名老中医诊治胸腔积液文献分析

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英文篇名：Literature Analysis on the Diagnosis and Treatment of Pleural Effusion by Famous and Old TCM Doctors 作者：刘冠汝 ; 马锦地 ; 李建生 ; 谢剑鹏 ; 孙曙明 ; 李庆磊 ; 蔡永敏 英文作者：LIU Guan-ru;MA Jin-di;LI Jian-sheng;XIE Jian-peng;SUN Shu-ming;LI Qing-lei;CAI Yong-min;Diagnosis and Treatment of Respiratory Diseases and Research and Development of New Drugs of Henan Cooperative Innovation Center of Henan University of CM;Institute of Geriatrics of Henan University of CM; 关键词：胸腔积液 ; 病因 ; 病机 ; 证素 ; 组合规律 ; 名老中医 英文关键词：pleural effusion;;etiology;;pathogenesis;;syndrome element;;combination rule;;famous and old TCM doctors 中文刊名：HNZY 英文刊名：Henan Traditional Chinese Medicine 机构：河南中医药大学呼吸疾病诊疗与新药研发河南省协同创新中心;河南中医药大学老年医学研究所; 出版日期：2019-02-25 17:22 出版单位：河南中医 年：2019 期：v.39;No.326 基金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012027);; 河南省中医临床学科领军人才培育计划资助(HNZYLJ201301001);; 郑州市科技领军人才项目(131PJRC659) 语种：中文; 页：HNZY201902011 页数：4 CN：02 ISSN：41-1114/R 分类号：44-47

摘要

目的:通过整理名老中医诊治胸腔积液的文献,研究胸腔积液的病因病机与证素分布组合规律。方法:检索已有的《现代名老中医肺病数据库》和《期刊中医肺病数据库》,建立《现代名老中医诊治胸腔积液文献研究数据库》,运用SPSS22. 0软件采用频数统计、相关分析等统计方法进行分析。结果:胸腔积液常见病因有内因、内热、虚邪、内湿、水邪、饮、瘀血等,病机以痰热蕴肺、水饮内停、痰瘀互结、气阴两虚、肺脾两虚、血瘀较为常见; 13个证素中,病性证素以热、饮、痰出现频率较高;病位证素以胸膈为主,涉及肺、脾、半表半里、肾;证素组合以两证素、三证素组合为主;病性证素常见组合为痰+热、阴虚+热,病位在胸膈,病变脏腑多在肺。结论:现代名老中医对胸腔积液病因病机的认识,除与目前教材、专著论述相同外,尚可见以往少有报道的内湿等病因,肝胆湿热、肝脾不和等病机,丰富了胸腔积液的病因病机理论。
        Objective: By sorting out the literature on the diagnosis and treatment of pleural effusion of famous and old TCM doctors,we studied the etiology and pathogenesis of pleural effusion and the distribution and combination of syndrome elements.Methods: We retrieved the existing " Modern Famous and Old TCM Doctors Pulmonary Disease Database" and " Journal TCM Pulmonary Disease Database" and established the " Modern Famous Old TCM Doctors' Diagnosis and Treatment of Pleural Effusion Literature Research Database",and used SPSS22. 0 software to do frequency statistics,correlation analysis and other statistical methods for analysis. Results: The common etiologies of pleural effusion include internal causes,internal heat,deficiency pathogen,internal dampness,water pathogen,fluid retention,blood stasis,etc. The pathogeneses include phlegm-heat accumulation of lung,water retention,phlegm-blood stasis,qi-yin deficiency,lung-spleen deficiency and blood stasis. Among the 13 syndrome elements,heat,water retention and phlegm are the most common syndromes. The chest diaphragm is the main syndrome in terms of location,involving the lung,spleen,half exterior and half interior and the kidney. The combination of two syndromes and three syndromes is the main combination. Phlegm plus heat,yin deficiency plus heat are the common disease natures. The location of the disease is in the chest diaphragm,and the pathological changes of the viscera are mostly in the lung.Conclusion: The understanding of the etiology and pathogenesis of pleural effusion by modern famous and old TCM doctors is similar to the current textbooks and monographs. Besides,the etiology of internal dampness,dampness-heat of liver and gallbladder,disharmony between liver and spleen,which is rarely reported in the past,enrich the etiology and pathogenesis theory of pleural effusion.

引文

[1]中医药学名词审定委员会.中医药学名词[M].北京:科学技术出版社,2005:116.
    [2]中国中医研究院.中医大辞典[M]. 2版.北京:人民卫生出版社,2006:221.
    [3]朱文锋.证素辨证学[M].北京:人民卫生出版社,2008:107.
    [4]田代华.黄帝内经素问[M].北京:人民卫生出版社,2016:45.
    [5]何任,何若苹.金匮要略[M].北京:人民卫生出版社,2014:43,54.
    [6]王永炎,晁恩祥.今日中医内科[M].北京:人民卫生出版社,2000:339-381.
    [7]王永炎,严世芸.实用中医内科学[M]. 2版.上海:上海科学技术出版社,2007:505-511.
    [8]林培政,谷晓红.温病学[M]. 3版.北京:中国中医药出版社,2015:194-196.
    [9]黄帝内经素问[M].田代华,整理.北京:人民卫生出版社,2016:173.