代谢综合征痰热证病因病机研究和临床调研.pdfVIP

提 要 代谢综合征（MS）与痰热证均为近年来医学研究的热点问题。本文首先对 MS 的 相关概念与内容、痰热证研究现状、MS 痰热证研究等内容进行了整理与归纳。以文 献梳理结合临床流行病学调查的方法，对 MS 痰热证的危险因素及临床表现进行了归 纳与总结。依据调查结果初步提出：（1）中老年人；（2）形盛或肥胖；（3）嗜食肥甘 厚味；（4）吸烟饮酒等不良嗜好；（5）性情急躁易怒；（6）绝经后妇女等是 MS 形成 的危险因素。（1）体重指数过高；（2）中心性肥胖；（3）嗜食各种肉类；（4）嗜咸； （5）饮酒；（6）感受压力过大；（7）性情急躁易怒；（8）鼾眠等是MS痰热证形成的 危险因素。探讨MS痰热证形成的原因及其病理机制，并且初步总结MS痰热证的主要 临床表现及辨证标准。同时指出MS痰热证是中风等疾病发病前的“未病”状态，“痰 热”则可以视为导致其发病的“伏邪”，积极防治痰热的形成，对预防MS及多种疑难 病都有十分重要的意义，并且初步制订合理的防治措施。旨在为 MS 痰热证的病因病 机理论研究以及临床辨证、诊断、治疗与预防提供较为可靠的依据。 关键词 代谢综合征；痰热证；病因病机；临床调查；证候研究 Pathogeny and Pathogenesis Research and Clinical Investigate in the Phlegm-heat Syndrome of MS Speciality:Basic Theory of TCM Author:Xu Yincong Tutor:Professor. Zhang Anling Abstract Metabolic Syndrome (MS) and the phlegm-heat syndrome are hot spots in current traditional Chinese medicine research.This study firstly reorganizes and induces the relative concepts and contents of MS,present research situation of the phlegm-heat syndrome and research on that syndrome of MS.Using the method of literature reorganization combined with clinical epidemiological investigation,this article probes into causes and pathological mechanis of the phlegm-heat syndrome of MS,and summaries its risk factors and clinical manifestations.It is proposed initially that the risk factors of the MS formation include:(1) the aged people (2) obesity (3) preferable greasy food (4) smoking and drinking (5) irritable temper (6) postmenopausal women, and the risk factors of the phlegm-heat syndrome of MS formation include:(1) high body mass index (2) concentric obesity (3) preferable meat (4) preference for salty food (5) drinking (6) too much