湿疹患者中医体质、辨证分型、西医分期的年发病次数分析
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摘要
目的:通过问卷调查的方式,将湿疹患者中医体质、辨证分型、西医分期的年发病次数加以统计,得出不同中医体质、辨证分型及西医分期湿疹患者的年发病次数分布规律及特点,为湿疹的预防及治疗提供新思路及新方法。方法:参照瞿幸主编《中医皮肤性病学》、陈达灿主编《皮肤性病科专病中医临床诊治》和喻文球主编《中医皮肤性病学》,中华中医药学会标准《中医体质分类与判定自测表》和王琦体质九分法,制定此次研究的《湿疹患者中医体质分类与判定自测表》和《湿疹患者辨证分型表》,对天津市中医药研究院附属医院就诊的482例湿疹患者进行一般情况以及中医体质类型、中医辨证分型、西医分期和年发病次数等内容的调查。结果:不同体质患者的年发病次数间存在明显差异,单一体质中,痰湿质、湿热质、气郁质年发病次数较多,平和质年发病次数最少;不同中医证型患者的年发病次数存在差异,湿热浸淫证患者年发病次数多于其他证型的湿疹患者;不同西医分期患者的年发病次数存在明显差异,急性湿疹的年发病次数比亚急性、慢性湿疹年发病次数多。结论:痰湿质、湿热质、气郁质患者年发病次数多于其他体质患者,平和质患者年发病次数少于其他体质患者;湿热浸淫证患者年发病次数多于其他证型的患者;急性湿疹患者的年发病次数比亚急性、慢性湿疹患者年发病次数多,而慢性湿疹患者年发病次数少于急性、亚急性湿疹患者。
Objective: To make statistics on the annual frequency of patients with eczema by traditional Chinese medicine( TCM) physique,syndrome differentiation,and western medicine staging based on questionnaire survey,in order to infer the distribution and characteristics of the annual frequency by different TCM physique,syndrome differentiation and western medicine stage,and provide new ideas and new methods for the prevention and treatment of Eczema. Method: According to the Dermatovenerology of Traditional Chinese Medicine edited by QU Xing,and Clinical Diagnosis and Treatment of Chinese Medicine for Dermatovenerology edited by CHEN Dacan,and Traditional Chinese Medicine for Dermology edited by YU Wen-qiu,and Physique Classification and Patient Self-Testing Table formulated by China Association of Chinese Medicine and Professor WANG Qi's nine categories of physique,the TCM Physique Classification and Patient Self-Testing Table for eczema patients and the Syndrome Differentiation and Classification Table for Eczema Patients were formulated. General conditions of 482 cases of eczema patients treated at Tianjin Academy of Traditional TCM Affiliated Hospital and their types of TCM physique,TCM syndrome differentiation,western medicine staging and annual frequency were surveyed. Result:There were significant differences in the annual frequency of patients with different physical constitutions. By single physique,Tanshi,Shire and Qiyu had more frequent occurrences every year,and Pinghe had the lowest annual frequency. There were differences in the annual occurrences among cases with different TCM syndrome types. Shire syndrome patients have more frequent annual occurrences than other types of eczema patients. There were significant differences in the annual occurrences among cases of different western medicine staging,and the annual occurrences of acute eczema were more than those of subacute and chronic eczema. Conclusion: The annual occurrences of patients with Tanshi,Shire and Qiyu physique were higher than those of other physiques. There are fewer outpatients with Pinghe physique than other physiques. The annual occurrences of Shire syndrome patients are higher than that of other types of eczema patients. The annual occurrences of acute eczema are more than those of subacute and chronic eczema. The annual occurrences of chronic eczema are less than acute and subacute eczema.
