基于现代文献的经前期综合征证候分布特点的梳理

Literature Review on Chinese Medical Pattern of Premenstrual Syndromes

目的:探讨经前期综合征证候分布特点,对证候规范化进行深化研究。方法:遵循循证医学的原则,通过数据库网上检索结合手工检索,依据纳入标准纳入文献,规范名称,统计文献中经前期综合征证与各证症状的频数。结果:证候规范归纳为55种证候类型,总频次191次。其中出现频次前9位的证候类型依次为:肝郁;肝郁化火;肝郁脾虚;肝肾阴虚;脾肾阳虚;血瘀气滞;阴虚阳亢;阴虚火旺;心脾两虚,并确定了各证主要症状。结论:以上结果为经前期综合征证候标准化研究提供了依据,为课题组进一步的临床流行病学调查奠定了基础。

Objective：The research is a in-depth explore of standardized Chinese medical pattern by analysing the pattern features of the premenstrual syndrome. Methods： According to principles of evidence based medicine, via database retrieval and manual search, documents were collected per inclusion criteria, frequence of premenstrual syndrome and its Chinese medical patterns were calculated. Results： Fifty-five Chinese medical patterns were identified with a totoal frequency of 191. Top 9 patterns were stagnation of liver qi, pathogenic fire derived from stagnation of liver qi, stagnation of liver qi with deficiency of the spleen, hepatic and renal yin deficiency, deficiency of spleen and kidney yang, Qi-stagnancy and blood stasis, asthenic yin causing predominant yang, asthenic yin causing excessive pyrexia, yin asthenia and anger, cardiosplenic asthenia. The main symptoms of each pattern were determined. Conclusion： The results provide reference for future research for standardized Chinese medical patterns, and foundation for futher pathdemiology research.