非酒精性脂肪性肝病常见中医证候类型及证候要素的现代文献研究.pdfVIP

• 51 • 中西医结合肝病杂志2012 年第22 卷窒1塑 ·文献芸萃· doi: 10. 3969/j. issn. 1∞5{)264. 2012. 0 1. 020 非酒精性脂肪性肝病常见中医证候类型及证候要素的现代文献研究 陈剑明1 张声生2Ó 吴震宇1 1.北京中医药大学(北京. 1(削29) 2. 首都医科大学附属北京中医医院 摘要 目的:探讨非酒精性脂肪性肝病(NAFLD) 常见中医证候类型与证候要素的分布特点。方法:通过检 索文献，选取 1979 年-却11 年有关 NA且D 中医辨证的文候，建立数据库，进行统计分析。结果:从纳入分析的文献 中共获取 168 个证候类型，规范为 53 个，出现频率 5% 的证候依次为:肝胆温热、肝郁牌虚、肝气郁结、肝肾阴 盛、脾胃虚弱、肝郁痰阻。提取证候要素共计 18 个，其中病位类8 个，频率 59岛的依次为肝、牌、胆、胃、肾;病 性类 10 个，频率 59岛的依次为湿、热(或火)、气滞、痰、虚、血惑。结论:目前 NAFLD 临床辨证分型复杂多样， 而证候要素相对简约，从构成证候的要素入手对本病进行常见证候的研究，可起到执简驭繁的作用，并为临床治疗本 病奠定理论基础。 关键词 非酒精性脂肪性肝病;证候:证候要素;文献研究 Modem literature study of common syndromes and syndrome factors of non- alcoholic fatty Iiver disease CHEN JIAN-MING 1. ZHANG SHENι， SHENG 2 L1, WU ZHEN-YU 1 1. Be锐ng University 01 TCM (8eijing , 1ω7∞) 2. Beijing Chinese MedicilU Hosp归1 Affiωted Capital Medical University (BeijÍ1臂， 100010) China Abstract Objective: To investigate the distribution characteristic8 of common TCM s归drom臼 ands归drome factolS of nonalcoholic fatty liver disease (NAFLD) . Me仙ods: The literature were selecωd from 1979ω2011 through retrieval and then a databa配 W国 established and analysed statistically. R，回dts:ηlere were t归11y 443 syn命。me typ四 from 由e literature and 53 8阳也rdized. The syndromes wi也 the 仕呵uen句 higher 阳1 5 % included. in order , dampness heat of liver and gallbladder , liv- er depression and spleen deficiency , liver depression and Qi stagnation , Yin deficiency of liver and ki也町， spleen-stomach weakness , liver depre倒ion and phle伊1 sta伊副ion. ηlere were 18 s归曲。me factors obtained , and 缸nong them 8 pertained to 10- cation factors including liver , spl回n ，伊llbladd饵， stornach ，皿d kidney with 也e frequency higher than 59岛， and 10 pe血ined to nature facto