抽动障碍儿童风池气池色泽与证型的相关性研究
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摘要
目的:探讨抽动障碍儿童风池气池色泽与证型的相关性。方法:选取符合抽动障碍诊断标准的4～12岁儿童进行风池气池色泽的判断和辨证分型,并利用对应分析的方法分析、归纳、总结二者的相关性。结果:179例抽动障碍儿童共分为肝亢风动证、脾虚肝亢证、痰热动风证、风邪犯肺证、阴虚阳亢证5种证型,其风池气池色泽分析结果显示,一是肝亢风动证风池气池色泽以淡青、青紫为主,脾虚肝亢证多表现为青紫、紫暗、色黄,痰热动风证多表现为色红、色赤、色紫,3种证型比较肝亢风动证较脾虚肝亢证色泽浅淡,痰热动风证较脾虚肝亢证色泽鲜亮;二是风邪犯肺证及阴虚阳亢证多无改变或色红,两证色泽颇为相似,均隐而难现、不显于外,但病机不同;三是气池色泽变化较风池更著,且随着疾病的发展、病邪的深入,风池气池色泽呈现浅淡、鲜亮、晦暗的演变规律,反映了病情的轻重和病程的长短。结论:抽动障碍儿童风池气池色泽与证型存在相关性,以期使风池气池望诊诊疗技术推广应用于临床,为儿科望诊提供一种新方法。
Objective: To explore the correlation between Fengchi Qichi color and syndrome type of children with tic disorders. Methods: To judge the Fengchi Qichi color and syndrome of 4-12 years old children who conformed to the diagnostic criteria of tic disorders. And to analyze,summarize their correlation by the method of corresponding analysis.Results: 179 tic disorder children were divided into five syndromes, such as Hepatic hyperventilation syndrome,insufficiency of the spleen and hyperactivity of liver syndrome,phlegm thermodynamic syndrome,wind evil invading the lung syndrome and Yin-deficiency and Yang-excess syndrome. Their Fengchi Qichi color results show that: Children with Hepatic hyperventilation syndrome show nattier blue and cyanoze in Fengchi Qichi. Children with insufficiency of the spleen and hyperactivity of liver show cyanoze,dark purple and yellow in Fengchi Qichi,while the phlegm thermodynamic syndrome shows red,dark red and purple Fengchi Qichi. By comparing these three types of syndromes,the color in Fengchi Qichi of Hepatic hyperventilation syndrome is slighter than that of insufficiency of the spleen and hyperactivity of liver,and phlegm thermodynamic syndrome is more vivid than that of insufficiency of the spleen and hyperactivity of liver. There are colourless change or red in Fengchi Qichi of the wind evil invading the lung and Yin-deficiency and Yang-predominance syndrome children. They are both similar in color and difficult to be observed,but the pathogenesis is different. The color change of Qichi is more obvious than Fengchi. With the development and the depth of disease,the color of Fengchi Qichi presents a light,bright and dark color evolution rule,which reflects the severity and duration of the disease. Conclusion:There is a correlation between the Fengchi Qichi color and the type of syndrome in tic disorder children. The promotion and application of Fengchi Qichi will provide a new method for pediatric observation in clinic.
Objective: To explore the correlation between Fengchi Qichi color and syndrome type of children with tic disorders. Methods: To judge the Fengchi Qichi color and syndrome of 4-12 years old children who conformed to the diagnostic criteria of tic disorders. And to analyze,summarize their correlation by the method of corresponding analysis.Results: 179 tic disorder children were divided into five syndromes, such as Hepatic hyperventilation syndrome,insufficiency of the spleen and hyperactivity of liver syndrome,phlegm thermodynamic syndrome,wind evil invading the lung syndrome and Yin-deficiency and Yang-excess syndrome. Their Fengchi Qichi color results show that: Children with Hepatic hyperventilation syndrome show nattier blue and cyanoze in Fengchi Qichi. Children with insufficiency of the spleen and hyperactivity of liver show cyanoze,dark purple and yellow in Fengchi Qichi,while the phlegm thermodynamic syndrome shows red,dark red and purple Fengchi Qichi. By comparing these three types of syndromes,the color in Fengchi Qichi of Hepatic hyperventilation syndrome is slighter than that of insufficiency of the spleen and hyperactivity of liver,and phlegm thermodynamic syndrome is more vivid than that of insufficiency of the spleen and hyperactivity of liver. There are colourless change or red in Fengchi Qichi of the wind evil invading the lung and Yin-deficiency and Yang-predominance syndrome children. They are both similar in color and difficult to be observed,but the pathogenesis is different. The color change of Qichi is more obvious than Fengchi. With the development and the depth of disease,the color of Fengchi Qichi presents a light,bright and dark color evolution rule,which reflects the severity and duration of the disease. Conclusion:There is a correlation between the Fengchi Qichi color and the type of syndrome in tic disorder children. The promotion and application of Fengchi Qichi will provide a new method for pediatric observation in clinic.
