老年性痴呆中医证候要素及分布规律

目的:探讨老年性痴呆中医证候要素及分布规律。方法:通过查阅有关老年性痴呆的古代中医文献与现代治疗老年性痴呆的文献研究,将老年性痴呆和常见的伴随症状、体征组成中医证候要素调查表。结果:调查显示临床症状出现率最高的是健忘、神情呆滞、头懵头晕,其次视物模糊、腰酸膝软、行为古怪等,出现频率低的临床症状有肢体浮肿、小腹坠痛、肌肤甲错、两颧潮红等。舌象是以舌淡红、薄白苔为主,舌体及舌质多正常。脉象共有20种,单一的脉象有8种,两种组合的脉象有10种,3种组合的脉象有2种,弦脉和细脉在单相脉中最常见,弦细脉和细涩脉在复合脉象中出现率较高,还有一种沉细弱脉3者组合的脉象所占比例也较高。结论:此次分析归纳老年性痴呆的证候要素及分布规律将为中医或中西医结合研究老年性痴呆临床治疗提供依据。

AD TCM Syndrome Elements and Distribution

Objective ： To explore the AD TCM syndrome elements and distribution. Methods ： Through the literature consult rel- evant AD in ancient Chinese literature and modern treatment of AD, Alzheimer＇s disease and the accompanying symptoms, signs of common component elements of TCM syndromes questionnaire were collected. Results：The clinical symptoms with highest rate were forgetfulness ,look dull, dizziness, secondly, blurred vision, soreness of waist and knee, and those with low frequency were limb edema, alvine object painful, skin armour fault, two zygomatic flushing, etc.. The tongue condition was pale tongue with thin coating. There were 20 kinds pulse conditions ：8 single pulse, 10 t combination pulse of two, 2 combination pulse of three. String pulse and thread pulse were the most common in the single - phase pulse. Conclusion ： The analysis of syndrome elements and the distribution law of induction of AD will provide the basis for the Chinese medicine or integrated traditional Chinese and Western medicine for treatment of AD.