慢性心力衰竭中医证型的文献分析

目的：探讨慢性心力衰竭（CHF）的中医基本证型分布及其病性、病位特点。方法：检索1978～2007年间国内公开发表的有关CHF辨证分型文献,对其中的CHF中医各证型的病例数构成比以及疾病的病性、病理产物、病位等疾病要素进行统计分析。结果：检索到符合要求的文献36篇,出现频率较高的证型主要包括心肾阳虚证、阳虚水泛证、气虚血瘀证、气阴两虚证、心肺气虚证;CHF病性以虚为主,其中又以阳虚、气虚、气阴虚最为常见;CHF的病理产物主要涉及血瘀、水饮、痰浊;CHF的病位主要在心,在发病过程中常涉及到肾和肺。结论：通过对CHF中医证型的相关文献进行统计分析,可为进一步确定CHF的中医辨证分型标准提供参考和依据。

Literature Analysis on Pattern Types of Chronic Heart Failure

Objective： To investigate the basic pattern types of chronic heart failure （CHF） as well as the disease＇s nature and location. Method： The literatures concerning the pattern identification of CHF published from 1978 to 2007 were retrieved and the constituent ratio of case number of various pattern types as well as the disease＇s nature and location were analyzed. Results： The sum of the literatures met the requirement was 36. The main pattern types with higher constituent ratio included： pattern of heart-kidney yang-deficiency, pattern of edema due to yang deficiency, pattern of qi deficiency and blood stasis, pattern of qi-yin deficiency and pattern of heart-lung qi deficiency. The nature of CHF was characterized by asthenia, in which the deficiency of yang, qi and qi-yin were the most common ones. The pathological products of CHF included： blood stasis, excessive fluid and phlegm-turbid. The main location of CHF was in heart and often related to kidney and lung in the process of disease. Conclusion： The literature analysis of pattern identification of CHF can provide references and foundations for establishing pattern identification standards of CHF in the future.