摘要
目的:为了解复发性外阴阴道假丝酵母菌病(RVVC)的中医证候学特点、中医体质特征及其相关性。方法:对98例调查者进行问卷调查和阴道分泌物检查,问卷内容包括一般情况、中医证候及体质情况。结果:主证以湿热下注证为最多(占42.86%),其次为脾虚、肾阳虚型;兼夹证中以兼夹肝郁证者最多,复合证以肝经湿热和脾虚肝郁证为主。在体质分布中,偏颇体质以气郁质、阳虚质、湿热质较多见。结论:RVVC的证与体质具有相关性,二者既有区别又有联系。RVVC的体质特征影响证候类型,气郁质、阳虚质、湿热质分别与肝郁兼夹证、肾阳虚证、湿热下注证具有趋同性。一定条件下,证候与体质状态并不一致,除湿热体质外,气郁质也是湿热下注证常见的发病基础。
Objective： To study the characteristics of syndrome differentiation in TCM and constitutional classification of TCM in recurrent vulvovaginal candidiasis（RVVC）, and in addition, the correlation between them. Methods： 98 patients of RVVC were interviewed and the gynecological examination were performed by doctor. The questionnaire adopted general condition, syndrome and constitution condition of TCM. Results： Syndrome of dampness-heat was the most common type, spleen deficiency syndrome and kidney-yang deficiency syndrome were the second and the third. Liver depression syndrome was the most common type in accompanying syndromes. In composite syndromes, dampness-heat mixed with liver depression and spleen deficiency mixed with liver depression were the most frequently encountered. Qi-stagnation constitution, yang-deficiency constitution and dampness-heat constitution were the common unhealthy constitutiones of TCM in RVVC patients. Conclusion： There are relations and differences between syndrome and constitution. The constitution influences the syndrome. But in certain condition, they are not consistent. Qi-stagnation constitution is also the pathogenesis basis of syndrome of dampness-heat commonly.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2013年第3期829-831,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
复发性外阴阴道假丝酵母菌病
中医体质
中医证候
Recurrent vulvovaginal candidiasis（RVVC）
Constitutional classification of TCM
Syndrome differentiation in TCM