引文
[1]中华中医药学会儿科分会临床评价学组.儿童抽动障碍中药新药临床试验设计与评价技术指南[J].药物评价研究,2015,38(6):589-595.
[2] KIROV R,BECKER A,ROTHENBERGER A. Sleep in Tourette Syndrome[J]. Current Developmental Disorders Reports,2014,1(4):252-259.
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[5]美国精神医学学会.精神神经疾病诊断统计手册DSM-5[M].5版.北京大学医学出版社,2014:34-35.
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[7]何庆勇,王阶.对应分析技术在中医证候研究中的应用[J].中国中医基础医学杂志,2009,15(1):74-76.
[8]钟小雪.基于聚类分析和对应分析的1019例血脂异常患者的中医证候研究[D].北京:北京中医药大学,2017:12-15.
[9]郑宏,郑攀,郑启仲.郑启仲治疗小儿多发性抽动症经验[J].中医杂志,2012,53(3):195-197.
[10]夏桂选.基于“已病防变”理论从肺论治儿童抽动障碍的临床研究[D].北京:北京中医药大学,2011:39.
[11]郝宏文,陈自佳,崔霞,等.王素梅治疗多发性抽动症经验[J].中医杂志,2010,51(2):117-118.
[12]朱震亨.金匮钩玄[M].北京:人民卫生出版社,2006:2.
[13]王国强.中医古籍经典集成(幼科铁镜)[M].长沙:湖南科学技术出版社,2014:181.
[2] KIROV R,BECKER A,ROTHENBERGER A. Sleep in Tourette Syndrome[J]. Current Developmental Disorders Reports,2014,1(4):252-259.
[3]倪新强,吴正治,秦鉴,等.中药治疗儿童抽动障碍随机对照试验的Meta分析[J].辽宁中医杂志,2017,44(3):449-453.
[4]郑宏,郑攀.郑启仲儿科经验撷粹[M].北京:人民军医出版社,2013:49-56.
[5]美国精神医学学会.精神神经疾病诊断统计手册DSM-5[M].5版.北京大学医学出版社,2014:34-35.
[6]国家中医药管理局医政司. 24个专业105个病种中医诊疗方案(试行)[M].北京:国家中医药管理局,2012:494.
[7]何庆勇,王阶.对应分析技术在中医证候研究中的应用[J].中国中医基础医学杂志,2009,15(1):74-76.
[8]钟小雪.基于聚类分析和对应分析的1019例血脂异常患者的中医证候研究[D].北京:北京中医药大学,2017:12-15.
[9]郑宏,郑攀,郑启仲.郑启仲治疗小儿多发性抽动症经验[J].中医杂志,2012,53(3):195-197.
[10]夏桂选.基于“已病防变”理论从肺论治儿童抽动障碍的临床研究[D].北京:北京中医药大学,2011:39.
[11]郝宏文,陈自佳,崔霞,等.王素梅治疗多发性抽动症经验[J].中医杂志,2010,51(2):117-118.
[12]朱震亨.金匮钩玄[M].北京:人民卫生出版社,2006:2.
[13]王国强.中医古籍经典集成(幼科铁镜)[M].长沙:湖南科学技术出版社,2014:181.