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基于文献调研的中医临床常见病、证、证候频数分布情况(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2017年05期
页码:
54-57,72
栏目:
临床研究
出版日期:
2017-12-16

文章信息/Info

Title:
Frequency Distribution of Disease,Syndrome Types and Syndromes of TCM Clinical Research Based on Literature Investigation
作者:
瞿麟姚明龙虞海虹杨雪梅△
福建中医药大学中医证研究基地,福建 福州 350122
Author(s):
QU Lin YAO Minglong YU Haihong YANG Xuemei
Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
关键词:
中医临床研究常见病证候证素
Keywords:
clinical research characteristics of TCM common diseases syndrome types syndromes symptom factors
分类号:
R241
DOI:
10.19288/j.cnki.issn.1000-2723.2017.05.012
文献标识码:
A
摘要:
目的 基于近10年期刊发表的中医临床研究文献,总结中医临床研究常见的病、证(含证型、证素)和证候频数分布情况,为中医的术语标准化建设及中医诊断规则的挖掘提供数据支撑。方法 检索CNKI和VIP数据库2007年1月-2016年6月发表的中医临床研究文献,经中医病名、西医病名、证型名称规范化及证素拆解后,统计其频数分布情况。结果 共纳入中医临床研究文献9730篇。按照降序统计,中医临床研究常见中医病名依次为胸痹、水肿、眩晕等;西医病名依次为高血压、非胰岛素依赖型糖尿病、冠心病等。中医证型依次为气阴两虚、肝肾阴虚、气虚血瘀等;病性证素依次为气虚、血瘀、热等;病位证素依次为肾、脾、肝等;中医证素依次为气虚、血瘀、热等。中医证候依次为脉细、苔白、脉弦等。结论 中医临床证型以复杂证型多见,单一证型较少;《证素辨证学》所列证素能较好地覆盖中医临床研究,而证素辨证能避开中医证型标准不统一的难题,对中医临床辨证起到删繁就简的作用;中医临床辨证多会诊察舌脉。
Abstract:
Objective To summarize frequency distribution of the main diseases, syndromes(syndrome types and symptom factors)and syndrome characteristics of Traditional Chinese Medicine(TCM) clinical research based on TCM clinical research literatures of that published in journals nearly ten years. It provides the data support for the standardization construction of TCM terminology and the follow-up diagnostic standard of TCM. Methods We searched TCM clinical research literatures published from January 2007 to June 2016 from CNKI and VIP databases, and performed frequency statistics on the basis of standardized organizing TCM name of diseases, western medical name of diseases, syndrome types, syndromes and symptom factors. Results 9730 TCM clinical research literatures were totally included. Hot spot in clinical research of TCM according to frequency statistics from big to small, the top 10 TCM diseases ranking in sequence were chest impediment, edema, dizziness, and so on; the top 10 western medicine diseases ranking in sequence were coronary heart disease, non-insulin dependent diabetes mellitus, hypertension, and so on. The syndrome types of TCM in sequence were syndrome of dual deficiency of Qi and Yin, liver-kidney yin deficiency syndrome, syndrome of Qi deficiency with blood stasis, and so on. The symptom factors in sequence were Qi deficiency, blood stasis, heat, and so on. The syndromes of TCM in sequence were thread pulse, white fur, stringy pulse, and so on. Conclusion At present, the clinical syndromes of TCM are more complicated syndrome type, but less single syndrome type; in the list of syndrome factors in syndrome factor differentiation can cover the clinical research of Chinese medicine, and can avoid the problem of syndrome type of TCM are not unified, to hold the guiding role of TCM complex of syndrome differentiation and make it easier to be mastered; Syndrome differentiation of Clinical TCM will examine the tongue and pulse.

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备注/Memo

备注/Memo:
* 基金项目: 国家自然科学基金(81202646,81230087);中医药行业科研专项(2015468003-2-4)
收稿日期: 2017 - 09- 26
作者简介: 瞿麟(1991-),男,重庆垫江人,在读硕士研究生,研究方向:中医证的基础与临床研究。
△通信作者: 杨雪梅,E-mail:694662809@qq.com
更新日期/Last Update: 2017-10-20