摘要
目的探讨良性前列腺增生症(BPH)中医证候分布规律。方法收集BPH患者540例,编制BPH中医证候学调查表获取患者四诊资料,对收集的症状、体征、舌、脉等证候指标进行频数分析、内部可靠性分析及聚类分析,总结出该病的证候特点及中医证候分布规律。结果 BPH的8个基本证候分别为肾阳虚证(256例)、瘀阻水道证(238例)、肾阴虚证(173例)、湿热下注证(140例)、脾气虚弱证(127例)、痰浊郁结证(92例)、肝郁气滞证(46例)、肺热气郁证(32例),每一患者可具备一个或多个基本证候。单一证型有3个共106例(19.6%),复合证型有9种证型组合共434例(80.4%);12类证候中单纯实证1个共32例(5.9%),单纯虚证4个共154例(28.5%),虚实夹杂证7个共354例(65.6%)。结论肾阳虚证、瘀阻水道证、肾阴虚证为BPH的常见基本证型,且以复合证型、虚实夹杂证多见。
Objective To explore the law of TCM syndrome distribution of benign prostatic hyperplasia （BPH）. Methods Totally 540 BPH cases were collected and their data were obtained from the four diagnostic methods of TCM based on the Questionnaire on the TCM Syndromology of Prostatic Hyperplasia. The analysis on the indicator frequency of symptoms, signs, tongue, and pulse collected from diagnosis, the analysis on the internal reliability of indicators, and the cluster analysis were carried out to summarize the TCM syndrome characteristics and the law of syndrome distribution of BPH. Results Eight BPH primary syndromes were summarized as： kidney yang deficiency of 256 cases, blood stasis blocking the water passage of 238 cases, kidney yin deficiency of 173 cases, damp heat pouring down of 140 cases, spleen qi deficiency of 127 cases, phlegm turbidity stagllation of 92 cases, liver qi stagnation of 46 cases, and lung heat with qi stagnation of 32 cases. Each patient had one or more syndromes. There were 3 single syndromes involving 106 cases （19. 6%）, 9 compound syndromes, 434 cases （80.4%）. Of the 12 syndromes, there was 1 pure excess syndrome, 32 cases （5.9%）, 4 pure deficiency syndromes, 154 cases （28.5%）, and 7 complicated excess and deficiency syndromes, 354 cases （65.6%）. Conclusion The kidney yang deficiency, blood stasis blocking the water passage, and kidney yin deficiency are the basic syndromes of BPH, which is commonly of the compound syndromes and complicated excess and deficiency syndromes in manifestation.
出处
《中医杂志》
CSCD
北大核心
2012年第1期45-47,共3页
Journal of Traditional Chinese Medicine
基金
国家“十一五”科技支撑计划资助项目(2007BAI20B045)
关键词
良性前列腺增生
中医证候
分布规律
benign prostatic hyperplasia （BPH）
TCM syndromes
distribution law
