肺系病之虚的特征性探究.pdf

提 要 本研究以肺系病中医虚证患者病案资料为研究对象，通过观察虚证在各类肺系病 中发病规律，重点对肺系病之虚进行包括病理因素的形成，致病特点，证候特点，证 型等相关性的深入研究，对肺系病虚证形成的特征性进一步研究。 本研究对肺系病病历资料中患者基础资料、证候、证型、相关实验室检测指标等 进行回顾性统计，根据预先设计的观察表和临床证候诊断标准，严格按照病例的纳入 及排除标准进行病例的选择，并认真填写临床观察表，进行基础资料、证型、临床症 状等项目的记录统计。从而对虚证在各类肺系病里的所占比重、虚证主要症状、体征 在肺系病的出现频率等的相关性进行观察。应用SPSS18.0软件进行统计学处理数据。 研究结果表明，众多肺系疾病形成和发展过程中都存在虚证，虚证的证候出现频 率依次为咳痰无力，气短声低，咳嗽，易感冒，少气懒言，五心烦热，神疲乏力，喘 息，咳痰等，并分别总结出了肺系虚证四种类型的症状、体征特点。肺气虚乃肺的气 虚于前，功能失常于后，因虚致实，因实致虚，肺系机能活动的全面减退，体现了肺 气虚是肺系疾病的基础病机，肺气虚证贯穿于肺系虚证的始终。肺系虚证与虚证有相 似之处，如面色、舌象、脉象等，但在肺系病之虚证的症状体征中，也有肺脏系统的 专科特点。肺系虚证的形成与气血津液以及痰瘀均有着密切的联系。 关键词 肺系病；虚证；特征性；证候；证型 Lung disease of the characteristic of deficiency   Speciality：Internal Medicine of Traditional Chinese medicine Author ：Liu Wei Tutor：Prof. Zhang Wei Abstract This study of traditional Chinese medicine with lung disease deficiency syndrome patients medical record material as the research object, by observing deficiency syndrome in all kinds of lung disease pathogenesis regularity of lung disease, focus on the virtual includes of the formation of pathological factors, pathogenic characteristics, syndrome features, such as syndrome types of correlation of thorough research, lung disease formed deficiency syndrome is characterized further study. This study is the medical records of lung disease in based material, syndrome patients, syndrome type, related lab testing indexes were retrospectively statistics, such as advance design according to the observation table and clinical syndrome diagnostic criteria, in strict accordance with the cases and to exclude criteria included cases were selected, and fill the clinical observation on the foundation material, watch, issuing type, clinical symptom