摘要
目的:探究抽动障碍(TD)中医证候、证素分布规律。方法:检索各数据库自建库至2019年9月30日发表的有关TD证候的流行病学调查及中医临床辨证分型治疗研究的文献。收集文献资料及病例辨证分型并建立数据库,应用SPSS19.0统计软件进行分析。结果:最终纳入文献67篇,报道病例数10106例,经规范后共涉及证候25个,提取病位证素6个,病性证素12个。综合证候出现频次及病例数两个角度进行统计分析,得出TD常见证候类型依次为脾虚肝亢证、肝阳化风证、脾虚痰湿证、阴虚风动证、肝郁化火证、痰热扰神证;病位证素主要为肝、脾、肾、心神;病性证素主要为阳亢、气虚、动风、火(热)、痰、阴虚;证素组合形式主要有三种。结论:脾虚肝亢证为TD的核心证候,肝、脾、阳亢、气虚、动风、火(热)为常见证素,三证素组合为常见的证素组合形式。
Objective: To explore the distribution rules of syndromes and syndrome elements of Tic Disorder(TD).Methods: By searching each databases to collect the documents that involve the epidemiological investigations on syndrome of TD and study on clinical syndrome differentiation and treatment of traditional Chinese medicine(TCM) from database establishment to September 30th,2019.The data of documents and case syndrome differentiation were collected to establish a database, and SPSS 19.0 software was used to analyze the data statistically.Results: Finally, 67 documents in this study and 10106 cases were reported.25 kinds of syndromes, 6 syndrome elements of disease location and 12 syndrome elements reflecting the nature of disease were involved.Combined the frequency of syndrome and the number of cases to analyze, it was found that the frequent syndromes of TD were spleen deficiency and liver hyperactivity, liver Yang forming wind, phlegm-dampness due to deficiency of the spleen, Yin deficiency forming wind, liver depression forming fire and phlegm-heat disturb the mind.Major syndrome elements of disease location were liver, spleen, kidney and mind.Major syndrome elements reflecting the nature of disease were Yang hyperactivity, Qi deficiency, wind stirring, fire(heat),phlegm and Yin deficiency.There were three main combination modes of syndrome elements.Conclusion: Spleen deficiency and liver hyperactivity are core syndrome of TD,the common syndrome elements are liver, spleen, Yang hyperactivity, Qi deficiency, wind stirring and fire(heat),and the common combination modes of syndrome elements of TD is the combination of three syndrome elements.
作者
李亮
韩斐
LI Liang;HAN Fei(Guang'anmen Hospital of China Academy of Chinese Medical Science,Beijing 100053,China)
出处
《四川中医》
2020年第12期217-220,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
中医药循证医学项目——儿科疾病中医药优先主题设置及循证研究实施方案设计(中国中医科学院,ZZ13-024-5)。
关键词
抽动障碍
中医证候
证素
文献研究
Tic disorder
Syndrome of TCM
Syndrome elements
Literature study
