基于治未病思想的慢性疲劳综合征患者中医证型分布规律研究

目的:基于治未病思想,探讨慢性疲劳综合征患者的中医证型分布特点及规律。方法:使用《慢性疲劳调查问卷》对广东省中医院治未病中心就诊的符合纳入标准的101例慢性疲劳综合征患者进行资料采集及统计学分析。结果:得出3类证候群。第一类:疲倦乏力,腰背酸痛,手脚发冷,食欲不振,性欲减退,耳鸣,白带过多,小便不尽,夜尿频数,舌淡胖、苔白,脉沉细。第二类:疲倦乏力,头重,头痛,眼花,心慌,胸闷气短,腹胀,记忆力差,注意力差,少气懒言,反应迟钝,乳房胀痛,大便稀溏,舌淡红,脉细。第三类:疲倦乏力,容易感冒,恶风怕冷,动则汗出,舌淡,脉细。第一类证候群辨证为脾肾阳虚(虚寒)证,第二类证候群辨证为心脾气血两虚证,第三类证候群辨证为肺卫气虚(不固)证。结论:慢性疲劳综合征中医证型以虚证为主,其中涉及的有心、肾、脾、肺4脏之虚。

Distribution Laws of Traditional Chinese Medicine Syndrome Type of Chronic Fatigue Syndrome Based on Treating Disease in Preventive Medicine

Objective:To explore the distribution features and laws of Traditional Chinese Medicine(TCM)Syndrome Type of chronic fatigue syndrome(CFS)based on treating disease in Preventive Medicine.Methods:The data was collected by using chronic fatigue questionnaires from investigating one hundred and one qualified patients with chronic fatigue syndrome and analyzed by SPSS.Results:There are three kinds of syndrome group.Category one:weariness,waist and back pain,foot and hand coldness,inappetence,loss of libido,tinnitus,excessive leucorrhea,dribbling micturition,frequent ruination in night,pale and enlarged tongue,white fur,deep and thread pulse.Category two:weariness,heavy feel in head,headache,blurred vision,palpitation,oppression in the chest and shortness of breath,abdominal distention,bad memory,inattention,shortage of breath and unwilling to speak,inactivity,distending pain in the breasts,loose stool,light red tongue,thready pulse.Category three:weariness,vulnerability to common cold,aversion to wind and intolerance of cold,perspiration on exercise,pale tongue,thread pulse.The first type of syndrome group was identified as the yang deficiency of spleen and kidney(deficiency cold syndrome),and the second type was deficiency of the qi and blood of heart and spleen,and the third type was deficiency of defensive qi of lung.Conclusion:Chronic fatigue syndrome is characterized by deficiency syndrome,the pathogenesis of which involves weakness of heart,kidney,spleen and lung.