小儿病毒性肺炎480例中医证候学特点研究

A Study on TCM Symptomatology Based on Treatment of 480 Cases of Children's Viral Pneumonia

目的研究小儿病毒性肺炎的中医证候学特点。方法在4个中心同时进行临床调查,填写观察表,对资料进行统计分析。结果小儿病毒性肺炎的中医证型分布和若干证候有显著性差异。结论小儿病毒性肺炎证型分布以痰热闭肺证最多,其次为风热犯肺证。发热、咯痰痰鸣、气促鼻煽等主症,恶寒、鼻煽、出汗、咽红肿、舌象、指纹脉象、面红、小便、口渴、鼻塞流涕等次症对于证候辨别具有较重要的价值。

OBJECTIVE To investigate into the features of TCM symptomatology of children＇s viral pneumonia. METHOD Clinical observations were carried out in four centers by filling out the investigating tables and analyzing the data obtained. RESULT Marked differences were detected in syndrome distribution. CONCLUSION The commonest syndrome is obstruction of the lung by phlegm beat and the secondary syndrome is invasion of the lung by wind-heat. The main symptoms include fever, cough with sputum, tale, shortness of breath and nose flaring. Other symptoms include aversion to cold, nose flaring, sweating, sore throat, flushed face, profuse urination, thirst, nasal discharge, etc. The symptoms are of great value to syndrome differentiation.