Objective: To make statistics on the annual frequency of patients with eczema by traditional Chinese medicine( TCM) physique,syndrome differentiation,and western medicine staging based on questionnaire survey,in order to infer the distribution and characteristics of the annual frequency by different TCM physique,syndrome differentiation and western medicine stage,and provide new ideas and new methods for the prevention and treatment of Eczema. Method: According to the Dermatovenerology of Traditional Chinese Medicine edited by QU Xing,and Clinical Diagnosis and Treatment of Chinese Medicine for Dermatovenerology edited by CHEN Dacan,and Traditional Chinese Medicine for Dermology edited by YU Wen-qiu,and Physique Classification and Patient Self-Testing Table formulated by China Association of Chinese Medicine and Professor WANG Qi's nine categories of physique,the TCM Physique Classification and Patient Self-Testing Table for eczema patients and the Syndrome Differentiation and Classification Table for Eczema Patients were formulated. General conditions of 482 cases of eczema patients treated at Tianjin Academy of Traditional TCM Affiliated Hospital and their types of TCM physique,TCM syndrome differentiation,western medicine staging and annual frequency were surveyed. Result:There were significant differences in the annual frequency of patients with different physical constitutions. By single physique,Tanshi,Shire and Qiyu had more frequent occurrences every year,and Pinghe had the lowest annual frequency. There were differences in the annual occurrences among cases with different TCM syndrome types. Shire syndrome patients have more frequent annual occurrences than other types of eczema patients. There were significant differences in the annual occurrences among cases of different western medicine staging,and the annual occurrences of acute eczema were more than those of subacute and chronic eczema. Conclusion: The annual occurrences of patients with Tanshi,Shire and Qiyu physique were higher than those of other physiques. There are fewer outpatients with Pinghe physique than other physiques. The annual occurrences of Shire syndrome patients are higher than that of other types of eczema patients. The annual occurrences of acute eczema are more than those of subacute and chronic eczema. The annual occurrences of chronic eczema are less than acute and subacute eczema.
引文
[1]赵辨.中国临床皮肤病学[M].南京:江苏科学技术出版社,2010:725-731.
[2]程宏斌,伍景平,任琳等.从源流论血风疮中医病因病机[J].新中医,2016,48(3):10-11.
[3]欧柏生,魏飞,冯杲,等.金蝉止痒胶囊治疗湿热型湿疹98例[J].中国实验方剂学杂志,2013,19(19):323-325.
[4]史成和,闫岩.四物消风散加减联合卤米松治疗慢性湿疹[J].中国实验方剂学杂志,2010,16(4):163-165.
[5]刘学伟.慢性湿疹从肝脾论治探析[J].中国中医基础医学杂志,2013,19(5):501-502.
[6]胡秀云,刘爱民.刘爱民教授治疗湿疹经验[J].中国中西医结合皮肤性病学杂志,2013,12(6):375-377.
[7]魏翠柏,李光善,黄丽媛,等.论体质与个体化诊疗[J].中华中医药杂志,2012,27(1):13-15.
[8]秦静波,王济,孟翔鹤,等.表观遗传学与体质可调论关系的探析[J].辽宁中医杂志,2018,45(4):727-729.
[9]王琦.中医体质三论[J].北京中医药大学学报,2008,31(10):653-655.
[10]王振宇,姚海强,王琦.辨体-辨病-辨证诊疗模式的临床运用[J].中医杂志,2016,57(22):1921-1924.
[11]英孝,倪诚.中医湿热体质与方药干预研究述评[J].山西中医学院学报,2012,13(5):73-77.
[12]王济,王琦.中医体质研究与4P医学的实施[J].中国中西医结合杂志,2012,32(5):693-695.
[13]郑燕飞,焦招柱,王济,等.从中医体质角度防治慢性病探讨[J].云南中医学院学报,2013,36(4):82-84.
[14]陈聪,王琦,苏泽琦,等.玉屏风颗粒调理气虚体质反复感冒患者临床观察[J].中国实验方剂学杂志,2018,24(5):182-187.
[15]窦海忠,周桂林,李卫平.湿疹中医体质类型分布规律分析[J].中医学报,2015,30(6):905-907.
[16]闫英,武李莉.300例湿疹患者中医体质分型及中医证型相关性分析[J].北京中医药,2014,33(12):938-940.
[17]王伟凡,宫慧萍.中医体质学与“治未病”的关系[J].中国中医药现代远程教育,2011,9(4):108-110.
[18]王悦.基于中医体质学的高血压治未病分析[J].浙江中医杂志,2012,47(10):714-715.
[19]瞿幸.中医皮肤性病学[M].北京:中国中医药出版社,2009:131-132.
[20]中华中医药学会.中医体质分类与判定[J].世界中西医结合杂志,2009,4(4):303-304.
[21]张学军.皮肤性病学[M].北京:人民卫生出版社,2013:109-110.
[22]陈达灿,禤国维.皮肤性病科专病中医临床诊治[M].北京:人民卫生出版社,2000:62-69.
[23]喻文球.中医皮肤性病学[M].北京:中国医药科技出版社,2000:214-221.
[24]杨凡,谭正怀,石锦萍,等.蛇黄乳膏止痒功效相关机制[J].中国实验方剂学杂志,2012,18(18):210-213.
[25]聂金娜.历代医家论痰湿体质[J].中医杂志,2013,54(3):263-265.
