中医阳虚证的临床研究文献,建立阳虚证临床文献信息库,对病名、证型、证素、症状进行进行规范化处理后分别统计其频数。结果共计纳入文献550篇,涉及111种中医疾病,168种西医疾病,其中中医疾病出现频数前3位的依次为胃脘痛(39)、水肿(38)、泄泻(27),西医疾病依次为慢性心力衰竭(34)、慢性胃炎(21)、冠心病(18)、肝硬化(18)。阳虚证相关证型共计36种,出现频数前3位分别为脾肾阳虚(149)、肾阳虚(97)、脾胃阳虚(82);病位证素7种,出现频数前3位分别为肾(280)、脾(240)、胃(82),兼夹病性证素8种,出现频数前3位分别为水停(34)、血瘀(28)、寒(20);症状375条,出现频数前3位分别为四肢厥冷(285)、经常畏冷(272)、便溏(189)。结论阳虚的病理状态在慢性病和疾病后期中均占据着重要的地位,阳虚证分布广泛,多兼夹水停、血瘀、寒湿、痰浊、气滞等实邪。Objective To summarize the disease, syndrome and symptom dtstnbutive cnaractensncs ot i ang ueficiency syndrome based on literature. Methods The clinical research literature related to Chinese medicine Yang deficiency syndrome were reviewed in China National Knowledge Infrastructure （CNKI） and VIP Data from January of 2007 to June of 2014. Yang deficiency syndrome clinical literature information database was established. Name of diseases, syndrome types, syndrome essence and symptoms were standardized, and the frequency of each item was calculated. Results Totally 550 papers were included, with 111 Chinese medicine diseases and 168 western medi- cine diseases. Top 3 of high frequency Chinese medicine diseases were stomachache （39） , edema （38） and diarrhea （27）. Top 4 of high frequency western medicine diseases were chronic heart failure （34） , chronic gastritis （21） , coronary artery disease （ 18 ） and cirrhosis of liver （ 18 ）. Ther were 36 syndromes related to Yang deficiency syn- drome. Top 3 of high frequency were Yang deficiency of spleen and kidney （149）, Yang deficiency of kidney （97） and Yang deficiency of spleen and stomach （82）. There were 7 kinds of disease location syndrome essence. Top 3 of high frequency were kidney （280） , spleen （240） and stomach （82）. There were 8 mixed disease character syn- drome essence types. Top 3 of high frequency were water retention （34） , blood stasis （28） and cold （20）. There were 375 symptoms. Top 3 of high frequency were peripheral coldness （285）, fear of cold （272） and loose stool （189）. Conclusion The pathological status of Yang deficiency played an important role in chronic diseases and later period of diseases. Yang deficiency syndrome was widely distributed and mostly mixed excessive pathogens, such as water retention, blood stasis, cold-damp, phlegm-turbidity, Qi stagnation, etc.

关 键 词：阳虚证 疾病分布 证候分布 证素 症状 

分 类 号：R255.9[医药卫生—中医内科学]