基于因子分析对明清时期痰瘀互结证辨证依据的研究

Research of Differentiation Basis for Phlegm and Blood Stasis Intermingling Syndrome of Ming and Qing Dynasties Based on Factors Analysis

目的:探讨明清时期痰瘀互结证的病证规律。方法:收集明确诊断痰瘀互结证的医案,进行频数分析,并对症状采用因子分析。结果:明清时期痰瘀互结证的兼证可归纳为五型,如:痰瘀互结,火毒蕴肤;痰瘀阻肺,热毒炽盛;痰瘀阻胃,脾失健运;肝郁气滞,痰瘀阻络;心火亢盛,痰瘀互阻。结论:因子分析方法在一定程度上揭示了痰瘀互结证的辨证规律,在中医证侯研究中有很好的应用前景。

Objective ： To discuss the phlegm and blood stasis intermingling syndrome rule in Ming and Qing dynasties. Methods ： Collection of medical cases diagnosed as phlegm and blood stasis intermingling syndrome was made for analysis of symptoms using factor analysis. Results： The accompanying syndromes can be grouped into five categories, such as phlegm and blood stasis intermingling and fire evil accumulating in skin; phlegm and blood stasis obstructing lung with heat accumulation; phlegm and blood stasis obstructing stomach and spleen failing to transport; liver Qi depression and phlegm and blood stasis obstructing collaterals; heart fire hyperactivity and phlegm and blood stasis obstruction. Conclu- sion ： The method of factor analysis revealed the differentiation law of phlegm and blood stasis intermingling syndrome. To a certain extent, it has very good application in the research on TCM syndromes.