高血压病肝阳上亢证主要脉症临床流行病学调研

Clinical Epidemiological Investigation and Research of Main Symptoms and Pulses of Excessive Rising of Liver Yang in Hypertensive Disease

目的探讨高血压病肝阳上亢证的主要脉症。方法通过临床流行病学调研收集高血压病肝阳上亢证脉症,采用多因素聚类分析、主成分分析,对单个脉症及其组合群出现频次进行统计分析。结果头晕、头痛、头胀、易怒、失眠、目眩、口苦、舌红、苔黄、脉弦是既能反映肝阳上亢证的主要病机,临床出现频次又较高的10个脉症。结论上述10个脉症可以作为主要脉症列入该证辨证标准。

Objective To approach the main symptoms and pulses of excessive rising of five yang in hypertensive disease. Method The symptoms and pulses of excessive rising of fiver yang in hypertensive disease were collected through efinieal epidemiology. The frequency of single symptom and pulse or their combinating group was statistical analyzed by multiple factor cluster analysis and principal component analysis. Result Such symptoms and pulses as fightheadedness, headache, distention of head, tantrum, insomnia, dizzy, bitter taste of mouth, red tongue, yellow tongue fur and string pulse not only can reflect the main pathogenesis, but also are the most frequently occurring reflection. Conclusion Symptoms and pulses above are the differentiation of symptoms and signs standard for excessive rising of liver yang in hypertensive disease.