本文選題：“脫被征” + 中醫(yī)證型　； 參考：《廣西中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:探討小兒“脫被征”的中醫(yī)證型及其分布規(guī)律,為對小兒“脫被征”防治提供客觀的辨治規(guī)律依據(jù)。方法:本研究選擇于2015年11月1日-2017年1月31日在廣西中醫(yī)藥大學附屬瑞康醫(yī)院兒科門診就診和病房住院患兒及接受體檢保健兒童為調查對象。制定調查資料表,對具有“脫被征”的患兒進行問卷調查,收集中醫(yī)四診信息,依據(jù)病例納入標準收集了237例兒童進行研究。采用spss19.0軟件進行聚類分析,依據(jù)聚類結果,再由臨床專家依據(jù)專業(yè)知識與臨床實際進行探討分析后,最終確定證型名稱。結果:小兒“脫被征”的中醫(yī)證型主要是寒熱夾雜,心肝郁熱,脾胃蘊熱,脾失健運4型。1、癥狀分布:所調查的四診資料中,出現(xiàn)頻率在20%以上的癥候依次有形體勻稱、手足溫、舌質淡紅、口臭、苔薄白、大便成形、睡眠安穩(wěn)、睡眠不安翻身多、納正常、食少、磨牙、背部汗多、腹痛、打鼾、苔厚、頭額汗多、大便干硬如羊屎狀、煩躁易怒、難入睡、夢話、舌質偏紅21個指標。2、各證型的辨證要點如下:寒熱夾雜證的辨證內容:遺尿、手足涼、口干、流涎、易驚、手足心汗多、偏食肥甘、偏食辛辣、偏食酸甜、大便稍干、大便偏爛、大便粘、大便臭穢、苔黃厚膩、苔白厚膩、剝苔。心肝郁熱證的辨證內容:難入睡、夜啼、夢話、喜俯臥、易醒、煩躁易怒、多動、咬手指癖、過食易饑、舌質偏紅。脾胃蘊熱證的辨證內容:睡眠不安翻身多、打鼾、磨牙、腹痛、頭額汗多、肩頸汗多、背部汗多、食少、不欲食、大便干硬如羊屎狀、舌質淡、苔厚。脾失健運證的辨證內容:睡眠安穩(wěn)、口臭、形體勻稱、手足溫、納正常、大便成形、舌質淡紅、苔薄白。3、證型分布:小兒“脫被征”的主要中醫(yī)證型有脾胃蘊熱證共有79例,約占33.33%,心肝郁熱證共有69例,約占29.11%,脾失健運證共有47例,約占19.83%,寒熱夾雜證共有42例,約占17.72%。結論:小兒“脫被征”的中醫(yī)證型歸為心肝郁熱證、脾胃蘊熱證、脾失健運證、寒熱夾雜證4個證型。其中脾胃蘊熱證及心肝郁熱證最常見,其次為脾失健運證、寒熱夾雜證。
[Abstract]:Objective: to explore the TCM syndromes and their distribution pattern of children's "detachable symptoms", so as to provide an objective basis for the prevention and treatment of children's "detachable symptoms". Methods: from November 1, 2015 to January 31, 2017, the children in the pediatric outpatient and ward of Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine were investigated. The investigation data table was made, and the questionnaire was conducted to collect the information of four diagnoses of TCM. 237 cases of children were collected according to the criteria of inclusion of cases. Cluster analysis was carried out by using spss19.0 software. According to the clustering results, the clinical experts discussed and analyzed according to their professional knowledge and clinical practice, and finally determined the name of syndrome type. Results: the TCM syndromes of children with "detachable symptoms" were mainly composed of cold and heat, heart and liver stagnation, spleen and stomach heat, spleen incapacitation and transportation, and symptom distribution: in the four diagnoses investigated, the symptoms with frequency of more than 20% were symmetrical in turn. Warm hands and feet, reddish tongue, bad breath, thin fur, stool formation, stable sleep, restless sleep, normal appetite, less food, molars, back sweating, abdominal pain, snoring, thick fur, head and forehead sweat, hard stool like sheep shit, irritable irritability, Difficult to sleep, tongue red 21 indicators. 2, the main points of syndrome differentiation: cold and heat mixed syndrome differentiation content: enuresis, cold hands and feet, dry mouth, salivation, easily frightened, heart and heart sweat, partial eating fat, partial spicy, partial sour and sweet, Stool slightly dry, stool partial rot, stool sticky, stool smelly, moss Huang Hou greasy, white thick moss, peeling moss. The dialectical content of heart-liver heat syndrome: difficult to fall asleep, night cry, sleep talk, prone to lie down, easy to wake up, irritable, hyperactive, finger bite, food easy to hunger, tongue red. Syndrome differentiation of spleen and stomach heat: restless sleep, snoring, grinding teeth, abdominal pain, head and forehead sweat, shoulder and neck sweat, back sweat, food less, do not want to eat, stool dry like sheep shit, light tongue, thick fur. The content of syndrome differentiation: sleep stability, halitosis, symmetry of body, hand and foot temperature, normal absorption, stool formation, pale red tongue, thin white fur, distribution of syndromes: there were 79 cases of spleen and stomach heat syndrome in the main TCM syndromes of children. There were 69 cases of heart and liver depression and heat syndrome (29.11%), 47 cases (19.833%) of spleen incapacitation and transportation syndrome, 42 cases of cold and heat inclusion syndrome (17.72%). Conclusion: the TCM syndromes of children with "removing symptoms" can be classified into four syndromes: the syndrome of stagnation of heat in heart and liver, the syndrome of heat accumulation of spleen and stomach, the syndrome of incapacitation of spleen and transportation of spleen, and the syndrome of inclusion of cold and heat. Spleen-stomach heat accumulation syndrome and heart-liver stagnation-heat syndrome is the most common, followed by spleen failure and transport syndrome, cold and heat mixed syndrome.
【學位授予單位】：廣西中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R272

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