体温升高与中医证型分布规律关系的探讨

【作者】 朱永光；

【导师】 严石林；

【作者基本信息】 成都中医药大学 ， 中医诊断学， 2002， 硕士

【摘要】 目的：探讨体温升高患者中医证型分布规律及其与白细胞、中性粒细胞计数、年龄的辨证关系，寻找不同发热患者中医辨证分型特点及部分微观辨证指标，提高发热性疾病的中医临床辨证水平。方法：将921例体温升高患者，按低热、中热、高热分成三组，统计各种证型出现的频率；不同证型白细胞、中性粒细胞计数及年龄的分布状况，进行组间比较，统计分析。结论：不同发热患者，中医证型分布规律有显著性差异，其中低热组以湿热、痰热、阴虚、气虚、气阴两虚、阳虚、气血两虚等证型较为多见，多因正气虚或部分病理产物停留所致；中热组以湿热、热毒、风热、风寒、痰热、暑湿等证型为多见，多因病邪或病理产物停留所致；高热组以湿热、热毒、气虚、暑湿等证型为多见，多因热毒外邪或正气损伤所致；反映正虚与邪实的证型比较，白细胞、中性粒细胞计数有显著性差异；年龄分布不同，也存在证型分布规律的差异。更多还原

【Abstract】 Objective:Probe into the laws of syndrome classification of different degree fever and the relation between syndrome classification and the white blood cell,neutrophil,age. Search for the characteristics of differentiation for syndrome classification and some microcosmic indexes of differentiation. Advance clinic level for differentiation of symptoms and signs. Method:921 fever patients are divided into three groups based on the low-fever,middle-fever,high-fever. Count the frequency of Zheng type and make comparison between the three teams. Conclusion:The laws of syndrome classification are different among the three groups. Dampness-Heat,Phlegm-Heat and deficiency of Qi,deficiency of’Yin,deficiency of Yang,deficiency of both Qi and Yin,deficiency of both Qi and blood are the major Zheng types in the low-fever group,mostly because of deficiency of vital Qi or excessive Yin pathological production;Dampness-Heat,toxic Heat,Wind-Heat,Wind-Cold,Phlegm-Heat,Summer-heat and Dampness are the major Zheng types in the midle-fever group,mostly because of pathogenic factor or excessive Yang pathological production;Dampness-Heat,toxic Heat,Summer-heat and Dampness and Qi Deficiency are the major Zheng types in the high -fever group,mostly because of toxic Heat or vital Qi consumed. The Zheng type of deficiency of vital Qi and excessive Evil is different extremely has significance in statistics.更多还原