320例脑梗塞恢复期证候规律的临床观察

Clinical Observation of Rule of Syndrome in Traditional Chinese Medicine of Cerebral Infarction Reconvalescent of 322 Cases

目的:探讨脑梗塞恢复期患者的证候分布规律。方法:对320例脑梗塞恢复期患者进行了中风辨证量化诊断调查。结果:脑梗塞恢复期证候分布概率以阴虚阳亢证为最多(31.6%);其次为痰证(24.1%)、火热证(20.3%)、风证(14.7%)、血瘀证(5.3%)及气虚证(4.1%)。证型组合形式复杂,计56个类型。脑梗塞者以2证组合居首,3证次之。结论:用统一中医辨证量化诊断标准探讨脑梗塞恢复期病理病机,并对重视恢复期量化诊断提出了建议与处理办法。

Objective： To discuss on the rule of the syndrome in Traditional Chinese Medical （TCM） of the reconva-lescent of cerebral infarction （CI）. Methods： To examine the quantization diagnose about the apoplexy＇s symptoms of the reconvalescent of CI of 320 cases. Results ： The syndrome in TCM of reconvalescent of CI contains Yin deficiency and hyperactivity of yang （31.6%）, Phlegm Syndrome （24. 1% ）, Syndrome of fire - heat （20. 3% ）, Syndrome Wind （14.7%）, Blood stasis （5.3%）, Deficiency of vital energy （4. 1% ）. The combinational styles of the syndrome in TCM is complex. There are 56 styles. First, the 2 syndrorne combinational styleis the most, the next in order is the 3 syndrome combinational style. Conclusion ： We use the quantization diagnose to discuss the pathogenesis of the reconva-lescent of CI. Therefore it is important to attach importance to the changes of main symptoms and treatment.