摘要
目的探讨发作性睡病的证候学特点及证类分布特征。方法将88例发作性睡病患者作为一个研究队列进行证候学观察,制定并采用统一的病例报告表,分析该病的核心症状和伴随症状。结果发作性睡病的核心症状包括发作性嗜睡(88例)、肌无力(73例)、睡眠幻觉(29例)、睡瘫(27例)。发作性睡病患者证候类型包括脾虚湿困(53例)、湿热困脾(9例)、脾虚肝旺(8例)、脾肾阳虚(4例)、痰浊蒙窍(6例)、瘀阻脑窍(4例)、胆热痰扰(5例)。结论发作性睡病的核心症状以发作性嗜睡为主,包括肌无力、睡眠幻觉、睡瘫,可单独或联合出现,其主要证候类型为脾虚湿困。
Objective To analyze the characteristics of TCM syndromes of narcolepsy. Methods The 88 narcolepsy patients were analyzed with the unified questionnaire for observing the characteristics of TCM syndromes. Results The core symptoms of narcolepsy included sleep attacks （88 cases）, amyasthenia （73 cases）, hyponagogic hallucination （29 cases） and sleep paralysis （27 cases）. The main syndromes of narcolepsy included retention of damp due to spleen deficiency （,53 cases）, the damp heat in the spleen （9 cases）, spleen deficiency and liver hyperactivity （8 cases）, spleen and kidney Yang deficiency （4 cases）, turbid phlegm disturbing brain （6 cases）, blood stasis in the brain （4 cases）, and phlegm-fire disturbing gallbladder （5 cases）. Conclusion The core symptoms of narcolepsy included sleep attacks, amyasthenia, hyponagogic hallucination and sleep paralysis which appear singly or in combination. Its main syndrome is retention of damp due to spleen deficiency.
出处
《中医杂志》
CSCD
北大核心
2009年第4期336-337,346,共3页
Journal of Traditional Chinese Medicine
基金
首都发展基金自主创新项目(SF-2005-3)
关键词
发作性睡病
汪候学
病因病机
Narcolepsy
TCM syndrome
Etiology and pathogenesis
