基于现代文献报道分析男性不育症的常见中医证候及证候要素

Analysis of TCM syndromes and syndrome elements distribution characteristics of male infertility based on TCM literature

关键词:  男性不育症  中医证候  文献研究

Key words:  male infertility  TCM syndrome  literature study

摘要:

[目的] 分析、总结男性不育症的常见中医证候及证候要素.[方法] 通过检索中国知网(CNKI)中文期刊全文数据库,获取2002-2012年间发表的与男性不育症中医辨证相关的文献报道,建立数据库,通过频次分析,归纳、总结其常见中医证候与证候要素.[结果] 纳入分析的268篇文献中,涉及证候类型72种,出现总频次为431,频率在2%以上者为肾阳虚、肾精亏虚、肾阴虚、肾虚、湿热下注、脾肾两虚、阴虚、肾气虚、脾肾阳虚、气滞血瘀、气血亏虚、痰湿内蕴、瘀血阻滞、肝肾亏虚;经拆分证候后,获取证候要素34个,其中病位类14个,出现总频次为391,病性类20个,出现总频次为507,频率大于2%的分别为肾、脾、肝、下焦及阳虚、虚、阴虚、精亏、血瘀、湿热、气虚、气滞、血虚.[结论] 文献报道中有关男性不育症的证候类型名称较为繁杂,但从提取的数目相对少的证候要素可看出,该病的病位主要在肾、脾、肝及下焦,病性以阳虚、阴虚、精亏等虚损为主,但也有较高比例的血瘀、湿热等,并可与虚损兼夹出现.

Abstract:

[Objective] To analyses and summarize the TCM syndromes and syndrome elements distribution characteristics of male infertility. [Methods] CNKI database was searched to obtain the literatures concerning TCM syndrome of male infertility from 2002 to 2012. Then, the literature database was established and analyzed by Epidata 2.0 statistical software to summarize the TCM syndromes and syndrome elements distribution characteristics. [Results] The 268 literatures were recruited and 72 syndrome types were involved with 431 total frequency. The syndrome type with frequency over 2% were as follows: deficiency of kidney yang, deficiency of kidney essence, deficiency of kidney yin, deficiency of kidney, damp-heat diffusing down, deficiency of both spleen and kidney, deficiency of yin, deficiency of kidney qi, yang deficiency of both spleen and kidney, qi stagnation and blood stasis, deficiency of qi and blood, phlegm-damp retention, blood stasis, deficiency of liver and kidney. The 34 syndrome elements were obtained based on the analysis of 72 syndromes. In which, there are 14 disease location elements with total frequency of 391 and 20 disease nature elements with total frequency of 507. The syndrome factors with frequency over 2% were as follows: kidney, spleen, liver, lower-jiao, deficiency of yang, deficiency, deficiency of yin, deficiency of essence, blood stasis, damp-heat, deficiency of qi, qi stagnation, deficiency of blood. [Conclusions] Although the syndrome distribution in male infertility had been reported disorderly and inconsistently in male infertility. The syndrome factors extracted from the synsromes are relatively fewer. The main disease location elements are kidney, spleen, liver and lower-jiao and disease nature elements are deficiency of yang, deficiency of yin and deficiency of essence. While blood stasis and damp-heat or coexsistence of deficiency and excess are quite often.