56例慢性疲劳综合征中医证候分析

TCM Symptom Analysis for 56 Cases of Chronic Fatigue Syndrome

目的:研究慢性疲劳综合征(CFS)患者中医证候特点。方法:采集56例CFS患者的中医四诊信息,运用Ex-cel电子表格及SPSS11.3软件进行频数统计,分析CFS临床信息。结果:证型分布依次是:气虚56例,占100%;血虚32例,占57.7%;肝郁脾虚12例,占21.4%;湿热壅盛1例,占1.78%;肾阴虚34例,占58.9%:肾阳虚1例,占1.78%;血瘀5例,占8.9%;出现频率最高的前8位症状依次为疲劳、乏力、腰膝酸软、面色淡白萎黄、健忘、头晕眼花、情绪抑郁或烦躁易怒、喜欢叹息。结论:CFS病机主要为本虚标实,以气血亏虚、阴虚为本,肝郁为标,其病位涉及脾肾肝三脏。

Objective ：We researched TCM symptom characteristics of 56 patients with Chronic Fatigue Syndrome. Methods： We collected TCM diagnostic messages of 56 cases patient with Chronic Fatigue Syndrome to analyze frequency by using Excell Table and SPASS 11.3. Resuh：TCM symptom differentiations distributing：there are 56 cases of Qi Deficiencv （ 100% ） ;32 cases of Blood Deficiency（57, 7% ） ;12 cases of Liver Stasisto spleen deficiency（ 12.4% ） ;1 case of Heat Wet Staginess （1.78%） ;34 cases of Kidney Negative Deficiency（58. 9% ） ; 1 case of Kidney Positive Deficiency（ 1,78% ） ;5 cases of Blood Stasis（ 8.9% ）, The first mainly eight symptoms according to appearing rates in 56 cases were：lassitude, poor spirit, soreness of loins and weakness, pale fatigue, forgetting, vertigo and dazzle, irritability and sigh, Conclusion：TCM pathogenesis of CFS was mainly lead by deficiency of Qi and Blood with Yin Deficiency, strongly unfragrant of liver, CFS were caused by problems of liver, kidney and spleen.