143例脑出血恢复期中医证素分布特征的临床研究  

Clinical research of traditional Chinese medicine syndrome element distribution and combination characteristics in 143 convalescence of cerebral hemorrhage patients

作　　者：黄碧群[1] 向艳南 周德生[3] 卿龙丽 周娴[2] 顾星[2] HUANG Bi-qun;XIANG Yan-nan;ZHOU De-sheng;QING Long-li;ZHOU Xian;GU Xing(Diagnosis of Traditional Chinese Medicine Research Institute, Hunan University of Chinese Medicine, Changsha 410208, China;Hunan University of Chinese Medicine, Changsha 410208 China;The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, China)

机构地区：[1]湖南中医药大学中医诊断研究所,长沙410208 [2]湖南中医药大学,长沙410208 [3]湖南中医药大学第一附属医院,长沙410007

出　　处：《中华中医药杂志》2018年第4期1547-1550,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南省科技厅科技计划项目(No.2014SK3047)~~

摘　　要：目的:探讨脑出血(ICH)恢复期中医证素的分布特征。方法:采集143例ICH恢复期患者的中医证候,运用WF文锋-Ⅲ中医(辅助)诊疗系统,提取证素,分析证候,识别证素。结果:143例ICH恢复期的中医证素总积分以经络(64.54%)、肝(16.35%)、心神(8.42%)为主要病位,以痰(28.68%)、动风(18.52%)、血瘀(11.48%)为主要病性。结论:在ICH恢复期,针对病位经络、肝、心神,病性痰、动风、血瘀,临床采用通经活络、平肝熄风、豁痰开窍、活血化瘀的治法,体现出中医辨证论治的特点。Objective： To explore the distribution characteristics of TCM syndromes during the convalescence of a cerebral hemorrhage. Methods： The traditional Chinese medicine （TCM） syndromes of 143 patients with convalescence of cerebral hemorrhage were collected. WF Wenfeng-Ⅲ TCM （auxiliary） diagnosis and treatment system were used to extract the evidence, analyze the syndrome and identify the syndrome. Results： The total score of TCM syndromes in 143 cases of cerebral hemorrhage was mainly divided into three groups： the meridian （64.54%）, the liver （16.35%） and the heart （8.42%）; the sputum （28.68%）, the wind （18.52%） and the blood stasis （11.48%） were the main essential attributes of pathological changes. Conclusion： In the recovery period of cerebral hemorrhage, the treatment should be pointed at meridian, liver, heart, sputum, wind and blood stasis. The therapies of promoting menstruation and activating collaterals, calming the liver to stop the wind, dissipating phlegm for resuscitation, and promoting blood circulation for removing blood stasis embody the characteristics of TCM syndrome differentiation.

关 键 词：脑出血 恢复期 证素 证候 病位 病性 辨证 WF文锋-Ⅲ中医(辅助)诊疗系统 

分 类 号：R277.7[医药卫生—中医学]