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1、第27卷第12期中华中医药学刊Vol.27No.122009年12月CHINESEARCHIVESOFTRADITIONALCHINESEMEDICINEDec.2009痰瘀互结型高脂血症主要中医症状的分布特点陈富荣,章怡祎,刘萍(上海中医药大学附属龙华医院,上海200032)摘要:目的:探讨痰瘀互结型高脂血症常见中医症状分布特点。方法:通过对1995-2008年间中医辨证治疗高脂血症文献检索,建立数据库,筛选出符合中医辨证为痰瘀互结型高脂血症的文献,对其临床症状的频次、频率进行统计分析,并参考《中医统计诊断》的回归数学模型。结果:共检出中医药辨证治疗高脂血症文献197篇,其中
2、辨证分型属于痰瘀互结型文献47篇,经综合分析提示:胸闷、眩晕、心前区刺痛、肢麻沉重、形体肥胖、心悸、头重如裹、肢体困倦、呕吐痰涎、气憋、舌有瘀斑点、舌质紫黯、苔滑腻、脉弦滑、脉沉涩对痰瘀互结型高脂血症具有诊断价值。结论:总结其主要症状的分布特点是实现痰瘀互结型高脂血症中医诊断规范化、现代化的初步探索。关键词:高脂血症;痰瘀互结;中医症状;特点中图分类号:R589.2文献标识码:A文章编号:1673-7717(2009)12-2508-03TCMSymptomsandSyndromeDistributionCharacteristicsforPhlegmAccumulatingw
3、ithStagnationofHyperlipemiaCHENFu2rong,ZHANGYi2yi,LIUPing(LonghuaHospitalAffiliatedtoShanghaiUniversityofTraditionalChineseMedicine,Shanghai200032,China)Abstract:Objective:TodiscussthedistributioncharacteristicsforcommonTCMsymptomsandsyndromeofhyper2lipemia.Methods:Literaturesaboutphlegmaccu
4、mulatingwithstagnationofhyperlipemiafrom1995to2008werecollect2ed,andthedatabasewasestablished.Thefrequenciesandratesofsymptomswereanalysis.Regressionmodelwasre2ferredaccordingto"StatisticaldiagnoseofTCM".Results:Onehundredninety-sevenpapersofhyperlipemiabytreatingbasedonsyndromedifferentiati
5、onwereretrieved,47papersofthosewerephlegmaccumulatingwithstagnationsyndrome.Andourstudyindicatethatsomesymptomshavesignificantdiagnosisvalue,whicharechestdistress,dizziness,praecor2diumstabbingpain,numbnessandheavinessoflimbs,physiqueandbodyobesity,cardiopalmus,heavinessofhead,drowsiness,spi
6、tphlegm,breathlessness,tonguewithecchymosis,textureoftonguepurpleanddark,slipperyandcream2ytonguefur,tautandslipperypulse,sunkenandunsmoothpulse.Conclusion:TorevealfundamentalsymptomdistributecharacteristicisonlyinitialresearchinordertoachievetraditionalChinesemedicinediagnosisnormalizationa
7、ndmoderni2zationaboutphlegmaccumulatingwithstagnationofhyperlipemia.Keywords:hyperlipemia;phlegmaccumulatingwithstagnation;traditionalChinesemedicinesymptom;characteristic高脂血症(Hyperlipidemia,HLP)是指由于脂肪代谢或床表现当归入“痰浊”、“痰湿”、“血瘀”、“眩晕”、“胸痹”等[2]转运异常使血清中胆固