慢性萎缩性胃炎中医病机与证候分布规律.pdfVIP

• 582 • ( ) 中华中医药杂志 原中国医药学报 2011年3月第26卷第3期 CJTCMP , March 2011, Vol . 26, No.3 ·研究报告· 慢性萎缩性胃炎中医病机与证候分布规律研究 丁成华，李晶晶，方芳，冯磊，程绍民，石强，郑绍勇，兰佳 （江西中医学院，南昌 330004） 摘要： 目的：探讨慢性萎缩性胃炎中医病机与证候分布规律，为本病证候规范化的进一步研究提供依据。方 法：对近10年来以中医药为主诊治慢性萎缩性胃炎的文献进行整理，并运用SPSS 12.0软件对该病的病机与证候分 布规律进行频次统计分析、归纳。结果：122篇文献中慢性萎缩性胃炎病机以脾胃虚弱所占比例最大，其次分别 为肝郁、湿热、阴虚与血瘀等；症状频次较高的有胃脘隐痛、大便稀或溏、胃脘胀满、胃脘灼痛等，胃脘胀痛、 胸胁胀痛、食欲减退、胃脘刺痛、泛酸、恶心呕吐、神疲乏力等次之。证候出现频率大小依次为：脾胃虚弱、肝 胃不和、脾胃湿热、胃阴不足、胃络瘀血。结论：通过对慢性萎缩性胃炎中医病机与证候分布规律的研究，为本 病的证候规范化奠定了基础。 关键词：慢性萎缩性胃炎；病机；症状；证候分布规律 基金资助：江西省教育厅资助项目（No.GJJ09279），江西省卫生厅资助项目（No.2009Z02），南昌市科技 局重点资助项目（No.2060402） Study on TCM pathogenesis and syndrome distribution rules of CAG DING Cheng-hua, LI Jing-jing, FANG Fang, FENG Lei, CHENG Shao-min, SHI Qiang, ZHENG Shao-yong, LAN Jia ( Jiangxi University of TCM, Nanchang 330004, China ) Abstract: Objective: By studying the TCM pathogenesis and syndrome distribution rules of chronic atrophic gastritis (CAG) to provide basis for the further research on syndrome normalization of CAG. Methods: On basis of collecting and analyzing the literature of CAG treated by TCM in recent 10 years, the SPSS12.0 was used to analyze the TCM pathogenesis and syndrome distribution rules of CAG. Results: For the pathogenesis, weakness of the spleen and stomach was the main factor, then were respectively stagnation of liver qi, wet-heat, yin defi ciency, blood stasis; The common sings were vague pain of the stomach, loose stool, full of the stomach, burning pain of the stoma