常见四时感冒症状及病机特点分析

An analysis of pathogenesis characteristics and symptoms of common pestilent cold

目的:调查我院就诊普通感冒患者常见临床表现及证型在四时不同季节的分布情况,并统计分析其症状及病机特点。方法:记录就诊患者起病48 h内症状表现,进行中医辨证分型分析研究。结果:资料完整的感冒患者205例,症状表现以发热最多76.6%,头痛身痛次之66.3%,咽喉肿痛,咽干痒等占第三位65.4%(134/205),中医辨证分型研究发现风寒型感冒发病12h内为单纯风寒型占47.0%;超过12 h后多为寒包火型占,风热型29.0%;暑湿24.0%。感冒证型除与季节有关外,与居住环境也有密切的关系。结论:四时感冒发病证型及表现与季节气候及居住环境有密切关系。

Objective： To investigate the clinical manifestation of pestilent cold and its distribution in four season in addition to analyzing its statistical symptoms and pathogenesis characteristics. Methods： Patients symptoms within 48 hours were recorded and analyzed based on TCM syndrome differentiation. Results： There were 205 cold patients with complete data, among their symptoms, fever percentage reached 76.6%, which was followed by headache and pantalgia, which accounted for 66.3%, swelling and pain in throat and dry throat itching accounted for 65.4%（134/205）. TCM syndrome differentiation found that simple wind-cold type occupied 47.0% of cold within 12 hours while fire wrapped by cold became the major type after 12 hours, in which wind heat type occupied 29.0% and summer-heat and damp type occupied 24.0%. In addition to the seasons, the cold symptoms were also closely related to the living environment. Conclusion： The symptoms and manifestation of pestilent cold were closely related to season, climate and the living environment.