中风病-中经络急性期中医证候分布规律研究

Study on the Distribution of Traditional Chinese Medicine Symptoms Rule in Stroke-apoplexy Involving Channel and Collateral in Acute Stage

目的探讨中风病-中经络急性期中医证候分布规律。方法以306例中风病-中经络急性期患者作为研究对象,根据症状、舌脉等进行证候分析,研究中风病-中经络急性期中医证候分布规律。结果306例中风病-中经络急性期患者的中医证候分布以风证、痰湿证、火热证、血瘀证为主,其中以风痰证、痰火证、痰瘀证之两证候组合最为多见,三证候组合次之。结论中风病-中经络急性期患者中医证候要素组合以两证候要素组合最多,以风痰、痰火、痰瘀占比最高;三证候组合则以风痰瘀阻、风火痰阻为主;四证候组合占比较低,且单纯气虚证、阴虚阳亢证在急性期占比低。此外,不论是单证、两证或三证候要素组合,分布特点均为以痰证多见,为快速、有效地辨证施治提供了一定的依据,值得临床重视。

Objective To investigate the distribution of TCM syndrome in stroke-apoplexy involving channel and collateral in acute stage.Methods Based on the syndrome analysis of symptoms,tongue and pulse,306 patients with stroke-apoplexy involving channel and collateral in acute stage were taken as the research objects to study the distribution of TCM syndrome rule.Results The distribu-tion of TCM syndromes of 306 patients with stroke-apoplexy involving channel and collateral in acute stage were mainly wind syn-drome,phlegm-dampness syndrome,heat syndrome and blood stasis syndrome,among which the combination of wind phlegm syn-drome,phlegm-fire syndrome and phlegm-stasis syndrome was the most common,followed by the combination of three syndromes.Conclusion The combination of TCM syndrome elements in stroke-apoplexy involving channel and collateral in acute stage was the most,and the proportion of wind-phlegm,phlegm-fire and phlegm-stasis was the highest.The combination of the three syndromes was mainly wind-phlegm-stasis and wind-fire-phlegm-obstruction.The proportion of the combination of four syndromes is low,and the proportion of simple qi deficiency syndrome and yin deficiency yang hyperactivity syndrome is low in the acute stage.In addition,no matter the combination of single syndrome,two syndromes or three syndromes,phlegm syndromes are more common,which pro-vides a certain basis for rapid and effective syndrome differentiation and treatment,and is worthy of clinical attention.