反流性食管炎中医证候分布特点的文献研究

目的:通过文献探讨反流性食管炎中医证候的分布规律,提取证候要素,总结分布特点。方法:检索CBM、CNKI、万方、VIP数据库(截止至2011年9月),收集反流性食管炎的中医证型文献,进行证候要素分析、提取。结果:纳入文献37篇,报告病例3 078例,报道证候类型26种,以肝胃郁热和肝胃不和为主;证候要素16个,主要病位证素为胃、肝、脾,病性证素中实证证素以热、气滞、湿为主,虚证证素以阳虚、阴虚多见。结论:反流性食管炎证候类型以肝胃郁热和肝胃不和为主,主要病位在胃、肝、脾,病性以实证为主。

Literature study on distribution characteristics of TCM syndromes of reflux esophagitis

Objective: To probe into distribution characteristics of TCM syndromes and syndrome essential factors of reflux esophagitis through literature study.Methods: An extensive search including CBM,CNKI,Wanfang and VIP databases was performed up to September 2011 for literatures about reflux esophagitis of TCM,to summarize syndrome types,then to extract syndrome essential factors of it.Results: 37 documents were included in this review,3 078 cases were reported and 26 syndrome types were related to reflux esophagitis,most common syndrome types were stagnated heat of liver and stomach and incoordination between liver and stomach;16 syndrome essential factors were extracted,the main location factors were stomach,liver and spleen;heat,qi stagnation,phlegm and dampness were the main excess factors;the frequency of yang deficiency and yin deficiency was higher in deficiency factors.Conclusions: The main syndrome types of reflux esophagitis are stagnated heat of liver and stomach and incoordination between liver and stomach.Stomach,liver and spleen are the main locations of the disease,and excess syndromes are the most common.