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西北燥证证候类型分析
引用本文:周铭心,宋晓平,单丽娟,刘金宝,周光,吕光耀,王燕,孙域,姜德,孙红友,李杰,李鹏,何佳,胡锡健.西北燥证证候类型分析[J].新疆医科大学学报,2007,30(1):1-6.
作者姓名:周铭心  宋晓平  单丽娟  刘金宝  周光  吕光耀  王燕  孙域  姜德  孙红友  李杰  李鹏  何佳  胡锡健
作者单位:1. 新疆医科大学,中医学院
2. 新疆医科大学,高职学院
3. 新疆医科大学,公共卫生学院
4. 新疆医科大学,附属中医医院
5. 乌鲁木齐市中医医院
6. 新疆大学,新疆,乌鲁木齐,830054
摘    要:目的:探讨西北燥证的证候类型构成情况,为病因和防治研究提供证候学依据。方法:以西北燥证流行病学调查资料为依据,从众多症状中通过因子分析拟合适宜证候类型,并用聚类分析进行样本间证候类型比较。结杲:西北燥证由7组证候构成,其中主证为肺卫孔窍皮肤燥证;兼证6组,分别为肝肾精血不足证、肺心脾风火燥证、心肾阴虚证、脾胃阴虚证、冲任血虚证和脾胃蕴湿证。各调查地区证候类型构成:和田7证皆备,以外燥阴虚内湿证为标志,吐鲁番为外燥阴虚风火证,哈密为外燥内湿阴虚证,乌鲁木齐为外燥阴虚证,伊犁为外燥血虚证,石河子拾棉工以外燥证为主,乐山、上海则无燥证可言。各单元组主兼证构成情况之相似程度,同地区间〉同民族间〉同为城市(或乡村)间;和田地区由于燥证程度重,内部各组间差异相对较大。结论:西北燥证是以燥邪为主的自然环境因素引发的地域性综合病证,外燥为其主要证候,不同地区及不同民族居民所患西北燥证其兼证各具特点。

关 键 词:西北燥证  证候类型  聚类分析  因子分析  流行病学研究
文章编号:1009-5551(2007)01-0001-06
收稿时间:2006-11-30
修稿时间:2006年11月30

Analysis on the syndromic types of Northwest Dryness Syndrome
ZHOU Ming-xin,SONG Xiao-ping, SHAN Li-juan, et al.Analysis on the syndromic types of Northwest Dryness Syndrome[J].Journal of Xinjiang Medical University,2007,30(1):1-6.
Authors:ZHOU Ming-xin  SONG Xiao-ping  SHAN Li-juan  
Abstract:Objects: To provide syndromic evidence for the study of pathogeny, prevention and treatment of Northwest Dryness Syndrome by analysing its constitulte of syndromic types. Methods: Based on the epidemiology survey data of Northwest Dryness Syndrome, To match proper types from many syndromes by principal component analysis and comparing them among groups of specimen by cluster analysis. Results: Northwest Dryness Syndrome is composed of 7 groups of syndrome. The main symptom is Lung, skin and opening of the body syndrome, accompanying syndromes are: deficiencies of essence and blood of the liver and the kidney syndrome; the lung and heart wind-fire pathogen syndrome; yin deficiencies of the heart and kidney syndrome; yin deficiencies of the lien and stomach syndrome; blood deficiency of the chong and reng channel syndrome and endogenous dampness syndrome. The constitulte of syndromic types in different regions can be diescribed as following: Seven types of syndrome are all existed in Hotan and symbolized by exopathic dryness and deficiency of yin and endogenous dampness syndrome; exopathic dryness and deficiency of yin and wind-fire pathogen syndrome in Turpan; exopathic dryness and endogenous dampness deficiency of yin syndrome in Hami; exopathic dryness and deficiency of yin syndrome in Urumqi; exopathic dryness and blood deficyency syndrome in Yily. The main symptom among the cotton-pickers in Shihezi is exopathic dryness syndrome. There is no dryness syndrome in Shanghai and Leshan. The comparability among the constitulte of main and accompanying syndromes are: same region>same ethnic group>same urban (country). The difference among the specimen groups in Hotan is relatively greater because of its heavier dryness degree. Conclusion: Northwest Dryness Syndrome is a kind of regional syndrome which is induced by natural environments and its main syndrome is exopathic dryness. The characteristics of main and accompanying symptoms in different regions and among different ethnic groups are different.
Keywords:Northwest Dryness Syndrome  syndromic types  cluster analysis  principal component analysis  research of epidemiology
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