基于文献调研的中医临床研究主要病证分析

Analysis of TCM diseases and syndromes in clinical research based on the literature research

目的:基于期刊公开发表的中医临床研究文献,总结中医临床研究的主要病证。方法:从中国知网(CNKI)和维普(VIP)数据库检索2007年1月-2013年6月发表的中医临床研究文献,对文献中研究的中医和西医病名、证型、证素规范化整理后,进行频数统计。结果:共纳入2 771篇文献。主要中医疾病依次为胸痹、眩晕、胃脘痛等;主要西医疾病依次为冠心病、非胰岛素依赖型糖尿病、高血压等;主要中医证型依次为气阴两虚、血瘀、肝肾阴虚等;主要病位证素依次为肾、脾、肝等;主要病性证素依次为气虚、血瘀、热等。结论:当前中医临床研究以西医辨病结合中医辨证最为普及;中医辨证参考标准不一是最大的难题;而证素辨证执简驭繁,能有效避开标准证型问题,将为中医临床诊疗与科研带来新的契机。

Objective： To analyze TCM diseases and syndromes in clinical research based on the literature research published in journals.Methods： TCM clinical research literatures published from January 2007 to June 2013 in CNKI and VIP databases were searched.And frequency statistics on the basis of standardized organizing the name of diseases,syndromes and symptom factors in TCM and western medicine were performed.Results： 2 771 literatures were totally included.The main TCM diseases in sequence were pectoral pain and stuffiness,dizziness,epigastric pain,etc.The main diseases in western medicine in sequence were coronary heart disease,non-insulin dependent diabetes mellitus,hypertension,etc.The main TCM syndromes in sequence were syndrome of deficiency of both qi and yin,blood stasis syndrome,deficiency of liver-kidney yin syndrome,etc.The main disease locations of syndrome factor in sequence were kidney,spleen,liver,etc.The main disease natures of syndrome factors in sequence were qi deficiency,blood stasis,heat,etc.Conclusion： Currently,the most popular TCM clinical research was disease differentiation of western medicine combined with TCM syndrome differentiation.The biggest problem was disunity of the criteria of TCM syndrome differentiation.However,syndrome differentiation based on syndrome factors could effectively avoid the standard syndrome type problems,which could bring new chance for the clinical diagnosis and treatment in TCM and scientific research.