慢性肝病中医证候规律分布特征

目的 探讨慢性肝病的中医症候及中医证型分布特点与疾病预后的关系。方法 对2008年9月至2011年1月各种慢性肝炎、肝硬化患者1025例进行回顾性调查。结果 慢性肝病患者中出现症候频率较高的依次为倦怠、急躁易怒、烦躁、神疲、口干、困重、太息。证型分布依次为肝郁脾虚>肝气郁结>肝胆湿热>血瘀阻络>肝胃不和>脾肾阳虚>肝肾不足>气滞湿阻>寒湿。结论 肝郁脾虚贯穿于慢性肝病的整个病程中,气机的不畅、正气的不足是肝病进展的关键。

Distribution in law of the dialectical type of TCM of chronic hepatopathy

ObjectiveTo investigate the law of dialectical type of TCM of chronic hepatopathy and predicting treatment results.Methods A retrospective survey was made on 1025 cases of chronic hepatitis and liver cirrhosis from September 2008 to January 2011.Results From high to low frequency order of Chinese medicinal symptom is burnout irascibility anxiety loss of vitality dry mouth fatigue sighing.From high to low frequency order of dialectical typing of TCM is liver-stagnation and spleen-deficiencyliver qi stagnation damp-heat in the liver and the gallobstruction of collaterals by blood stasis incoordination between liver and stomachYang deficiency of spleen and kidney,insufficiency of liver and kidneyQi and Damp Stagnation.Conclusion liver-stagnation and spleen-deficiency runs through the disease course,dysfunction of Qi,deficiency of healthy Qi are the key points of disease development course.