中风病发病时中医证候特点浅析*

[目的]比较分析缺血性、出血性中风起病时的证候特点。[方法]采用量表法,按标准操作规程搜集资料并进行数据统计分析。[结果]缺血、出血性中风起病时各证型的构成比例分别是风痰瘀阻证58.8%、41.2%,气虚血瘀证26.0%、29.0%,痰热腑实证21.1%、26.0%,阴虚风动证11.8%、16.9%,痰热内闭证6.2%、16.8%,痰湿蒙神证1.7%、9.9%。[结论]缺血性中风以风痰瘀阻证起病为多,出血性中风以痰热内闭证、痰湿蒙神证起病的发生率明显高于缺血性中风,符合出血性中风较缺血性中风病情凶险的特点。

Analysis of TCM syndromes at onset of stroke

[Objective] To study the TCM syndrom esatonsetof ischemic and hem orrhagic stroke.[Methods] The symptom atic data were obtained and analyzed statistically by scale evaluation and according to the standard operating procedure (SOP).[Results] The proportion of each symptom satthe beginning of ischemic and hem orrhagic stroke was 58% and 41.2%,26.0% and 29.0%,21.1% and 26.0%,11.8% and 16.9%,6.2% and 16.8%,1.7% and 9.9% in fengtanyuzu syndrome (type of windphlegm blocking),qixuxueyu syndrome (blood stagnancy due to deficiency of QI),tanresfushisyndrome (phlegm heatand excess of FU-organ),yinxufengdong (wind syndrome due to deficiency of YIN),tanreneibisyndrome (retention of phlegm-heatin the interior),tanshim engshen syndrome (vertigo due to phlegm-damp) respectively.[Conclusion] The beginning syndrome ismostly appeared aswind-phlegm blocking in ischemic stroke.Retention of phlegm-heatin the interiorand vertigo due to phlegm-damp are appeared mostly in hem orrhagic when compared with ischemic.It is consisted with the characters of that the hem orrhagic stroke ismore dangerous than the ischemic one.