慢性荨麻疹发作时辰与中医病机病证的研究  

Study on the Onset Time of Chronic Urticaria and Pathogenesis and Syndrome of Traditional Chinese Medicine

作　　者：陈丽嫦 黄冬梅 邹珊 潘林平 CHEN Li-chang;HUANG Dong-mei;ZOU Shan;PAN Lin-ping(Yuexiu District Hospital of Traditional Chinese Medicine of Guangzhou,Guangdong Guangzhou 510030)

机构地区：[1]广州市越秀区中医医院,广东广州510030

出　　处：《深圳中西医结合杂志》2021年第23期62-65,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广州市越秀区科技计划项目资助课题(2018–WS–006)。

摘　　要：目的:探索慢性荨麻疹发作时辰与中医病机病证的关系。方法:选取广州市越秀区中医医院2019年1月至2019年12月皮肤科门诊就诊的慢性荨麻疹患者83例为研究对象,把每日24 h分为十二时辰,对83例具有皮损发作时辰节律特点的慢性荨麻疹患者进行问卷调查,收集皮损发作时辰、临床症状并记录舌脉体征等,使用常见症状计量辨证表得出患者的病位、病性,分别与皮损发作时辰所提示的循行经脉及六经病证相比较,以Spearman进行相关性分析。结果:皮损发作时辰与病位、病性均不存在相关性,差异无统计学意义(P>0.05)。结论:切忌生硬套用慢性荨麻疹发作时辰进行中医辨证。Objective To explore the relationship between the onset time of chronic urticaria and traditional chinese medicine (TCM) pathogenesis and syndrome.Methods 83 patients with chronic urticaria treated in the dermatology clinic of Yuexiu District Hospital of Traditional Chinese Medicine of Guangzhou from January 2019 to December 2019 were selected as the research object.The whole day 24 hours were divided into 12 times.83 patients with chronic urticaria with the characteristics of the rhythm of skin lesions were investigated by questionnaire,the time of skin lesions,clinical symptoms and tongue and pulse signs were collected,and the tongue and pulse signs were recorded.The location and nature of the disease were obtained by using the common symptom measurement and syndrome differentiation table,which were compared with the diseases and syndromes along the meridians and six meridians prompted by the onset of skin lesions,and the correlation was analyzed by Spearman.Results There was no correlation between the onset time of skin lesions and the location and nature of the disease,and the difference was not statistically significant(P > 0.05).Conclusion It is forbidden to apply TCM syndrome differentiation when chronic urticaria occurs.

关 键 词：慢性荨麻疹 发作时辰 病机病证 

分 类 号：R758.24[医药卫生—皮肤病学与性病学]