基于现代名老中医经验的风温肺热病病因病机及证素规律研究

Research on Etiology,Pathogenesis and Syndrome Elements of Wind-heat Lung Heat Disease Based on the Experience of Modern Famous Old Chinese Medicine Practitioners

目的:基于现代百余年名老中医诊治风温肺热病的文献,分析风温肺热病的病因病机与证素分布规律,为丰富风温肺热病病因病机提供依据。方法:基于已建立的《现代名老中医肺病数据库》和《期刊中医肺病数据库》,建立《现代名老中医诊治风温肺热病文献研究数据库》,利用SPSS18. 0软件进行统计分析。结果:风温肺热病常见病因有外邪、风邪、温邪、热邪等。病机以卫气同病、风温犯肺、邪袭肺胃、风温犯表等较为常见。25个证素中,病性证素以热、风、湿、外邪、气虚较常见;病位证素以肺为主,涉及半表半里、表、营分。证素组合中以两证素和三证素组合出现的频次最高。在两证素组合形式中,外邪+半表半里、热+肺出现频率较高;三证素组合形式中,风+热+肺、气虚+阴虚+肺出现频率较高。在两病性证素中,风+热、气虚+阴虚、寒+热、痰+热出现的频次较高,其病位都在肺。结论:现代名老中医对风温肺热病病因病机的理论认识与目前教材、专著论述大致相同,也有部分独到见解具有更丰富的内涵,如暑邪、湿邪等病因及邪袭肺胃等病机在以往专著论述中少有提及,有待进一步总结。

Objective: Based on the literature of modern famous old Chinese medicine practitioners' diagnosis and treatment of windheat lung heat for more than 100 years,the etiology,pathogenesis and distribution rules of syndrome elements of wind-heat lung heat were analyzed,which provided a basis for enriching the etiology and pathogenesis of wind-heat lung heat. Methods: Based on the established Modern Famous Old Chinese Medicine Practitioners Lung Disease Database and Journal of Chinese Medicine Lung Disease Database,the Modern Famous Old Chinese Medicine Practitioners Diagnosis and Treatment of Wind-heat Lung Heat Disease Literature Research Database was established,and SPSS18. 0 software was used for statistical analysis. Results: Common causes of wind-heat lung heat included external pathogen,wind pathogen,warm pathogen,heat pathogen and so on. The pathogenesis was mostly for disease involving weifen and qifen,wind-warm invading lung,pathogen invading lung and stomach,wind-warm invading exterior and so on. Among the 25 syndrome elements,heat,wind,dampness,external pathogen and qi deficiency were more common. The syndrome elements of the disease location was mainly lung,involving half exterior and interior,exterior,and yingfen. The combination of two syndrome elements and three syndrome elements appeared the most frequently in the combination of syndrome elements. In the combination of the two syndromes,the frequency of external pathogen + half exterior and interior,heat + lung were higher. The frequency of wind + heat + lung,qi deficiency + yin deficiency + lung were higher in the combination of three syndromes. Among the two syndrome elements,wind + heat,qi deficiency + yin deficiency,cold + heat,phlegm + heat appeared more frequently,and their disease location was in the lung. Conclusion: The modern famous old Chinese medicine practitioners have the same theoretical understanding of the etiology and pathogenesis of wind-heat lung heat,and some of the unique insights have more connotations,such as summer pathogen,dampness pathogen and other causes and pathogen attacking on the lungs and stomach. The machine has rarely been mentioned in the previous monographs and needs to be further summarized.