艾滋病中医病因病机中的地域因素

目的分析不同地区艾滋病中医病因病机差异。方法采用流行病学现况调查的方法,调查河南、广东、新疆3省区艾滋病病例,在前期工作的基础上,制定调查表,进行现况调查,使用证素的方法进行分析,比较3省区证素分布差异。结果河南、广东、新疆分别调查175、80、66例,合计321例。病性证素:3省区均以气虚、血虚、阳虚、阴虚和湿、痰、气滞、精亏等为主;各个地方有其自身特点:广东病例病性证素湿积分较高,新疆病例阴虚较突出,河南病例积分普遍较高。病位证素:3省区均以肾、肺、脾、肝等为主,广东病例的病位证素脾积分最高,河南及新疆病例肾的积分最高。结论不同地区艾滋病在病性、病位证素上有其地域特点,分析艾滋病病因病机时需考虑地域因素。

Study on the Regional Features of Chinese Medicine Etiology and Pathogenesis of AIDS

Objective To analyze the differences in the Chinese medicine(CM) etiology and pathogenesis of AIDS.Methods A cross-sectional investigation study of AIDS patients and non-infected people was carried out in Henan,Guangdong and Xinjiang provinces respectively by questionnaire of clinical epidemiology and analyzed with frequencies of symptoms and signs combined with syndrome factors.The distribution differences of syndrome factors in the 3 provinces were compared.Results Totally 321 cases were investigated in the 3 provinces.As for the syndrome factors of AIDS,qi deficiency,blood deficiency,yin deficiency,yang deficiency,dampness evil,phlegm,qi stagnation,essence deficiency,and so on were dominated in the 3 provinces,but with their own features.For example,the scores of dampness evil were higher in Guangdong Province.Yin deficiency was dominated in Xinjiang Province.The scores of Henan Province were generally higher.As for the location of syndrome factors,Shen,Fei,Pi,and Gan were dominated in the 3 provinces.The score of Pi was the highest in Guangdong Province,while the score of Shen was the highest in Henan and Xinjiang provinces.Conclusions AIDS has regional features in the nature and the syndrome factors of location in different provinces.It is necessary to take into consideration the regional factors when analyzing the pathogenesis of AIDS.