混合痔证素规律的临床研究
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摘要
目的:探讨混合痔证素规律,为混合痔的证候学基础研究和中医临床预防、诊断和治疗服务。
     方法:采用临床调研的方法,运用证素辨证方法对符合纳入标准的120例混合痔患者常见证素分布与组合规律进行研究。
     结果:1、本研究组混合痔患者的发病相关因素以饮食因素为最多,占62.5%;其次为劳累,占19.2%。2、本研究组调查最终确定混合痔相关症状63个,其主要症状为脱出、便血、大便干结、小便赤、烦躁等。3、本研究组混合痔患者中,病位以大肠、肛门为主,病性以热、湿为主;证素辨证分型中,大肠实热证比例最多。4、从病性分布来看,本研究组中主要病性为热、湿,其次为阴虚、津亏、燥等;气滞、痰为轻度次要病性。
     结论:本组混合痔患者的主要病位证素为大肠、肛门;主要病性证素为热、湿;证素辨证分型中,大肠实热证最多。
Objective:To explore the rules of syndrome elements of mixed hemorrhoid, providing services for the basic research of syndromes of the mixed hemorrhoid, and the clinical prevention, diagnoses and treatment of traditional Chinese medicine.
     Methods:Through clinical investigation, using the dialectical method of syndromes elements to research the distribution and conbination rules of syndrome elements of mixed hemorrhoid on 120 patients,which are incorporated in standard with common elements.
     Results:1. In this study of mixed hemorrhoid patients, factors related to diet count 62.5% as the most, followed by fatigue, accounting for 19.2%.
     2.In this study, we can summarize 63 symptoms in mixed hemorrhoid patients finally, the main symptoms in which are prolapse, blood in the stool, dry stool, urine red, irritability and so on.
     3.In this research of mixed hemorrhoid patients,the disease syndrome elements of mixed hemorrhoid locate mainly in large intestine and anus;the main disease nature syndrome elements are heat、humidity;the heat of the large intestine syndrome is the most common syndrome-type of mixed hemorrhoid.
     4.In this distribution of the disease nature syndrome elements, the main disease nature syndrome elements are heat、humidity, followed by deficiency of Yin、body fluid loss and dryness; qi stagnation and phlegm are secondary and mild lesions.
     Conclusion:In the study of mixed hemorrhoid patients,the disease syndrome elements of mixed hemorrhoid locate mainly in large intestine and anus;the main disease nature syndrome elements are heat、moist;the heat of the large intestine syndrome is the most common syndrome-type of mixed hemorrhoid.
引文
[1]朱文峰.创立以证素为核心的辨证新体系.湖南中医学院学报[J].2004,24(06):39.
    [2]朱文锋,何清湖,现代中医临床诊断学[M].北京:人民卫生出版社,2003:323.
    [3]张东铭.痔病[M].北京:人民卫生出版社,2004:167-173.
    [4]顾强.肛门直肠疾病3002例分析[J].甘肃中医.2000,13(5):41-42.
    [5]肛裂、直肠脱垂、肛瘘、痔的诊断标准(试行草案).中医杂志[J].2003,44:314.
    [6]荣文舟主编.现代中医肛肠病学[M].北京:科学技术文献出版社,2000:1-2.
    [7]陈民藩主编.陈民藩学术思想与临证经验[M].北京:中国中医药出版社,2010:31.
    [8]荣文舟主编.现代中医肛肠病学[M].北京:科学技术文献出版社,2000:91.
    [9]战晓农,余成栋,刘恋.浅谈古代医家对痔疮治法的认识.国际医药卫生[J].2007,1(13):123.
    [10]姜春英,管仲安.肛肠病新论[M].上海:第二军医大学出版社,2003:13.
    [11]胡伯虎主编.大肠肛门病治疗学[M].北京:科学技术文献出版社,2001:243.
    [12]张东铭主编.盆底与肛门病学[M].贵阳:贵阳科技出版社,2000:376.
    [13]柏连松.中医肛肠科学[M].上海:上海科技教育出版社,1995:30.
    [14]荣文舟主编.现代中医肛肠病学[M].北京:科学技术文献出版社,2000:2.
    [15]郑筱芙.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
    [16]肛裂、直肠脱垂、肛瘘、痔的诊断标准(试行草案).中医杂志[J].2003,44:314.
    [17]朱文锋.中医主症鉴别诊断学[M].长沙:湖南科学技术出版社,2000,316-331.
    [18]朱文锋.中医(辅助)诊疗系统的研究[J].中国中医基础研究杂志.2003,9(10):8.
    [19]朱文锋.现代中医临床诊断学[M].北京:人民卫生出版社,2003:323-343.
    [20]黄碧群,朱文锋,晏峻峰.运用“双层频权剪叉算法”确定证候辨别证素的贡献度[J].世界中医药.2008,3(2):119-120.
    [21]陈民藩主编.陈民藩学术思想与临证经验[M].北京:中国中医药出版社,2010:31.
    [22]眭勋华.痔瘘病中医辨治[M].长沙:湖南科学技术出版社,1998:22-23.
    [23]张光霁主编.中医病因探要[M].上海:上海科学技术教育出版社,2002:113.
    [24]杜春霖,杜越新.中医辨证论治—常见病的病因症状与治疗[M].北京:中国人事出版社,2002:64-68.
    [25]赵存娥,李明奎.中医病因病机学[M].北京:科学出版社,2000:28.
    [26]战晓农,余成栋,刘恋.浅谈古代医家对痔疮治法的认识.国际医药卫生[J].2007,1(13):123.
    [27]沈维来.肛肠疾病的中西医治疗[M].上海,上海中医药大学出版社.2001:14.
    [28]祝恒琛主编.未病学[M].北京:中国医药科技出版社,1999,156-170.
    [1]张东铭.痔病[M].北京:人民卫生出版社,2004:167-173.
    [2]顾强.肛门直肠疾病3002例分析[J].甘肃中医,2000,13(5):41-42.
    [3]陈民藩主编.陈民藩学术思想与临证经验[M].1版.北京:中国中医药出版社,2010:31.
    [4]荣文舟主编.现代中医肛肠病学[M].1版.北京:科学技术文献出版社,2000:91.
    [5]战晓农,余成栋,刘恋.浅谈古代医家对痔疮治法的认识.国际医药卫生[J],2007,1(13):123.
    [6]胡伯虎主编.大肠肛门病治疗学[M].1版.北京:科学技术文献出版社,2001:243.
    [7]姜春英,管仲安.肛肠病新论[M].1版.上海:第二军医大学出版社,2003:13.

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