[26]杨菲,王济,孙淑娴,等.从《灵枢·经脉》浅谈气郁质相关疾病的治疗[J].时珍国医国药,2015,26(6):1437-1438.
[27]周欢,张军平.阮士怡教授“益肾健脾、涤痰散结”法防治动脉粥样硬化理论探讨[J].中华中医药学刊,2016,34(10):2400-2402.
[28]胡五星,张小雪,魏绍斌.魏绍斌治疗复发性霉菌性阴道炎经验[J].湖南中医杂志,2016,32(1):28-29.
[29]姜良铎.正气存内邪不可干[J].环球中医药,2016,9(1):4-5.
[30]蔡华珠,洪菲萍,纪立金,等.“正气存内,邪不可干”的内涵及运用探析[J].中华中医药杂志,2015,30(4):987-989.
[31]吴瑭.温病条辨[M].北京:人民卫生出版社,2005:35,82-83.
[32]许家松.《温病条辨》湿热类温病证治[J].中医杂志,2013,54(6):522-525.
[33]王盛义,田静.82例湿疹中医体质与证型相关研究[J].实用中医内科杂志,2015,29(12):3-5.
[34]王洪琦,唐芸,刘含,等.广东汉族人群湿热证候易感性与HLA基因多态性的关联研究[J].时珍国医国药,2013,24(7):1712-1714.
[35]赵艳霞,何莉娇,王大维,等.中医扶正祛邪法治疗顽固性湿疹思路浅探[J].新中医,2018,50(2):169-171.
[36]王星.治湿疹7法[J].中国实验方剂学杂志,2010,16(4):195.
[37]谷朝霞,初金玉,陈丽丽.中西医联合治疗手部慢性湿疹69例[J].中国实验方剂学杂志,2011,17(18):302-303.
[38]胡正刚,连建伟.再读《内经》病机十九条[J].中医文献杂志,2014,32(4):32-35.
[39]姜德友,杨帆.湿疹病名、证治源流考[J].山东中医药大学学报,2014,38(5):436-439.
[40]潘毅,陆千琦,季禾子.龙胆泻肝汤合萆薢渗湿汤联合西药治疗急性湿疹湿热证临床观察[J].新中医,2015,47(11):164-166.
[41]王煜明,陈晟,王朋,等.从心论治湿疹的针灸治疗思路[J].临床误诊误治,2012,25(11):95-97.
[42]祝勇.王莒生教授从肺论治湿疹经验[J].现代中医临床,2015,22(4):38-39.
[43]徐爱琴,徐荣.徐宜厚治疗湿疹的经验[J].湖北中医杂志,2015,37(8):26-27.
[44]刘爱民,屠远辉,胡会丽.季节、脏腑、经络、部位四位一体辨证治疗湿疹的体会[J].中国皮肤性病学杂志,2011,25(4):306-308.
[45]王琦.中医体质学[M].北京:人民卫生出版社,2005:105-106.
[2]程宏斌,伍景平,任琳等.从源流论血风疮中医病因病机[J].新中医,2016,48(3):10-11.
[3]欧柏生,魏飞,冯杲,等.金蝉止痒胶囊治疗湿热型湿疹98例[J].中国实验方剂学杂志,2013,19(19):323-325.
[4]史成和,闫岩.四物消风散加减联合卤米松治疗慢性湿疹[J].中国实验方剂学杂志,2010,16(4):163-165.
[5]刘学伟.慢性湿疹从肝脾论治探析[J].中国中医基础医学杂志,2013,19(5):501-502.
[6]胡秀云,刘爱民.刘爱民教授治疗湿疹经验[J].中国中西医结合皮肤性病学杂志,2013,12(6):375-377.
[7]魏翠柏,李光善,黄丽媛,等.论体质与个体化诊疗[J].中华中医药杂志,2012,27(1):13-15.
[8]秦静波,王济,孟翔鹤,等.表观遗传学与体质可调论关系的探析[J].辽宁中医杂志,2018,45(4):727-729.
[9]王琦.中医体质三论[J].北京中医药大学学报,2008,31(10):653-655.
[10]王振宇,姚海强,王琦.辨体-辨病-辨证诊疗模式的临床运用[J].中医杂志,2016,57(22):1921-1924.
[11]英孝,倪诚.中医湿热体质与方药干预研究述评[J].山西中医学院学报,2012,13(5):73-77.
[12]王济,王琦.中医体质研究与4P医学的实施[J].中国中西医结合杂志,2012,32(5):693-695.
[13]郑燕飞,焦招柱,王济,等.从中医体质角度防治慢性病探讨[J].云南中医学院学报,2013,36(4):82-84.
