河南中医2017，Vol.37Issue(7)：1244-1246,3.DOI:10.16367/j.issn.1003-5028.2017.07.0438
小儿肺炎喘嗽中医证素分布规律的文献研究
Literature Research on the TCM Syndrome Distribution Law of Pediatric Pneumonia Asthmatic Cough
摘要
Abstract
Objective:To discuss the distribution law of the symptoms,syndromes,syndrome elements of pediatric pneumonia asthmatic cough and provide reference for the distribution law of TCM syndromes and symptoms of pediatric pneumonia asthmatic cough.Methods:The retrieval systems of CBM,CNKI and CBMLD were retrieved with keywords of "pneumonia cough or asthma" and "TCM syndromes".Literature Arrangement Rules of the TCM Syndromes and Symptoms of Pediatric Pneumonia Asthmatic Cough was formulated;the literature research database of pediatric pneumonia asthmatic cough was established;the distribution laws of syndromes,symptoms and syndrome elements were analyzed.Result:Among the 22 syndrome elements,the frequencies were:sputum (93.07％),heat (fire) (89.23％),yin deficiency (83.07％),deficiency (74.61％),wind (68.46％),dampness (63.07％),excess (35.38％),yang deficiency (11.53％).The locations of syndrome elements were lung (92.30％),spleen (83.07％),stomach (80.76％),defense level (79.23 ％),qi level (70.76％).heart (66.92％),liver (45.38％),nutritive level (39.23 ％),kidney (33.07％),large intestine (22.30％),lower energizer (17.69％).Single syndrome elements included yang deficiency,yin deficiency and excess.Single disease locations included large intestine,stomach,lower energizer;the cumulative frequency was 22.30％.Double syndrome elements included wind phlegm syndrome,wind heat syndrome,wind dampness syndrome;the cumulative frequency was 39.23％.Syndromes of double locations diseases were mostly defensive phase syndrome,qi phase disease,simultaneous affection of defensive phase and qi phase,disharmony between nutritive phase and defensive phase.Syndromes of triple nature diseases were mainly wind phlegm and heat syndrome,wind dampness and heat syndrome,cumulative frequency accounting for 30.00％.Syndromes of four nature diseases were mainly pathogenic factors attacking nutritive and qi phase and lung-defensive phlegm heat syndrome,cumulative frequency accounting for 6.15％:other combinations were relatively less.Conclusion The main pathological factors in pediatric pneumonia asthmatic cough are heat,phlegm,wind,yin deficiency,etc.,during which they intermingles with each other.The basic pathogenesis is external evils invasion.internal obstruction of phlegm heat,depression of lung qi.At the early stage of pediatric pneumonia asthmatic cough,the TCM syndromes are mostly deficiency or excess;during medium term,deficiency intermingles with excess;and in later stage,deficiency syndrome and intermingling syndrome of excess and deficiency are mostly commonly seen.关键词
小儿肺炎喘嗽/证素/文献研究Key words
pediatric pneumonia asthmatic cough/syndrome element/literature research分类
医药卫生引用本文复制引用
赵丽娜,韩雪,葛国岚,刘志勇..小儿肺炎喘嗽中医证素分布规律的文献研究[J].河南中医,2017,37(7):1244-1246,3.基金项目
河南省中医药科学研究专项课题(编号:2014ZY02080) （编号:2014ZY02080）
