现代名老中医诊治支气管哮喘文献证候分析

发布时间：2017-12-27 18:35

本文关键词：现代名老中医诊治支气管哮喘文献证候分析　出处：《中医杂志》2017年16期 　论文类型：期刊论文

【摘要】：目的基于现代名老中医诊治支气管哮喘的文献,对支气管哮喘常见证候及其临床特征进行分析,为支气管哮喘临床辨治提供依据。方法检索现代名老中医肺病数据库、期刊中医肺病数据库,筛选名老中医诊治支气管哮喘文献,采用频数、因子分析与聚类分析、二元Logistic回归分析等方法对支气管哮喘症状、证型进行分析。结果检索出符合纳入标准的文献2459篇,频率≥3.0%的证型包括痰热壅肺证、痰湿阻肺证、寒饮停肺证、风寒袭肺证、肺脾气虚证、肺肾阳虚证、肺肾气虚证、肾气虚证、肺气虚证、寒痰阻肺证、肺气阴两虚证。对症状进行因子分析及聚类分析,得到5类较有意义的症状聚类组合,结果结合临床实际,总结出支气管哮喘的常见证候有痰热壅肺证、风寒袭肺证、肺脾气虚证、肺气虚证、肺气阴两虚证,并分别得到各证候的主症、次症。结论支气管哮喘的临床常见证候有痰热壅肺证、风寒袭肺证、肺脾气虚证、肺气虚证、肺气阴两虚证,每个证候均有症状特异性。
[Abstract]:Based on the modern old Chinese medicine diagnosis and treatment of bronchial asthma by literature, and clinical features of common syndromes of bronchial asthma, provide the basis for clinical diagnosis and treatment of bronchial asthma. Method to retrieve the modern old Chinese medicine disease database, Journal of traditional Chinese disease database, screening of old Chinese medicine diagnosis and treatment of bronchial asthma in the literature, using frequency analysis, factor analysis, and cluster two yuan Logistic regression analysis of symptoms, syndromes of bronchial asthma. The results retrieved in accordance with the inclusion criteria 2459 literatures, including more than 3% frequency of syndrome of phlegm heat obstructing the lung, phlegm dampness cold drink obstructing the lung, stop the lung, wind cold attacking the lung syndrome, lung and spleen qi deficiency, lung deficiency, lung and kidney qi deficiency, kidney qi deficiency, Qi deficiency, syndrome of cold phlegm obstructing lung two, Qi Yin deficiency syndrome. By factor analysis and cluster analysis of symptoms, 5 kinds of symptom clustering combination more meaningful results, combined with clinical practice, summed up the common syndromes of bronchial asthma with phlegm heat in the lung, syndrome of wind cold attacking the lung, lung and spleen qi deficiency, Qi deficiency, Qi Yin deficiency syndrome and two, respectively, the main symptoms the secondary disease syndrome. Conclusion the common clinical syndromes of bronchial asthma with phlegm heat in the lung, syndrome of wind cold attacking the lung, lung and spleen qi deficiency, Qi deficiency, Qi Yin deficiency syndrome two, each have specific symptoms.
【作者单位】：河南中医药大学/呼吸疾病诊疗与新药研发河南省协同创新中心;
【基金】：“十二五”国家科技支撑计划(2014BAI10B06) 国家自然科学基金(81473648,81674098) 河南省中医临床学科领军人才培育计划(HNZYLJ201301001) 2015年河南省优势特色学科建设项目
【分类号】：R256.12
【正文快照】： 支气管哮喘属于中医学“哮病”范畴。中医诊治支气管哮喘经验丰富、疗效显著,对名老中医诊治支气管哮喘的证候特征的分析,将为临床辨治提供依据。因此,本文基于现代名老中医肺病数据库和期刊中医肺病数据库,总结支气管哮喘常见证候及其临床特征。1资料与方法1.1文献来源现代名

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