经前期综合征中医证候及证候要素分布特点的文献研究

Literature study on distribution characteristics of TCM syndromes and syndrome essence in patients with premenstrual syndrome

关键词:  经前期综合征  证候  证候要素

Key words:  premenstrual syndrome  syndrome  the essence of syndrome

摘要:

[目的]探讨现代文献中经前期综合征证候及证候要素的分布特点。[方法]在对近20余年经前期综合征文献资料进行全面检索的基础上,选取符合纳入标准的文献,对其证候及证候要素进行频次分析。[结果]经初步规范后获取证候67个,出现频率在5%以上的依次是肝气郁结证、气滞血瘀证和阴虚火旺证;将证候拆分为病位类、病性类证候要素,其中病位类证候要素9个,出现频率在10%以上的是肝、肾和脾,病性类证候要素21个,出现频率在10%以上的是气滞、火和阴虚。[结论]目前经前期综合征的临床辨证分型仍比较繁杂,引入"证候要素"这一概念能够更好地规范、统一该疾病的临床辨证诊疗。

Abstract:

[Objective] To investigate the distribution characteristics of TCM syndromes and syndrome essence in literatures in patients with premenstrual syndrome.[Methods] On the basis of the comprehensive literature search about premenstrual syndrome in the past 20 years more,the correspond literatures with enrrolled criteria were selected and the appearance frequency of TCM syndromes and syndrome essence were analyzed. [Results] 67 syndromes were obtained after the initial standardization, the syndrome with more than 5 times of appearance frequency in turn was stagnation of the liver qi, qi stagnation and blood stasis, hyperactivity of fire due to yin deficiency. These syndromes were classified into syndrome essence of diseae locations and disease kind. There were 9 syndrome essence of diseae locations. The location with appearance frequency more than 10% was liver, kidney and spleen. There were 21 syndrome essence of diseae kind, and they were qi-stagnation, fire and yin-deficiency with frequency more than 10%.[Conclusion] Presently, the TCM syndrome types in patients with premenstrual syndrome was still rather complicated. Introducing the concept of "Syndrome essence" can regulate and unify the clinical syndrome differentiation better.