小卵泡排卵的中医证候学研究

Traditional Chinese medicine syndrome study of small follicular ovulation

目的通过中医证候调查,研究小卵泡排卵的中医证候规律。方法设计小卵泡排卵中医证候调查问卷,对收集的306例调查问卷数据进行分析,采用频数分析法计算小卵泡排卵中医证候出现的频数和频率,中医证候规律研究采用因子分析法。结果对306例患者51项症状,31项舌、脉进行频率统计,出现频率大于3%的症状有27项,舌、脉有20项。因子分析法得出11个证候要素,对306例患者的证候分布情况进行分析,结果发现肾阳(气)虚证占14.71%,肾阳(气)虚兼血瘀证占14.38%,肾阳(气)虚兼肝郁证占11.44%,肾阴虚兼肝郁证占11.11%,肝郁血瘀证占10.78%,脾肾阳虚证占10.78%,血瘀证占10.13%,肾阴虚证占9.81%,脾虚痰湿证占6.86%。复合证型以肾虚证、血瘀证最多,从多到少排列顺序依次为:肾虚相关证型、血瘀相关证型、肝郁相关证型、脾虚痰湿相关证型。肾虚证中,肾阳(气)虚相关证型多于肾阴虚相关证型。结论小卵泡排卵的中医证候特点以本虚为主,本虚指肾阳(气)虚,兼有标实,标实包括血瘀、肝郁、痰湿。

Objective To study the traditional Chinese medicine （TCM） syndrome rule of small follicu- lar ovulation through TCM syndrome investigation. Methods TCM syndrome questionnaire was designed to analyze data from 306 eases. Frequency analysis was used to count the number and frequency of TCM syndrome of small follicular ovulation. Factor analysis was used to study the rule of TCM syndrome. Results Frequency of 51 items of symptoms and 31 items of tongue manifestations and pulse in 306 pa- tients were counted. There were 27 symptoms and 20 tongue and pulse manifestations frequency were greater than 3%. 11 TCM syndrome elements were obtained from factor analysis. The results of TCM syn- drome distribution were as follows ： kidney yang （qi） deficiency （ 14.71% ）, kidney yang （qi） deficien- cy combined with blood stasis （ 14.38% ） , kidney yang （qi） deficiency combined with liver qi stagnation （ 11.44% ）, kidney yin deficiency combined with liver qi stagnation （ 11.11% ）, stagnation of liver qi and blood stasis syndrome （ 10.78% ）, yang deficiency of both spleen and kidney （ 10.78% ） , blood stasis syndrome （ 10.13% ）, kidney yin deficiency syndrome （9.81%）, phlegm-dampness due to spleen deficiency （6.86%）. Kidney deficiency syndrome and blood stasis syndrome were mainly seen in eom-pound syndrome, besides, the order from more to less was： kidney deficiency related syndromes, blood stasis related syndromes, liver qi stagnation related syndromes, phlegm-dampness due to spleen deficien- cy related syndromes. In kidney deficiency syndromes, kidney yang （qi） deficiency syndrome was more than kidney yin deficiency syndrome. Conclusions TCM syndrome characteristic of small follicular ovu- lation is mainly body resistance deficient, which refers kidney yang deficiency, besides, excess manifes- tations are also seen, including blood stasis, liver qi stagnation and phlegm-dampness.