基于现代文献的慢性阻塞性肺疾病中医证候及证候要素的研究

目的:通过对慢性阻塞性肺疾病现代文献的研究分析,规范其中医证候名称,研究其中医证候及证候要素特点。方法:现代文献检索,利用Epidata2.0软件建立慢性阻塞性肺疾病的证候类型(症状)文献数据库、录库,统计分析。结果:将慢性阻塞性肺疾病的中医证候由规范前的322个规范为178个证候。总结慢性阻塞性肺疾病的中医证候特点为:急性期出现频率较高的证候为:肺热痰壅、热痰、痰热瘀壅肺等;稳定期出现频率较高的证候为:肺肾气虚、肺气虚、气阴虚、肺肾两虚、肺脾气虚等。慢性阻塞性肺疾病病位主要在肺、肾、脾;病性主要为痰、气虚、热、血瘀、虚。结论:慢性阻塞性肺疾病的中医证候名称及诊断标准目前比较混乱,不便于学术交流和诊疗规范,急需制定相对统一的标准。慢性阻塞性肺疾病为虚实夹杂的疾病,急性期以标实为主,稳定期以正虚为主,需注意不同时期同一疾病表现出的不同证候。

Research of character of Chinese medicine syndrome and syndrome factor on COPD based on neoteric literature

Objective: To research the character of Chinese Medicine syndrome and syndrome factor on COPD by analyzing the neoteric literature of COPD,and to make the names of Chinese Medicine syndrome canonical.Methods: To search the neoteric literature of COPD,build up a literature data-base by epidata2.0 software and analyze the data.Results: The number of the names of Chinese Medicine syndrome changes from 322 to 178.In the acute stage,the highest frequency of Chinese Medicine syndrome is: blockage of the lung by phlegm-heat,heat phlegm,blockage of the lung by phlegm-heat and the stagnant blood.In the stable stage,the highest frequency of Chinese Medicine syndrome is: deficiency of vital energy of lung and kidney,deficiency of vital energy of lung,deficiency of vital energy and Yin, deficiency of lung and kidney,deficiency of vital energy of lung and spleen.The position of the illness is lung,kidney and spleen.The character of the illness is phlegm,deficiency of vital energy,heat,stagnant blood and deficiency.Conclusion: The names of Chinese Medicine syndrome are multiform and need to be canonical.The main character of COPD in the acute stage is affected by outside illness factors.The main character of COPD in the stable stage is weak inside.The syndromes are different when the illness in the different stages.