168例原发性高血压中医与维医病证关系对比研究  

Comparative study on the syndrome relationship between Chinese medicine and Uyghur medicine in 168 cases of primary hypertension

作　　者：帕力旦.吾布尔 王敏 热娜古丽.艾则孜 培尔顿.米吉提 杨椿年 PARIDAN·Wabul;WANG Min;RANA Guli·Azizi;PELTON· Majit;YANG Chun-nian(Urumqi Hospital of Traditional Chinese Medicine, Urumqi 830000, China;Xinjiang Medical University Urumqi 830000, China)

机构地区：[1]乌鲁木齐市中医医院,乌鲁木齐830000 [2]新疆医科大学,乌鲁木齐830000

出　　处：《中华中医药杂志》2018年第2期760-762,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：乌鲁木齐市科学技术计划项目(No.Y141310053)~~

摘　　要：目的:通过对乌鲁木齐市高血压病患者中医与维医病证关系的对比研究,分析中医证型与维医异常体液证型的关系。方法:选取2014年12月至2015年12月在乌鲁木齐市中医医院心内科住院的原发性高血压病患者168例,按照中医辨证及维医异常体液分型进行划分,分析证型分布特点,对比中维医病证诊断,分析其相关性。结果:中医证型分布特点:痰湿壅盛证>肝火亢盛证>阴虚阳亢证>阴阳两虚证(59.5%vs 16.7%vs 14.3%vs9.5%);维医异常体液分型分布特点:异常黏液质型>异常血液质型>异常胆液质型>异常黑胆质型(58.3%vs14.9%vs 13.7%vs 13.1%)。结论:维医中的异常黏液质即为中医中的痰湿壅盛证,此两种证型是乌鲁木齐市高血压病的重要中维医证型,两者具有交互性,可以作为高血压病中医与维医相互辨证分型及指导用药的参考依据。Objective：To study the syndrome of primary hypertension from Chinese medicine and Uyghur medicine in Urumqi,to analyze the relationship between Chinese medicine syndromes and types of abnormal body fluids.Methods：A total of 168 patients were selected in the department of cardio cerebrovascular disease of Urumqi Hospital of Traditional Chinese Medicine from December 2014 to December 2015,the classification method of TCM differentiation andtypes of abnormal body fluids were used to analyze the syndrome distribution,the diagnoses of primary hypertension and the relationship between Chinese medicine syndromes and types of abnormal body fluids were analyzed.Results：The Chinese medicine syndrome differentiation was syndrome of phlegm-damp congestion and excessiveness syndrome of liver fire exuberance syndrome of hyperactivity of yang due to yin deficiency syndrome of deficiency of both yin and yang（59.5% vs 16.7% vs 14.3% vs 9.5%）; the syndrome distribution of abnormal body fluids abnormal was abnormal mucous type abnormal blood type abnormal choleroid type abnormal savda type（58.3% vs 14.9% vs 13.7% vs 13.1%）.Conclusion：The abnormal mucous type in the Uyghur medicine was similar to the syndrome of phlegm-damp congestion and excessiveness which was an important syndrome of primary hypertension in the Uygur City and could be the guidance of drug reference.

关 键 词：高血压 中医辨证 维医 异常体液分型 

分 类 号：R259[医药卫生—中西医结合]