徐福松阳痿分型证候标准量化研究  

Essentials of the differentiation and standardization of syndromes for male impotence in Xu Fu-song's clinical experience

作　　者：赵伟[1,2] 孙志兴 章茂森 王庆 黄健 刘承勇 徐福松 ZHAO Wei;SUN Zhi-xing;ZHANG Mao-sen;WANG Qing;HUANG Jian;LIU Cheng-yong;XU Fu-song(Department of Andrology,Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Nanfing University of Chinese Medicine,Nanjing,Jiangsu 210028,China;Department of Androlo-gy,Jiangsu Province Research Institute of Traditional Chinese Medicine,Nanjing,Jiangsu 210028,China;Department of Andrology,Jiangsu Provincial Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京中医药大学附属中西医结合医院男科,江苏南京210028 [2]江苏省中医药研究院男科,江苏南京210028 [3]南京中医药大学附属医院男科,江苏南京210029

出　　处：《中华男科学杂志》2018年第10期911-915,共5页National Journal of Andrology

摘　　要：目的:分析徐福松阳痿辨证要点和证候量化标准。方法:随机调查徐福松门诊183例阳痿患者,收集中医望、闻、问、切四诊信息,用SPSS19. 0统计学软件进行主成分及因子分析。结果:主成分及因子分析后发现,11因子分析结果与徐福松临床实际较为一致。按11个因子分析结果,徐福松辨治阳痿分为11个证型。湿热证辨证要点为:口苦、阴囊潮湿、小便淋漓不畅、小便黄赤、尿频、尿急、大便质粘、舌红、苔黄腻、脉滑、脉濡、脉数;肾阴虚证辨证要点为:手足汗出、盗汗、喜冷饮、口干、舌红、苔少、脉细、脉数;肝气郁结证辨证要点为:情绪抑郁、焦虑不安、少言内向、舌暗、脉弦;痰浊阻窍证辨证要点为:口粘、口中有痰、咽喉异物感、胸闷、脘痞、性欲淡漠、苔白腻、脉滑;肾阳虚证辨证要点为:畏寒肢冷、精神萎靡、小腹发凉、夜尿清长、喜热饮、舌淡、脉沉;肺脾两虚证辨证要点为:咳嗽、反复外感、自汗、鼻塞、舌淡、脉细;气滞血瘀证辨证要点为:少腹胀痛、会阴或睾丸坠胀、舌质紫、脉沉;心肾不交证辨证要点为:夜寐不实、遗精、射精过快、舌红、脉细;心脾两虚证辨证要点:心悸、健忘、面色少华、舌淡、脉沉;脾肾两虚证辨证要点为:头晕、面色少华、舌淡、脉沉、脉细;肺肾两虚证辨证要点为:五心烦热、耳鸣、身重、舌淡、苔少、脉细。结论:徐福松阳痿证候标准量化有一定规律,提示徐福松对阳痿各主要证候的辨证要点均有其核心症状和典型舌证及脉证。Objective ： To analyze the essentials of the differentiation and standardization of syndromes for male impotence in Xu Fu-song＇s clinical practice. Methods： We conducted a randomized survey of 183 cases of male impotence diagnosed and treated at Professor Xu Fu-song＇s Clinic. We collected the data on the four diagnostic methods of traditional Chinese medicine （TCM） , namely, observation, auscultation and olfaction, inquiry, and pulse feeling and palpation, and subjected them to principal component and factor analyses. Results： Eleven common factors were extracted in the principal component and factor analyses, which were in accordance with Xu Fu-song＇s clinical practice. Based on the results of the analysis of the 11 factors, male impotence is differentiated as 11 syn-drome types as follows ： damp-heat syndrome, with the manifestations of bitter taste, scrotal moisture, reddish yellow urine, dribbling urination, frequent urination, urgent urination, sticky stool, red tongue, yellow greasy fur, rapid pulse, slippery pulse, and soggy pulse; kidney-yin deficiency syndrome, featured by polyhidrosis of hands and feet, night sweating, cold drink preference, dry mouth, red tongue, less fur, thready pulse, and rapid pulse ; liver-q/ stagnation syndrome, presented as depression, anxiety, introvert, dark tongue, and stringy pulse; phlegm turbidity syndrome, shown as sticky mouth, phlegmy month, throat discomfort, chest congestion, gastric fullness, low sexual desire, white greasy fur, and slippery pulse; kidney-yang deficiency syndrome, manifested as intolerance of cold, mental fatigue, lower abdominal cold, nocturnal enuresis, hot drink preference, pale tongue, and deep pulse ; lung and spleen deficiency syndrome, with the presentations of cough, easy cold, spontaneous sweating, nasal stuffiness, pale tongue, and thready pulse ; qi stagnation and blood stasis syndrome, characterized by lower abdominal pain, perineal or testicular prolapse, purple tongue, and deep pulse; heart-kidney disharmony syndrome,

关 键 词：阳痿 证型分类 标准量化 主成分及因子分析 

分 类 号：R277.5[医药卫生—中医学]