摘要
目的传统中医辨证方法经久不衰,是中医灵魂,但很难满足适应中医证候规范化、客观化要求。内伤头痛临床证候十分繁杂,其病机表现为多样化,证候诊断受多种因素影响。对其病机进行探索,使用病机证素辨证方法,寻找头痛的相关因素和分布规律,进而满足中医证候的规范化要求,建立中医辨证体系。方法对头痛病机、证候分类进行回顾性分析,制定头痛病机证素诊断量表,对本研究收集的280例头痛患者,依照头痛病机证素诊断量表进行诊断,对其各病机证素分布情况进行统计。结果内伤头痛病机证素分布情况:血虚患者有88例,占比为31.43%;风阳患者有172例,占比为61.43%;阴虚患者有72例,占比为25.71%;痰浊患者有40例,占比为14.29%;气虚患者有32例,占比为11.43%;淤血患者有28例,占比为10.00%,阳虚患者有8例,占比为2.86%。病机证素组合形态为风阳多与阴虚、血虚组合常见,分别占比为21.43%(60/280)、27.14%(76/280)。内伤头痛病机证素组合形式中以两证兼并最为常见,其中证候辨证前3位的证候分别为血虚肝旺证、气血亏虚证、风痰上扰证。结论建立中医病机证素辨证新方法,保证临床病机的实用性和科学性,对其头痛患者的病机证素进行分析,风阳为主、血虚为次,风阳与血虚组成占比较多。
Objective Traditional TCM syndrome differentiation methods are enduring and are the soul of TCM,but it is difficult to meet the requirements of standardization and objectivity of TCM syndromes.The clinical syndromes of internal trauma headache are very complicated,its pathogenesis is diversified,and the diagnosis of syndromes is affected by many factors.Exploring its pathogenesis,using pathogenesis and syndrome differentiation methods to find the related factors and distribution rules of headache,and then to meet the standardization requirements of TCM syndromes,and establish a TCM syndrome differentiation system.Methods A retrospective analysis of the classification of headache pathogenesis and syndromes was carried out,and a diagnostic scale for headache pathogenesis was developed.The 280 patients with headache collected in this study were diagnosed according to the diagnostic scale for headache pathogenesis and syndromes.Statistics of prime distribution.Result The distribution of internal injury and headache pathogenesis factors:88 cases of blood deficiency patients,accounting for 31.43%;172 cases of wind-yang patients,accounting for 61.43%;72 cases of Yin deficiency patients,accounting for 25.71%;phlegm turbidity have 40 patients,accounting for 14.29%;32 patients with Qi deficiency,accounting for 11.43%;28 patients with congestion,accounting for 10.00%,and 8 patients with Yang deficiency,accounting for 2.86%.The combination of pathogenesis and syndrome elements is common in the combination of wind-yang and Yin deficiency and blood deficiency,accounting for 21.43%(60/280)and 27.14%(76/280)respectively.In the combination of internal injury,headache,pathogenesis and syndromes,the combination of the two syndromes is the most common.The top 3 syndromes of syndrome differentiation are blood deficiency and liver prosperity,Qi and blood deficiency,and wind and phlegm.Conclusion Establish a new method of TCM pathogenesis and syndrome differentiation to ensure the practicability and scientificity of clinical pathogenesis,and analyze the pathogenesis and syndrome factors of headache patients.Wind-yang is the main factor,blood deficiency is the second,and the composition of wind yang and blood deficiency accounts for more.
作者
宋丽艳
孙晓艳
薛海萍
马宾宾
SONG Liyan;SUN Xiaoyan;XUE Haiping;MA Binbin(People's Hospital of Hanting District in Weifang City,Weifang 261100,China)
出处
《中国医药指南》
2021年第3期112-114,共3页
Guide of China Medicine
关键词
内伤头痛
病机证素
临床诊断量表
Internal injury headache
Pathogenesis factor
Clinical diagnosis scale
