基于古代医案对血瘀证脉象差异化表达的研究

发布时间：2018-07-06 09:33

本文选题：血瘀证 + 脉象　；参考：《中国中医基础医学杂志》2017年02期

【摘要】：目的:探究血瘀证脉象差异表达的规律性,据此分析血瘀证发生发展的演变规律,以期更好地指导血瘀证的临床诊治。方法:收集古代血瘀证医案、统计医案中病人脉象频次、生活环境、年龄及主要症状(兼证),对脉象与其他统计项进行模糊聚类分析,探究血瘀证发病人群分布特点及脉象差异化表现与诸因素之间的关联关系。结果:入选340例医案,显示古代血瘀证医案之脉象弦脉最多(184),数脉其次(123),涩脉第三,细脉又次之,然后是滑脉和大脉等;血瘀证好发于贫困或战乱中人群,中老年人居多,兼夹因素以虚滞最多。结论:瘀不离虚、瘀滞互化是血瘀证演变过程中的重要环节,治疗中需注意扶助正气和行气,血瘀证的发病与生活环境密切相关。
[Abstract]:Objective: to explore the regularity of pulse differential expression in blood stasis syndrome and analyze the evolution of blood stasis syndrome in order to guide the clinical diagnosis and treatment of blood stasis syndrome. Methods: collecting the medical records of ancient blood stasis syndrome, collecting the frequency of pulse, living environment, age and main symptoms (and syndromes) of patients in the medical records, and making fuzzy cluster analysis of pulse and other statistical items. To explore the distribution characteristics of blood stasis syndrome and the relationship between pulse differentiation and various factors. Results: 340 cases of medical records showed that the blood stasis syndrome in ancient times had the highest pulse string pulse (184), several pulse second (123), the astringent vein third, the smooth vein and the big vein, and so on, the blood stasis syndrome occurred in the poor or the war people, the middle and old people were the majority. At the same time, the most factors were deficiency and stagnation. Conclusion: blood stasis is an important link in the evolution of blood stasis syndrome, and the pathogenesis of blood stasis syndrome is closely related to the living environment.
【作者单位】：长春中医药大学;
【基金】：吉林省教育厅“十二五”科学技术研究项目(2015-337)-血瘀证动态演变规律与脉象关系研究
【分类号】：R241

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