围绝经期综合征辨证分型的文献研究

Literature Research on Differentiation of Symptoms and Signs for Classification of Perimenopausal Syndrome

对102篇期刊文献中围绝经期综合征(PPS)的分型,通过百分位数计算结果,取累积频率为25百分位数以上的证型作为PPS的主要证型;取各证型累积频率为75百分位数以上的症状、体征作为各证型的主要症状体征;归纳出PPS中医辨证分型为肾阳虚证、肾阴虚证、肾阴阳两虚证、心肾不交证、肝郁证、心脾两虚证。肾阳虚证的主要症状和体征为:舌边有齿痕、舌淡、舌胖嫩、形寒肢冷;肾阴虚证为:头晕、舌质红、耳鸣、烘热汗出、腰膝酸软;肾阴阳两虚证为:头晕、腰膝酸软、耳鸣;心肾不交证为:心悸、怔忡、失眠;肝郁证为:胸胁作胀或痛、精神抑郁、烦躁易怒、口苦、胸闷、善太息、脉弦;心脾两虚证为:心悸、舌淡、纳少、失眠。

This article through centile computed the result of classification of perimenopausal syndrome （PPS） in 102 periodical literatures, then took types of syndrome with cumulation frequency above 25 centile as the main syndrome types, took symptoms and objective signs with cumulation frequency above 75 centile as the cardinal symptoms and objective signs of each type of syndrome. The differentiation of symptoms and signs for classification of PPS in TCM were concluded as syndrome of deficiency of kidney - yang, syndrome of deficiency of kidney - yin, deficiency syndrome of both kidney yin and yang, syndrome of imbalance between heart - yang and kidney - yin, syndrome of stagnation of liverqi, deficiency syndrome of both heart and spleen. The cardinal symptoms and objective signs of syndrome of deficiency of kidney - yang are in terms of intolerance to cold, cold hmbs and pale corpulent tender tongue with indentation in margin of the tongue; syndrome of deficiency of kidney - yin are in terms of the sore lumbus and knees, vertigo, tinnitus, tidal fever or hectic fever, fidget, hot sensation in the five centers and night sweating, red tongue; deficiency syndrome of both kidney yin and yang are in terms of vertigo, tinnitus and the sore lumbus and knees; syndrome of imbalance between heart - yang and kid- ney - yin are in terms of vexation, palpitation and insomnia; syndrome of stagnation of liver- qi are in terms of fullness or distending pain in the hypochondrium, depression or irritabihty, bitter taste of mouth, chest distress, sighing frequently, wiry pulse; deficiency syndrome of both heart and spleen are in terms of palpitation, insomnia, poor appetite with pale tongue.