基于现代名老中医经验的慢性支气管炎病因病机及证素规律研究

发布时间：2018-12-29 09:47

【摘要】：目的:基于现代名老中医经验,分析探索慢性支气管炎的病因病机及证素分布规律,为揭示其病因病机提供依据。方法:基于已建立的《现代名老中医肺病数据库》和《期刊中医肺病数据库》,建立《现代名老中医诊治慢性支气管炎文献研究数据库》,利用SPSS 22.0统计软件进行分析。结果:慢性支气管炎主要病因(1 365条)有外感、内伤、痰、虚、寒、热等,病机以肺失宣肃、痰浊阻肺、气虚、痰热犯肺、肺失清肃较为常见。病性证素以寒、气虚、痰、风、热等为主,病位主要在肺,涉及脾、肾和表、里。单一病性证素以气虚、阳虚、阴虚、痰较常见,病位主要在肺、脾;二病性证素以风+寒、痰+热、痰+寒较为常见,三病性证素以风+寒+痰常见,二、三病性证素组合病位主要在肺。结论:现代名老中医对慢性支气管炎病因病机认识与专著论述大致相同,但较专著更加丰富,有待于进一步总结和临床验证。
[Abstract]:Objective: to analyze and explore the etiology and pathogenesis of chronic bronchitis and the distribution of syndromes in order to provide evidence for revealing the etiology and pathogenesis of chronic bronchitis. Methods: based on the established database of pulmonary diseases of modern famous Chinese medicine (TCM) and the database of TCM pulmonary diseases (TCM periodicals), the database of literature on the diagnosis and treatment of chronic bronchitis by modern famous Chinese medicine (TCM) was established and analyzed with SPSS 22.0 software. Results: the main etiology of chronic bronchitis (1 365) was exogenous, internal injury, phlegm, deficiency, cold, heat, etc. The disease syndrome is characterized by cold, deficiency of qi, phlegm, wind, heat and so on. Qi deficiency, yang deficiency, yin deficiency, phlegm are common in the single disease syndrome, the disease location is mainly in the lung and spleen; Two disease syndrome is wind cold, phlegm heat, phlegm cold is more common, three disease syndrome is wind cold phlegm common, two, three disease syndrome element combination disease position is mainly in the lung. Conclusion: the understanding of the etiology and pathogenesis of chronic bronchitis is similar to that of the monograph, but it is more abundant than the monograph, which needs further summary and clinical verification.
【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;河南省中医药防治呼吸病重点实验室;
【基金】：国家中医药管理局国家中医临床研究基地业务建设科研专项项目(No.JDZX2012027) 河南省高等学校重点科研项目(No.13B360093,No.15A360019)~~
【分类号】：R259

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