基于频数统计的奔豚气病现代临床个案报道分析

Analysis on Modern Clinical Case Reports of Bentun Based on Frequency Statistics

目的:通过回顾性文献统计分析展现奔豚气病脉诊治概貌,最终试图揭示奔豚气病的本质。方法:对半个多世纪以来163篇现代个案报道文献中228例奔豚气病患者,运用频数统计方法,分析奔豚气病与情志性疾病、器质性疾病的相关性,并从奔豚气病所用治疗原则、方剂及其药物倒推出奔豚气病的临床特征。结果:奔豚气病患者具有器质性疾病较少,其脉证治离散程度很大,具有情志性相关疾病的特点;39.04%患者具有情志性疾病的临床表现、47.81%患者具有情志性发病因素、54.63%患者从情志性疾病角度治疗。结论:奔豚气病带有明显的情志性疾病的特征,本质上属于郁证范畴。

Objective： To reveal the nature of Bentun, we showed a general picture of Bentun through data statistics of retrospective literature. Methods ： Applying frequency statistical methods, we analyzed the relativity between emotional dis- orders, organic diseases and Bentun, and then deduced the clinical features of Bentun by analyzing the therapeutic princi- ples, prescriptions and herbs of those case reports. Results ： There were only a small number of Bentun patients with organ- ic diseases and its therapy and syndromes had a much greater degree of dispersion. Furthermore,we found that 39.04% patients have the emotional clinical manifestation,47.81% patients have the emotional factors and 54.63% patients were treated from the aspect of emotion. So we hold that Bentun has the same feature of emotional disorders. Conclusion ： Bentun has an obvious feature of emotional disorders and it should be part of depression syndrome in essence.