基于"寒、热、虚、实"二次辨证的565例功能性消化不良证候分布特点研究

目的:探讨功能性消化不良的证候分布特点及辨证规律.方法:采用流行病学方法,对565例功能性消化不良患者进行调查分析,在传统辨证分类的基础上,以"寒、热、虚、实"为纲对其进行二次辨证,将收集所得数据建立数据库,采用SPSS统计软件进行统计分析.结果:在基于"寒、热、虚、实"辨证的基础上,功能性消化不良主流证候可分为虚寒证-脾胃虚弱(寒)证、实热证-脾胃湿热证、虚实夹杂证-脾虚气滞证、寒热错杂证.结论:以"寒、热、虚、实"为纲的辨证模式运用于功能性消化不良,简单明了,切实可行.

Study on distribution characteristic of syndrome of 565 cases of functional dyspepsia by twice differentiation of symptoms and signs based on the "cold, heat, deficiency, excess"

Objective: To explore the distribution characteristic of syndromes and the rule of the differentiation of symptoms and signs of functional dyspepsia(FD).Methods: We investigated and analyzed the 565 cases of FD by the epidemiological ascertainment methods,and had the second differentiation of symptoms and signs by "cold,heat,deficiency,exc ess" on the basis of the traditional method,then established the database and had a statistical analysis by SPSS.Results: Based on the differentiation of symptoms and signs of "cold,heat,deficiency,excess",FD could be mainly classified as asthenia cold syndrome-insufficiency(or deficiency-cold) of the spleen and stomach,excess-heat syndrome dampness-heat of spleen and stomach,deficiency-excess complicated syndrome spleen-deficiency and qi stagnation,and cold-heat complicated syndrome.Conclusion: It is a brief,clear and also feasible method for the differentiation of symptoms and signs of FD with the class of "cold,heat,deficiency,excess".