【摘要】 目的 :探讨急诊严重急性呼吸综合征 (SARS)的中医证候分布特点。方法 :利用急诊初诊 SARS患者的中医证候信息采集表 ,构建证候四诊指标信息数据库 ,运用描述性分析及聚类分析方法 ,统计 6 1例急诊SARS患者的中医证型情况。结果 :6 1例急诊 SARS患者 ,初诊的中医证候四诊指标聚类主要为疫毒侵袭、卫气同病和毒蕴肺胃、湿浊阻遏两型。其中疫毒侵袭、卫气同病占 77.0 5 % (47例 ) ,毒蕴肺胃、湿浊阻遏型占2 2 .95 % (14例 )。结论 :SARS中医病名属温疫 ,为感受时邪疫毒所致 ;早期疫毒侵袭上中二焦 ,以卫气同病和毒蕴肺胃、湿浊阻遏多见 ;治疗以疏表清里、卫气同治以及芳香宣化、分消走泄为法更多还原

【Abstract】 Objective: To investigate the characteristics of traditional Chinese medicine(TCM) syndrome in severe acute respiratory syndrome(SARS) in emergency department.Methods:SARS clinical information collection list was used to set up a clinical presentations and four examination techniques database. Then descriptive statistics and cluster statistics were used to analyze the data. TCM syndromes were recorded in 61 SARS patients first visiting to doctor in emergency department. Results: The mainly two types of the 61 SARS patients first visiting to doctor were epidemic toxin’s incursion, syndrome of both the defense and Qi phases(), and toxin invading in the lung and stomach, obstruction by turbid dampness (). Among the two types, the former occupied 77 05 percent(47 cases), and the later 22 95 percent(14 cases). Conclusion: SARS’s TCM name ought to be pestilence, which caused by seasonal pathogens and epidemic toxin. In the early period, the toxin makes incursions into the upper and middle heaters, manifested mostly with syndrome of both the defense and Qi phases and obstruction by turbid dampness . The therapy is disspating the superficial and clearing interior heat, curing both the defense and Qi phases (), dissolving the turbid with aromatics and removing damp pathogen() respectively.更多还原