癫痫中医临床症状观察

目的找出癫痫中医证候分布特点和主要趋势,为癫痫的临床诊疗提供坚实的理论依据。方法通过收集202例癫痫患者临床病例,总结出中医临床癫痫常见症状及主要证候,并制定癫痫中医证候判断标准。结果202例癫痫患者辨证分为五证,其中风痰内阻证65例,占32.2%;痰火上扰证59例,占29.2%;脾虚痰盛证31例,占15.3%;心脾两虚证29例,占14.4%;肝肾阴虚证18例,占8.9%。最常见的中医临床症状及舌脉表现属于风痰内阻证及痰火上扰证。结论观察发现癫痫以风痰内阻证及痰火上扰证为临床常见证候。

Observation on TCM syndrome of epilepsy

Objective To find out the distributive characteristics and main trend of TCM syndromes of epilepsy,and provide a theoretical basis for the clinical diagnosis and treatment of epilepsy.Method Through choosing clinical records of 202 epilepsy patients the common symptoms and main syndromes of epilepsy were summed up,and the diagnostic standard of TCM syndromes of epilepsy was set up.Result After the syndrome differentiation 202 patients were classified into 5 syndrome types.There were 65 patients with the syndrome of wind-phlegm stagnation(32.2%),59 with the syndrome of phlegm-fire up-disturbing(29.2%),31 with the syndrome of superabundance of phlegm due to spleen-deficiency(15.3%),29 with the syndrome of deficiency of both heart and spleen(14.4%) and 18 with the syndrome of deficiency of liver-yin and kidney-yin(8.9%).The most common TCM symptoms and manifestations of tongue and pulse were included in the syndrome of wind-phlegm stagnation or phlegm-fire up-disturbing.Conclusion The common TCM syndromes of epilepsy are the syndrome of wind-phlegm stagnation and phlegm-fire up-disturbing in clinic.