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基于《伤寒论》六经辨证体系的腰椎间盘突出症中医证型规律研究

Study on the Law of TCM Syndromes of Lumbar Disc Herniation Based on the Syndrome Differentiation System of Six Meridians in Treatise on Febrile Diseases

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【作者】 刘静杨建新王春晓谢兴文姜徽张志明谢培钧

【Author】 LIU Jing;YANG Jianxin;WANG Chunxiao;XIE Xingwen;JIANG Hui;ZHANG Zhiming;XIE Peijun;Gansu University of Traditional Chinese Medicine;Tianshui Traditional Chinese Medicine Hospital;Affiliated Hospital of Gansu University of Traditional Chinese Medicine;

【通讯作者】 杨建新;

【机构】 甘肃中医药大学天水市中医医院甘肃中医药大学附属医院

【摘要】 目的:基于六经辨证体系探索腰椎间盘突出症中医辨证分型及分布规律。方法:纳入300例腰椎间盘突出症患者病例资料,运用聚类分析和主成分分析方法确定证型和主次证。结果:证型具体分布为风袭太阳证(12.33%)、邪犯少阳证(36.67%)、热扰阳明证(11.67%)、寒犯少阴证(8.00%)、湿停太阴证(19.33%)、血瘀厥阴证(12.00%)六大类,并明确其主证次证。结论:腰椎间盘突出症的中医证型分为6类,呈现出三阴为本、邪实为标的特征,可为腰椎间盘突出症中医防治提供参考。

【Abstract】 Objective:To explore the traditional Chinese medicine(TCM) syndrome differentiation and distribution of lumbar intervertebral disc herniation based on the six meridian syndrome differentiation system.Methods:The data of 300 patients with lumbar disc herniation were included in this study.The syndrome types and primary and secondary symptoms were determined using cluster analysis and principal component analysis.Results:The syndrome types were divided into six categories: wind attacking sun syndrome(12.33%),evil invading Shaoyang syndrome(36.67%),heat Yu Yang Ming syndrome(11.67%),cold invading Shaoyin syndrome(8.00%),dampness stopping Taiyin syndrome(19.33%),and blood stasis syncope Yin syndrome(12.00%).The main symptoms and secondary symptoms of each syndrome type were clearly defined.Conclusion:The TCM syndrome types of lumbar disc herniation can be classified into six types, characterized by three Yin-based syndromes and three evil-based syndromes.This classification provides a theoretical basis for the prevention and treatment of lumbar disc herniation in TCM.

【基金】 国家自然科学基金项目(81860864);甘肃省科技计划资助项目(20JR5RA129);甘肃省省级中医药科研课题(GZK-2017-78)
  • 【文献出处】 中国中医骨伤科杂志 ,Chinese Journal of Traditional Medical Traumatology & Orthopedics , 编辑部邮箱 ,2023年07期
  • 【分类号】R274.9
  • 【下载频次】120
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