63例甲型流感的证候特点分析

Analysis of Syndrome Characteristics of 63 Cases of Type A Influenza

目的分析北京地区甲型流感的证候特点。方法对夏秋季节发病的流感样病例进行中医证候问卷调查,并采集咽拭子检测甲型流感病毒核酸,对63例确诊病例采用六经、卫气营血与三焦辨证三法合用进行证候分析。结果 (1)证候分布:太阳证占84.13%(单太阳证19.00%),以伤寒证为主,少阳证占52.38%(太少合病22.20%,单少阳证1.60%),阳明证占57.14%(太明合病17.50%,三阳合病25.40%,阳少合病3.20%,单阳明证11.10%)。85.7%有卫分证(单卫分证36.50%),63.5%出现气分证(49.20%)为卫气合病证,14.30%为单气分证),肺热壅盛证(12.70%)较少见,部分见湿热中阻证(14.30%)、湿热阻肺证(9.50%)、湿热蕴毒证(3.20%);(2)呼吸道症状特点:大多咳嗽轻微,咳嗽无痰或少痰、咯痰不利,常以咽痒、气逆上冲为引因,咽痛者以咽干痛、咳嗽振痛最常见。结论北京地区夏秋季节甲型流感大多为温热病、合病证,以三阳合病、太少合病、太明合病较为常见。

Objective：To analyse the characteristicsof syndrome distribution and respiration symptomsof the Type A Influenza in Beijing area.Methods： The syndromes of Influenza-like illness in the cases in summer and autumn were investigated.Type A Influenza virus was collected by the specimens from throat.63 definite cases were analyzed by the 6 meridians syndrome differentiation,the Weiqiyingxue Differentiation and the triple energizer differentiation.Results：（1） The syndrome distribution： The Taiyang syndrome was 84.13%（The single Taiyang syndrome was 19.0%）.The Shaoyang syndrome was 52.4%（The Taiyang and Shaoyang combined syndrome was 22.2%.The single Shaoyang syndrome was 1.6%）.The Yangming syndrome was 57.1%（The Taiyang and Yangming combination syndrome was 17.5%.The Sanyang combination syndrome was 25.4%.The Yangming and Shaoyang combination syndrome was 3.2%.The single Yangming syndrome was 11.1%）.The Wei system syndrome was 85.7%（The single Wei system syndrome was 36.5%）.The Qi system syndrome was 63.5%（The Wei and Qi system combination syndrome was 49.2%.The single Qi system syndrome was 14.3%）.The excessive acculation of the lung-heat syndrome was 12.7%.The damp-heat obstruction in middle energizer syndrome was 14.3%.The damp-heat obstruction in lung syndrome was 9.5%.The damp-heat retention syndrome was 3.2%.（2） Respiration symptom characteristics： The most of the cough was slight.No cough or little phlegm and cough up phlegm unsuc-cessfully was the cough feature.Cough was often because of throat tickle or reversed flow of Qi.They have pharyn-galgia often because of dry throat or cough.Conclusion： The cases in summer and autumn of Type A Influenza in Beijing area are mostly epidemic febrible disease which is combination syndrome with Sanyang combination syn-drome,Taiyang and Shaoyang combined syndrome,most syndromes are constitution of syndromes.Syndrome of Saiyang and Shaoyang and Yangming,Taiyang and Yangming combination syndrome.