基于文献调研的血瘀证研究

Analysis of Blood Stasis Syndrome of TCM Based on Literature Research

目的:分析挖掘血瘀证的疾病、兼夹证及证素分布规律,为临床辨证论治提供思路。方法:检索CNKI和VIP数据库中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病名、西医病名、证型、证素进行规范化整理的基础上,进行频数统计分析。结果:共纳入中医临床研究文献1509篇,中医疾病排序前10位的依次为胸痹、中风、消渴、癥积、水肿、眩晕、心悸、心痛、胃脘痛、头痛;西医疾病依次为冠心病、非胰岛素依赖型糖尿病、不稳定性心绞痛、稳定性心绞痛、脑梗塞、高血压、心力衰竭、盆腔炎、慢性乙型病毒性肝炎、肺恶性肿瘤。中医证型依次为血瘀、气虚血瘀、气滞血瘀、痰瘀互结、瘀血阻络、心血瘀阻、湿热瘀阻、肾虚血瘀、阴虚血瘀、瘀阻胃络等。病位证素依次为心、肝、经络、脾、肾、胃、肺、筋骨、胞宫、大肠。病性证素依次为血瘀、气虚、痰、气滞、热、湿、阴虚、阳虚、外风、寒。结论:基于中医文献,利用频数统计总结的血瘀证在中西医疾病、兼夹证及证素的分布规律基本上反映了血瘀证主要病机,能为临床医生辨证论治提供帮助。

Objective： To analyze the distribution of disease,classification of syndrome and symptom factors in blood stasis syndrome and to provide ideas for TCM syndrome differentiation and treatment. Methods： We searched TCM clinical research literature published during January 2007 to June 2013 from CNKI and VIP databases and performed frequency statistics on the basis of standardized organizing TCM name of diseases,western medical name of diseases,syndromes and symptom factors. Results： 1509 pieces of TCM clinical research literature were totally included. The top 10 TCM diseases ranking in sequence were chest impediment,wind stroke,wasting- thirst,aggregation- accumulation,edema,dizziness,palpitations,heart pain,stomach duck pain,headache. The top 10 western medicine diseases ranking in sequence were coronary heart disease,non- insulin dependent diabetes mellitus,unstable angina,stable angina pectoris,brain infarction,hypertension,heart failure,pelvic inflammatory disease,chronic hepatitis B,pulmonary malignant tumors. The syndromes of TCM in sequence were blood stasis syndrome,syndrome of qi deficiency with blood stasis,syndrome of qi stagnation and blood stasis,blood stasis- phlegm syndrome,blood stasis vessel obstruction syndrome,heart blood stasis syndrome,syndrome of stagnant dampness- heat,deficiency of kidney and blood stasis syndrome,syndrome of yin deficiency and blood stasis,syndrome of stasis in the stomach collateral. The symptom factors of disease location in sequence were heart,liver,meridians and collaterals,spleen,kidney,stomach,lung,muscles and bones,uterus,large intestinal.The symptom factors of disease＇s quality in sequence were blood stasis,qi deficiency,phlegm,qi stagnation,heat,dampness,yin deficiency,yang deficiency,external wind,cold. Conclusion： Based on the TCM literature,using frequency statistics to summarize the distribution of blood stasis syndrome,the diseases of TCM,the Western diseases,classification of syndromes and symptom factors basically reflects the main pathogenesis of blood stasis syndrome,giving clinicians help to TCM syndrome differentiation and treatment.