小气道功能障碍患者中医证候分布规律研究

目的:分析小气道功能障碍患者的中医证候分布规律。方法:对96例小气道功能障碍患者病位、病性、病机做出辨析,并以病位、病性、病机为基础,参考中医辨证标准进行综合分析,得出相应证型。结果:96例小气道功能障碍患者主要证候为:病位在肺、肝、脾、肾;实证以肝气郁滞(27.0%)、痰浊(热)阻滞(23.8%)、风邪外袭(11.1%)为主,虚证以肺气(阴)虚(15.9%)、肺脾气(阴)虚(12.7%)、肺肾气虚(7.9%)为主。在所有证型组合方式中常见证型为木火刑金(18.8%)、痰浊(热)阻滞(18.8%)、肺气(阴)虚(20.8%)。结论:小气道通气功能障碍患者中医证候分邪实与正虚两个方面,邪实以木火刑金、痰浊(热)阻滞为其常见证型;正虚以气虚、阴虚相兼出现为常见证型,在正虚的基础上常伴有标实的症状,痰浊(热)阻滞常见。

TCM Syndromes Distribution in Patients with Small Airway Dysfunction

Objective：To analyze the TCM syndromes distribution rules in patients with small airway dysfunction.Method：Analyzing disease location,nature of lesions,pathogenesis in patients with small airway dysfunction,referencing the TCM syndrome diffenentiation standard,drawing the TCM syndrome type.Results：TCM syndromes of 96 patients with small airway dysfunction：disease located in lung,liver,spleen,kidney,syndrome distribution characteristics showed excess syndrome included stagnation of liver qi （27.0％）,accumulation of phlegm-damp（phlegm-fire）in lung and wind attacking lung;deficiency syndromes included deficiency of lung -qi（deficiency of lung-yin） （15.9％）,deficiency of lung-qi and spleen-qi （lung-yin and spleen-qi）（12.7％）,deficiency of lung-qi and kidney-qi（7.9％）.In all type of syndromes,wood-fire impairing metal accounted for 18.8％,phlegm-damp（phlegm-fire）in lung accounted for 18.8％,deficiency of lung-qi （deficiency of lung-yin）accounted for 20.8％.Conclusion：TCM syndrome of small airway dysfunction divided into two aspects：excessiveness of pathogenic factor and deficiency of genuine qi,wood-fire impairing metal and phlegm-damp （phlegm-fire） in lung were the common-seen TCM syndrome in excessiveness of pathogenic factor,deficiency of lung-qi（deficiency of lung-yin） were the common-seen TCM syndrome in deficiency of genuine qi,excessiveness of pathogenic factor was often combine with deficiency of genuine qi,phlegm-damp （phlegm-fire）in lung was the most common-seen TCM syndrome.