岭南地区近20年冠心病文献的中医证候规律分析

Analysis of Traditional Chinese Medical Syndrome Distribution in Coronary Heart Disease Literatures from South of the Five Ridges During Recent 20 Years

【目的】探讨岭南地区冠心病的中医证候规律。【方法】通过对1990～2010年岭南地区有关中医、中药或中西医对冠心病的辨证和(或)治疗的临床报道、临床研究和部分理论论述,采用频数统计方法,总结分析冠心病的证候分布。【结果】(1)依证候病例频次由高到低排在前8位的依次为:气虚血瘀证>心血瘀阻证>气虚血瘀、痰阻心脉证>气阴两虚、心血瘀阻证>气滞血瘀证>痰阻心脉、心血瘀阻证>痰阻心脉证>气阴两虚证。依证候频次依次为:气虚血瘀证>心血瘀阻证>痰阻心脉证>气阴两虚证>阳气虚衰证>气滞血瘀证>气虚血瘀、痰阻心脉证>气阴两虚、心血瘀阻证。(2)证素的病例频次由高到低分布依次为:血瘀证、气虚证、痰浊证、阴虚证、阳虚证、气滞证、寒凝证、热毒证。证素频次由高到低分布依次为:血瘀证、气虚证、痰浊证、阴虚证、阳虚证、气滞证、寒凝证、热毒证,与证素的病例频次分布相同。【结论】岭南地区近20年冠心病常见证候分布以血瘀证、气虚证、痰浊证、阴虚证等为主。

Objective To investigate traditional Chinese medical syndrome distribution in coronary heart disease（CHD） literatures from South of the Five Ridges.Methods Frequency analysis was used for clinical report,clinical research and theoretical exposition about traditional Chinese medicine,Chinese herbal medicine,and integrated Chinese and western medicine from South of the Five Ridges issued in the year from 1990 to 2010.Based on the results of the frequency analysis,the distribution of traditional Chinese medical syndrome patterns was investigated.Results（1） CHD patients with the following syndrome patterns had top 8 case frequency,they were in the descending order,and the syndromes were Qi deficiency and blood stasis,heart blood stagnation,phlegm blockage in the heart vessels due to Qi deficiency and blood stasis,phlegm blockage in the heart vessels due to deficiency of both Qi and yin,Qi stagnation and blood stasis,phlegm blockage in the heart vessels and heart blood stasis,deficiency of both Qi and yin.CHD patients with the following syndrome patterns were in descending syndrome frequency sequence,and the syndromes were Qi deficiency and blood stasis,heart blood stasis,phlegm blockage in the heart vessels,deficiency of both Qi and yin,insufficiency of yang Qi,Qi stagnation and blood stasis,phlegm blockage in the heart vessels due to Qi deficiency and blood stasis,heart blood stasis due to deficiency of both Qi and yin.（2） CHD patients with the following syndrome elements were in descending case frequency sequence,and the syndromes were blood stasis,Qi deficiency,phlegm turbidity,yin deficiency,yang deficiency,Qi stagnation,cold stagnation,heat toxicity.CHD syndrome elements in descending frequency sequence were as same as those in CHD patients with descending case frequency sequence.Conclusion The predominant syndromes in CHD literatures from South of the Five Ridges are blood stasis,Qi deficiency,phlegm turbidity,and yin deficiency.