基于证素辨证的代谢综合征中医病理特点研究-赵能江,黄献钟,祁志娟,等.pdfVIP

第 1 6 卷 第 9 期 辽宁中医药大学学报 Vol. 16 No. 9 2014 年 9 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Sep .，2014 DOI：10.13194/j.issn.1673-842x.2014.09.031 基于证素辨证的代谢综合征中医病理特点研究 赵能江，黄献钟，祁志娟，杨叔禹 （厦门大学附属第一医院中医科，福建 厦门 361003 ） 摘  要：目的：探讨代谢综合征的中医病理特点和证候兼杂规律。方法：收集491例代谢综合征患者的临床 资料，采用证素辨证方法，分析中医病位和病性，探讨证候兼杂特点。结果：病位证素：主要在脾、肾和肝，分别占 60.4%、58.2%和51.5%；病性证素：实证证素中痰、湿和瘀分别为77.1%、65.9%和61.3%；虚证证素阴虚、气虚分别为 64.7%和60.0%；证的兼杂：各证型均存在不同程度的脾、痰、湿和瘀病理证素的兼杂。结论：代谢综合征患者的病位 主要在脾、肾和肝；病性属虚实夹杂；痰、湿、瘀贯穿疾病始终。 关键词：代谢综合征；证素分析；中医病理特点 ( ) 中图分类号：R589 文献标志码：A 文章编号：1673-842X 2014 09- 0091- 03 Research on TCM Pathologic Features of Metabolic Syndrome Based on Factor Analysis ZHAO Nengjiang，HUANG Xianzhong，QI Zhijuan，YANG Shuyu （Traditional Chinese Medicine Department，The First Affiliated Hospital of Xiamen University，Xiamen 361003，Fujian，China） Abstract：Objective ：To characterize the TCM pathologic features of MS，and to identify the miscellaneous and progressive patterns of MS. Methods ：Data from 491 MS patients was analyzed to identify the main niduses，features and nature of MS，with syndrome element differentiation method，and the patterns of miscellaneous and progressive tendency of MS. Results ：The niduses of MS were located in spleen， kidney，liver，heart and lung，mainly in the spleen（60.4%），kidney（58.2%）and liver（51.5%）. The sthenia-syndrome was consisted of phlegm，damp，blood stasis，hot and qi stagnation，with phlegm，damp and blood stasis at a higher proportion of 77.1%，65.9% and 61.3% respectively. The mixed features of the