下肢深静脉血栓形成的证候要素研究

Distribution Rules of Syndrome Essential in Lower Extremity Deep Venous Thrombosis

目的:探讨下肢深静脉血栓形成证候要素的分布规律。方法:对近28年来下肢深静脉血栓形成证候文献进行筛选,构建相关数据系统,对其证候要素分布规律进行研究。结果:下肢深静脉血栓形成的常见证候要素为湿、热、血瘀、脾阳虚;常见证候要素靶位为脾,其中急性期的基本证候要素为湿、热,非急性期常见证候要素为血瘀、湿和脾阳虚。结论:下肢深静脉血栓形成的病机变化是以血瘀为基础,受多因素影响、虚实错杂的复杂过程。证候研究中,简化成证候要素的形式具有更强的可操作性。

Objective To investigate the distribution rules of syndrome essential in lower extremity deep venous thrombosis （LEDVT）. Methods The literature of LEDVT about traditional Chinese medicine syndrome in nearly 28 years was sort out, then data system was constructed for the study of distribution rules of syndrome essential. Results Dampness, heat, blood stasis, and deficiency of spleen Yang showed to be the common syndrome essentials in LEDVT, with spleen as a common syndrome essential target. Dampness and heat reflected the common syndrome essential in acute LEDVT while blood stasis, dampness and deficiency of spleen Yang as the common syndrome essentials in non-acute LEDVT syndrome. Conclusion The variation pathogenesis of LEDVT is a complex process which based on blood stasis and influenced by multifactorial intervention as well as included interlacement of asthenia and sthenia and sthenia factors. Its main pathological basis is damp-stasis accumulation. The simplified form of syndrome factors of LEDVT is practically more feasible.