268例特发性疲劳证候要素应证组合研究

Combination of syndrome factors: 268 idiopathic fatigue cases study

目的研究特发性疲劳的证候要素及常见证候。方法现况调查方法收集专病门诊268例特发性疲劳患者,分析其证候要素及应证组合。结果证候要素共有8个,由高至低依次为气滞、气虚、火热、阴虚、血虚、阳虚、痰、血瘀。主要证候有气滞化火兼气虚162例,气机郁滞兼气虚84例、气阴两虚气滞化火83例,为主要证候组合类型,其他证候组合有气滞化火气虚痰阻、痰热郁滞兼气虚、气滞痰郁化火、气滞兼气(阳)虚、气滞化火气虚血瘀等。结论特发性疲劳临床以气滞、气虚与火热为主要证候要素,气滞化火兼气虚及气机郁滞兼气虚为主要证候。

Objective To observe the distribution rules of syndrome factors and common syndromes of patients with idiopathic fatigue（ IF）. Methods 268 cases with IF were collected in outpatient,and the distribution and combination of syndrome factors were analyzed. Results Altogether eight syndrome factors were found,and the frequency from high to low was listed as qi stagnation,qi deficiency,fire heat,yin deficiency,blood deficiency,yang deficiency,phlegm and blood stasis. The top three combination syndromes were syndrome of qi depression transforming into fire with qi deficiency（ n = 162）,syndrome of qi stagnation with qi deficiency（ n = 84） and syndrome of qi-yin deficiency with qi depression transforming into fire（ n = 83）. The rest combination types were listed as syndrome of qi depression transforming into fire with qi deficiency-caused phlegm,syndrome of phlegm-heat stasis with qi deficiency,syndrome of phlegm stasis and qi stagnation of qi transforming into fire,syndrome of qi stagnation with qi / yang deficiency,syndrome of qi depression transforming into fire with qi deficiency and blood stasis. Conclusion In patients with IF,qi stagnation,qi deficiency and fire were the common syndrome factors,and the common syndromes were syndrome of qi depression transforming into fire heat with qi deficiency and syndrome of qi stagnation with qi deficiency.