[14]陈聪,王琦,苏泽琦,等.玉屏风颗粒调理气虚体质反复感冒患者临床观察[J].中国实验方剂学杂志,2018,24(5):182-187.
[15]窦海忠,周桂林,李卫平.湿疹中医体质类型分布规律分析[J].中医学报,2015,30(6):905-907.
[16]闫英,武李莉.300例湿疹患者中医体质分型及中医证型相关性分析[J].北京中医药,2014,33(12):938-940.
[17]王伟凡,宫慧萍.中医体质学与“治未病”的关系[J].中国中医药现代远程教育,2011,9(4):108-110.
[18]王悦.基于中医体质学的高血压治未病分析[J].浙江中医杂志,2012,47(10):714-715.
[19]瞿幸.中医皮肤性病学[M].北京:中国中医药出版社,2009:131-132.
[20]中华中医药学会.中医体质分类与判定[J].世界中西医结合杂志,2009,4(4):303-304.
[21]张学军.皮肤性病学[M].北京:人民卫生出版社,2013:109-110.
[22]陈达灿,禤国维.皮肤性病科专病中医临床诊治[M].北京:人民卫生出版社,2000:62-69.
[23]喻文球.中医皮肤性病学[M].北京:中国医药科技出版社,2000:214-221.
[24]杨凡,谭正怀,石锦萍,等.蛇黄乳膏止痒功效相关机制[J].中国实验方剂学杂志,2012,18(18):210-213.
[25]聂金娜.历代医家论痰湿体质[J].中医杂志,2013,54(3):263-265.
[26]杨菲,王济,孙淑娴,等.从《灵枢·经脉》浅谈气郁质相关疾病的治疗[J].时珍国医国药,2015,26(6):1437-1438.
[27]周欢,张军平.阮士怡教授“益肾健脾、涤痰散结”法防治动脉粥样硬化理论探讨[J].中华中医药学刊,2016,34(10):2400-2402.
[28]胡五星,张小雪,魏绍斌.魏绍斌治疗复发性霉菌性阴道炎经验[J].湖南中医杂志,2016,32(1):28-29.
[29]姜良铎.正气存内邪不可干[J].环球中医药,2016,9(1):4-5.
[30]蔡华珠,洪菲萍,纪立金,等.“正气存内,邪不可干”的内涵及运用探析[J].中华中医药杂志,2015,30(4):987-989.
[31]吴瑭.温病条辨[M].北京:人民卫生出版社,2005:35,82-83.
[32]许家松.《温病条辨》湿热类温病证治[J].中医杂志,2013,54(6):522-525.
[33]王盛义,田静.82例湿疹中医体质与证型相关研究[J].实用中医内科杂志,2015,29(12):3-5.
[34]王洪琦,唐芸,刘含,等.广东汉族人群湿热证候易感性与HLA基因多态性的关联研究[J].时珍国医国药,2013,24(7):1712-1714.
[35]赵艳霞,何莉娇,王大维,等.中医扶正祛邪法治疗顽固性湿疹思路浅探[J].新中医,2018,50(2):169-171.
[36]王星.治湿疹7法[J].中国实验方剂学杂志,2010,16(4):195.
[37]谷朝霞,初金玉,陈丽丽.中西医联合治疗手部慢性湿疹69例[J].中国实验方剂学杂志,2011,17(18):302-303.
[38]胡正刚,连建伟.再读《内经》病机十九条[J].中医文献杂志,2014,32(4):32-35.
[39]姜德友,杨帆.湿疹病名、证治源流考[J].山东中医药大学学报,2014,38(5):436-439.
[40]潘毅,陆千琦,季禾子.龙胆泻肝汤合萆薢渗湿汤联合西药治疗急性湿疹湿热证临床观察[J].新中医,2015,47(11):164-166.
[41]王煜明,陈晟,王朋,等.从心论治湿疹的针灸治疗思路[J].临床误诊误治,2012,25(11):95-97.
[42]祝勇.王莒生教授从肺论治湿疹经验[J].现代中医临床,2015,22(4):38-39.
[43]徐爱琴,徐荣.徐宜厚治疗湿疹的经验[J].湖北中医杂志,2015,37(8):26-27.
[44]刘爱民,屠远辉,胡会丽.季节、脏腑、经络、部位四位一体辨证治疗湿疹的体会[J].中国皮肤性病学杂志,2011,25(4):306-308.
[45]王琦.中医体质学[M].北京:人民卫生出版社,2005:105-106.