摘要
目的分析现代文献中脾胃湿热证诊断标准的诊断模式、诊断内容和判定形式的现况及规律。方法系统检索中国知网(CNKI)、万方数据知识服务平台、维普资讯(VIP)数据库从建库至2014年5月的所有相关临床研究文献,提取文献信息包括脾胃湿热证的诊断标准、文献发表年份、诊断内容及判定形式建立工作表,并统计脾胃湿热证文献参考频次,病名、主症、次症出现频次。结果共纳入134篇文献,涉及标准20项,使用频次共计166次。参考频次位于前5位的诊断标准分别为《中药新药临床研究指导原则》《慢性胃炎的中西医结合诊治方案(草案)》、福建省中医脾胃学说研究会标准、广州中医药大学脾胃研究所标准、《慢性胃炎中西医结合诊断、辨证和疗效标准(试行方案)》。脾胃湿热证诊断中"病"以西医消化系统的胃炎居多。脾胃湿热证出现频次最多的主症为胃脘/脘腹或灼热或(胀)痛或痞闷,舌质红,苔黄(厚)腻;重复出现的次症为口干、口苦、口臭、口黏、口渴(不欲饮/少饮),胸闷,纳差,身重困倦,恶心欲呕,大便不爽和/或大便黏(溏),小便短赤(黄),脉滑(数)或濡(缓、数);脾胃湿热证的判定形式以"主症+次症"形式居多。结论脾胃湿热证诊断标准基本都采用"病-证"结合的诊断模式,不同疾病的脾胃湿热证诊断标准其主要症状、次要症状和诊断判定形式不尽相同。
Objective To analyze the current circumstances and law of diagnostic criteria of damp heat in the spleen and the stomach syndrome including diagnostic mode,content and judgment form in the modern literature.Methods China National Knowledge Infrastructure（ CNKI）,Wanfang Data Knowledge Service Platform,and VIP information（ VIP） database were systematically retrieved to find all relevant clinical research literature collected in since the database was established to May 2014. Information including diagnostic criteria, published year of literatures,diagnostic content and judgment form of damp heat in the spleen and the stomach syndrome was extracted to form work table,and reference frequency of literature on damp heat in the spleen and the stomach syndrome and occurrence frequency of name of disease,as well as primary and secondary symptom were analyzed. Results A total of 134 papers with 20 standards were selected and the used frequency of the standards was 166 times. The top five frequent used reference of diagnostic criteria were ＂the Chinese Medicine Clinical Research of New Medicine Guiding Principles＂,＂Drafted Protocol of Diagnosis and Treatment of Combining Traditional Chinese and Western Medicine of Chronic Gastritis＂,standard by Fujian Research Society of TCM Theory of Spleen and Stomach,standard by Institute of Spleen and Stomach of Guangzhou University of Chinese Medicine,and ＂Criterion of Diagnosis,Syndrome Differentiation and Therapeutic Effect on Chronic Gastritis for Integrative Traditional Chinese and Western Medicine（ trial project） ＂respectively. Diagnosis of ＂disease ＂in damp heat in the spleen and the stomach syndrome was mostly gastritis in the digestive system of western medicine. The most frequent occurrence of primary symptom of damp heat in the spleen and the stomach syndrome was burning heat sensation,pain or full and stuffy of stomach and abdomen and red tongue with yellow or thick greasing coating. And secondary symptom occurred repeatedly were dry and bitter mouth,bad breath,sticky mouth,thirst（ but not want to drink or drink less）,choking sensation in chest,poor appetite,somatic heaviness and sleepy,nausea and vomit,defecate difficultly and / or sticky or loose stool,scanty dark urine,slippery and rapid pulse or soft（ slow,rapid） pulse. The judgment form of damp heat in the spleen and the stomach syndrome was mostly ＂primary symptom plus secondary symptom＂. Conclusion ＂Disease combined with symptom＂is mostly used diagnosis mode in diagnostic criteria of damp heat in the spleen and the stomach syndrome.The main symptoms,secondary symptoms and diagnosis judgment form were various in diagnostic standard of damp heat in the spleen and the stomach syndrome in the different diseases.
出处
《中医杂志》
CSCD
北大核心
2015年第14期1247-1251,共5页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81302915)
北京市教育委员会人才培养共建项目
北京中医药大学"优秀教学团队"开放课题
关键词
脾胃湿热证
脾胃病
诊断标准
damp heat in the spleen and the stomach symptom
the spleen and stomach disease
diagnostic criteria
