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混合痔证素规律的临床研究

The Clinical Research on Rules of Symptom Elements in Mixed Hemorrhoid

【作者】 吴向梅

【导师】 石荣;

【作者基本信息】 福建中医药大学 , 中西医结合临床, 2011, 硕士

【摘要】 目的:探讨混合痔证素规律,为混合痔的证候学基础研究和中医临床预防、诊断和治疗服务。方法:采用临床调研的方法,运用证素辨证方法对符合纳入标准的120例混合痔患者常见证素分布与组合规律进行研究。结果:1、本研究组混合痔患者的发病相关因素以饮食因素为最多,占62.5%;其次为劳累,占19.2%。2、本研究组调查最终确定混合痔相关症状63个,其主要症状为脱出、便血、大便干结、小便赤、烦躁等。3、本研究组混合痔患者中,病位以大肠、肛门为主,病性以热、湿为主;证素辨证分型中,大肠实热证比例最多。4、从病性分布来看,本研究组中主要病性为热、湿,其次为阴虚、津亏、燥等;气滞、痰为轻度次要病性。结论:本组混合痔患者的主要病位证素为大肠、肛门;主要病性证素为热、湿;证素辨证分型中,大肠实热证最多。

【Abstract】 Objective:To explore the rules of syndrome elements of mixed hemorrhoid, providing services for the basic research of syndromes of the mixed hemorrhoid, and the clinical prevention, diagnoses and treatment of traditional Chinese medicine.Methods:Through clinical investigation, using the dialectical method of syndromes elements to research the distribution and conbination rules of syndrome elements of mixed hemorrhoid on 120 patients,which are incorporated in standard with common elements.Results:1. In this study of mixed hemorrhoid patients, factors related to diet count 62.5% as the most, followed by fatigue, accounting for 19.2%.2.In this study, we can summarize 63 symptoms in mixed hemorrhoid patients finally, the main symptoms in which are prolapse, blood in the stool, dry stool, urine red, irritability and so on.3.In this research of mixed hemorrhoid patients,the disease syndrome elements of mixed hemorrhoid locate mainly in large intestine and anus;the main disease nature syndrome elements are heat、humidity;the heat of the large intestine syndrome is the most common syndrome-type of mixed hemorrhoid.4.In this distribution of the disease nature syndrome elements, the main disease nature syndrome elements are heat、humidity, followed by deficiency of Yin、body fluid loss and dryness; qi stagnation and phlegm are secondary and mild lesions.Conclusion:In the study of mixed hemorrhoid patients,the disease syndrome elements of mixed hemorrhoid locate mainly in large intestine and anus;the main disease nature syndrome elements are heat、moist;the heat of the large intestine syndrome is the most common syndrome-type of mixed hemorrhoid.

【关键词】 混合痔证素规律临床研究
【Key words】 mixed hemorrhoidssyndrome elementsrulesclinical study
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