湿疹患者中医体质与各证型相关性的临床研究

发布时间：2018-07-22 11:00

【摘要】：目的:观察湿疹患者中医体质与其中医各证型的关系,探讨湿疹患者中医体质与其辨证分型的相关性。方法:通过对213例湿疹患者进行个人体质调查问卷,询问其症状,包括皮损、全身症状及舌脉、病程等资料来判断其证候类型,由患者本人填写或由调查员逐条询问填写中医证候调查表和中医体质类型调查表,由此获取患者的中医体质类型。用统计学软件对患者的基本信息、中医证候类型、中医体质类型进行分析,初步得出湿疹患者中医体质与各临床证候类型的关联性。结果:213例湿疹患者的中医证候类型主要以脾虚湿蕴证及湿热浸淫证者居多,分别占调查总数的49.3%、18.8%,血虚风燥证者较少(31.9%)。血虚风燥证湿疹患者的病程比脾虚湿蕴证及湿热浸淫证病程稍长。气虚质、阳虚质、阴虚质在所有被调查的湿疹患者中医体质分类中所占比例最高,分别为42.25%、29.58%、34.74%,其他体质类型所占比例偏低。阳虚、气虚、痰湿体质患者发病后大多表现为血虚风燥证、湿热浸淫证、脾虚湿蕴证中任一证型,并且更易发展为脾虚湿蕴证。阴虚体质患者发病后大多表现为湿热浸淫证或脾虚湿蕴证,并且更易发展为脾虚湿蕴证。湿热、血瘀体质患者发病大多表现为血虚风燥证、湿热浸淫证、脾虚湿蕴证中任一证型,并且更易发展为血虚风燥证。特禀质患者发病大多表现为脾虚湿蕴证。气郁质者发病大多表现为血虚风燥证、湿热浸淫证、脾虚湿蕴证中任一证型,并且更易发展为湿热浸淫证。平和质者发病大多表现为湿热浸淫证或脾虚湿蕴证,并且更易发展为脾虚湿蕴证。结论:湿疹患者的中医证候类型主要以脾虚湿蕴证及湿热浸淫证者居多,血虚风燥证少见。湿疹患者的中医体质类型以气虚、阴虚、阳虚体质为主。湿疹患者中医体质与其中医辨证分型之间有密切关系。
[Abstract]:Objective: to observe the relationship between TCM constitution and TCM syndromes in eczema patients, and to explore the relationship between TCM constitution and syndrome differentiation and classification of eczema patients. Methods: 213 patients with eczema were investigated with a personal physique questionnaire, and their symptoms, including skin lesions, systemic symptoms, tongue veins and course of disease, were asked to judge the types of syndromes. The TCM physique type was obtained by filling out the TCM syndrome questionnaire and TCM physique type questionnaire by the patient himself or by the investigator. Statistical software was used to analyze the basic information of the patients, the types of TCM syndromes and the types of TCM constitution, and the relationship between TCM constitution and clinical syndrome types of eczema patients was preliminarily obtained. Results the main types of TCM syndromes of 213 cases of eczema were spleen deficiency dampness accumulation syndrome and damp-heat immersion syndrome, which accounted for 49.3% and 18.8% of the total investigated cases respectively, and the blood deficiency wind dryness syndrome was less (31.9%). The course of eczema of blood deficiency wind dryness syndrome is longer than that of spleen deficiency dampness accumulation syndrome and damp-heat immersion syndrome. Qi deficiency, yang deficiency and yin deficiency accounted for the highest proportion of TCM constitution classification in all the eczema patients investigated, which were 42.25 and 29.58 and 34.744.74 respectively. Yang deficiency, qi deficiency, phlegm and dampness constitution patients are mostly presented as blood deficiency wind dryness syndrome, dampness and heat immersion syndrome, spleen deficiency and dampness accumulation syndrome any type, and it is easier to develop into spleen deficiency dampness accumulation syndrome. After the onset of Yin deficiency, most of the patients showed dampness and heat immersion syndrome or spleen deficiency dampness accumulation syndrome, and more easily developed into spleen deficiency dampness accumulation syndrome. Most of the patients with dampness and heat and blood stasis constitution have the syndrome of blood deficiency wind dryness, damp-heat immersion syndrome, spleen deficiency dampness accumulation syndrome, and it is easier to develop into blood deficiency wind dryness syndrome. Most of the patients with idiopathic diseases are spleen deficiency and dampness accumulation syndrome. The pathogenesis of qi stagnation is mostly manifested as blood deficiency wind dryness syndrome, damp-heat immersion syndrome, spleen deficiency dampness accumulation syndrome any type, and more easy to develop into damp-heat immersion syndrome. Most of the mild type of disease is damp-heat dipping syndrome or spleen deficiency dampness accumulation syndrome, and it is easy to develop into spleen deficiency dampness accumulation syndrome. Conclusion: the main types of TCM syndromes of eczema patients are spleen deficiency dampness accumulation syndrome and damp-heat immersion syndrome, but blood deficiency wind dryness syndrome is rare. Eczema patient's TCM constitution type is qi deficiency, Yin deficiency, Yang deficiency constitution. There is a close relationship between TCM constitution and TCM syndrome differentiation of eczema patients.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R275.9

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