痴呆的证素辨证与中医体质的关系探析

Analysis on Syndrome Elements and TCM Constitution of Dementia

目的:探求痴呆患者中医体质和证素辨证,并研究其内在关系。方法:对入选病例运用中医四诊得到资料,按照王琦分型法诊断体质,并进行体质和证素的相关分析。结果:平和体质者1例,占总病例数的0.55%;病理体质者182例,占总病例数的99.45%。在证素的分布状况中,阳虚、痰浊、瘀血等证素为痴呆患者的主要证素特点。结论:病理体质患者中,阳虚质出现频率最高,其他依次为痰湿质、气虚质、瘀血质、气郁质、阴虚质、湿热质、特禀质、平和质。阳虚质跟阳虚和气虚证素呈显著相关,痰湿质与痰浊和阳虚证素呈显著相关,气虚质与气虚、阳虚证素呈显著相关,瘀血质与瘀血、痰浊和阳虚证素呈显著相关,气郁质与气滞证素呈显著相关。

Objective： To explore the traditional Chinese medicine dialectical constitution and syndrome elements of the demen- tia patients, and study its internal relations. Methods： For selected cases （ the patients who met the inclusion criteria） to obtain Medical data by using TCM four diagnostic methods, then take correlation analysis of constitutions and syndrome elements according to Wang Qi typing method diagnose physical condition. Results： There was one case of moderate physical, 0. 55% of the total number of cases; pathological constitution 182 cases, 99.45% of the total number of cases. In the distribution of elements, the syndrome ele- ment about Yang deficiency, phlegm turbidity, blood stasis as the main factors in patients with dementia syndrome element character- istics. Conclusion： In patients with physical pathology, Yang quality was the highest frequency. It followed by the quality of phlegm dampness, Qi deficiency, blood stasis, Qi movement stagnation, Yin deficiency, dampness-heat, special intrinsic quality and mod- erate physical. The constitution of Yang deficiency was significantly correlated to Yang deficiency and Qi deficiency blood. The constitu- tion of phlegm dampness was significantly associated with phlegm turbidity and Yang deficiency. To the constitution of Qi deficiency, the deficiency of Yang and Qi were significantly correlated factors. The constitution of blood stasis was in intimately connection with blood stasis, phlegm turbidity. The syndrome element of Qi stagnation was correlated factor to the constitution of Qi movement stagna- tion.