摘要
[目的]观察以舌象为主要辨证依据分型治疗干燥综合征疗效。[方法]将64例干燥综合征以舌质舌苔为主要辨证依据,分型治疗。阴虚内热清热生津汤治之,气阴两虚生脉散合八珍汤加减,阴虚血瘀应用活血生津汤,脾虚湿阻选择健脾生津汤。每日1剂,治疗3个月进行疗效判定。[结果]显效23例,有效33例,无效8例,总有效率87.50%。疗效由高到低依次为阴虚血瘀型、阴虚内热型、脾虚湿阻型和气阴两虚型,各证型疗效无明显差异(P>0.05)。免疫、生化指标均有改善(P<0.05,P<0.01)。[结论]从舌象辨证分型治疗干燥综合征疗效满意,抓住辨证核心,以舌辨证,易于掌握,准确无误,值得推广。
[Objective]Observe the effect of Sjǒgren＇s syndrome with tongue as the main differentiation basis.[Method]64 cases of Sjǒgren＇s syndrome were treated with tongue body and coated tongue as the main differentiation basis.The patients who were the type of Yin deficiency and internal thermal with the clearing heat and enriching body fluid soup,who were the type of the deficiency of qi and yin with adding and subtracting Pulse-Generating Powder and Eight-Treasure Decoction,who were the type of yin deficiency and blood stasis with the activating blood and enriching body fluid soup;who were the type of spleen deficiency and damp retardation with the invigorating spleen and enriching body fluid soup.Daily 1 agent,treatment 3 months then judging the curative effect.[Result]Among the 64 cases,23 cases are significantly effective,33 cases are effective,8 cases are invalid,and the total effective rate is 87.50%.The curative effect from high to low in turn is yin deficiency and blood stasis type,yin deficiency and internal thermal type,spleen deficiency and damp retardation type and the deficiency of qi and yin type.The curative effect of each type is no obvious difference（P〉0.05）.Immune and biochemical indexes all have improved（P〈0.05,or P〈0.01）.[Conclusion] The curative effect is satisfactory from the tongue dialectical type treatment Sjǒgren＇s syndrome.Treatment patients of Sjǒgren＇s syndrome according to the tongue dialectical is easy to grasp,is accurate and is worthy to be popularized.
出处
《实用中医内科杂志》
2011年第10期8-9,共2页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家中医药管理局资助项目:06-07JP42
贵州省科技基金项目
黔科合J字[2007]2140
关键词
干燥综合征
舌质舌苔
辨证分型
阴虚内热
气阴两虚
阴虚血瘀
脾虚湿阻
中医药治疗
Sjǒgren＇s syndrome
Body and tongue coating
differentiation of symptoms
Yin deficiency and internal thermal
the deficiency of qi and yin
Yin deficiency and blood stasis
spleen deficiency and damp retardation
traditional Chinese medicine treatment
