不寐的中医证型及证素分布特点的文献研究

Literature Study on Distribution Features of TCM Syndromes and Syndrome Elements of Insomnia

目的探讨不寐的中医证候的临床分型规律,总结证候要素分布特点。方法查阅不寐(或失眠)的相关文献资料并建立数据库,运用SPSS19.0数据软件对证型及证候要素进行频数分析。结果不寐的常见证型为心脾两虚、肝气郁滞、肝火扰心、阴虚火旺、痰火(热)扰心、心胆气虚、心肾不交;常见病位证素为心、肝、脾、肾、胆、胃等;常见病性证素为火、气虚、气滞、阴虚、血虚、痰、血瘀、阳亢等。结论不寐的中医证型分类数目较大,证素辨证对临床辨证的概括性较好,能更有效的规范辨证。

Objective To investigate the distribution features of common TCM syndrome and syndrome elements of Insomnia. Methods We consulted literatures about insomnia from CNKI and VIP bibliographic databases, then build a database. Finally, we made use of SPSS19.0 to analyze the frequency of TCM syndrome types and syndrome factors. Results According to frequency the common syndrome types took as follows： deficiency of both heart and spleen, pattern of liver qi depression, pattern of liver Fire harassing the heart, pattern of Yin deficiency with effulgent Fire, pattern of phlegm-heat harassing internally, pattern of heart and gallbladder qi insufficiency, and pattern of heart-kidney disharmony. The common syndrome elements of disease location were heart, liver, spleen, kidney, gallbladder, and stomach etc. The common syndrome elements of disease character were Fire, qi deficiency, qi stagnation, Yin deficiency, blood deficiency, phlegm, blood static, and Yang hyperactivity. Conclusion The distribution of TCM syndrome types of Insomnia was scattered, and differ- entiation of syndrome elements could cover the most of clinical syndromes to standardize clinical identification better.