不同内伤基础甲型H1N1流感的中医病因病机初探.pdfVIP

不同内伤基础甲型H1N1流感的中医 病因病机初探 张伟2王融冰2王玉光3杜宏波2倪量2黄莉2姜良铎1李兴旺2 韩艳武1 1北京中医药大学东直门医院，北京1007002首都医科大学附属北京地坛医院，北京100015 3首都医科大学附属北京中医医院，北京100010 摘要：目的：探讨不同内伤基础甲型H1N1流感的中医证候学及病因病机特点。方法：采用回顾性病例研究 的方法，比较分析770例甲流确诊病例中无内伤基础病组和5类不同内伤组的中医相关临床资料，归纳各自的证候 特点及病因病机。结果：①肺系内伤组咳痰急性加重，肺部啰音、咽部充血突出，危重症发热不显著，多见咳 痰、脉数、胸闷憋气、气短；②心系内伤组咽部充血、咽痛及胸闷憋气、倦怠乏力等感觉显著；③肾与膀胱内伤 组突出表现为胸闷憋气、湿啰音、痰中带血；④消渴内伤组喘促、憋闷、气短较显著；⑤肝胆内伤组轻者表现为 咳痰、肌肉酸痛、腹泻，重者主要见尿黄、倦怠乏力。结论：不同内伤基础对于甲型H1N1流感临床特征及预后 具有影响。 关键词：内伤基础；甲型H1N1流感；证候特点；病因病机 PreliminarystudyofetiologyandpathogenesisinTCMforH1N1influenza ondifferentinternalinjurybasis HANYan-wu1ZHANGWei2WANGRong-bing2WANGYu-guang3DUHong-bo2NILiang2 HUANGLi2 英文作者八=JIANGLiang-duo1 英文作者九=LIXing-wang2 1DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine,Beijing100700,China 2BeijingDitanHospital AffiliatedtoCapitalMedicalUniversity,Beijing100015,China 3Beijing Hospital of Traditional Chinese Medicine, Capital MedicalUniversity,Beijing100010,China Abstract:Objective:ToexploresyndromecharacteristicsandetiologyandpathogenesisinTCMofH1N1influenza ondifferentinternalinjurybasis.Methods:Weconcludedretrospectivesyndromecharacteristicsandetiologyandpathogenesis onbasisofcomparingandanalyzing770definiteH1N1caseswhichweredividedintonointernalinjurygroupandfiveinternal injurygroupsonretrospectivestudy.Results:①Lungsysteminternalinjurygroupmainlymanifestedasacuteexacerbation,rale andpharyngealhyperemia,whilethemainsymptomsincriticalillnesswereexpectoration,rapidpulse,laboredshortbreathingand lessfever;②Cardiacsysteminternalinjurygroupmanifestedaspharyngealhyperemia,pharyngodynia,laboredbreathing,fatigue; ③Kidneyandbladderinternalinjurygroupmanifestedaslaboredbreathing,moistraleandbloodysputum;⑤Xiaokeinternal injurygroupmanifestedasw