[1]刘静,杨建新△,王春晓,等.基于《伤寒论》六经辨证体系的腰椎间盘突出症中医证型规律研究[J].中国中医骨伤科杂志,2023,31(07):12-16.[doi:10.20085/j.cnki.issn1005-0205.230703 ]
　LIU Jing,YANG Jianxin,WANG Chunxiao,et al.Study on the Law of TCM Syndromes of Lumbar Disc Herniation Based on the Syndrome Differentiation System of Six Meridians in Treatise on Febrile Diseases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(07):12-16.[doi:10.20085/j.cnki.issn1005-0205.230703 ]
点击复制

基于《伤寒论》六经辨证体系的腰椎间盘突出症中医证型规律研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年07期
页码:
12-16
栏目:
临床研究
出版日期:
2023-07-15

文章信息/Info

Title:
Study on the Law of TCM Syndromes of Lumbar Disc Herniation Based on the Syndrome Differentiation System of Six Meridians in Treatise on Febrile Diseases
文章编号:
1005-0205(2023)07-0012-05
作者:
刘静1; 杨建新2△; 王春晓2; 谢兴文3; 姜徽2; 张志明1; 谢培钧2
1甘肃中医药大学(兰州,730000)
2天水市中医医院
3甘肃中医药大学附属医院
Author(s):
LIU Jing1; YANG Jianxin2△; WANG Chunxiao2; XIE Xingwen3; JIANG Hui2; ZHANG Zhiming1; XIE Peijun2
1Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China; 2Tianshui Traditional Chinese Medicine Hospital,Tianshui 741000,Gansu China; 3Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China.
关键词:
腰椎间盘突出症;  六经理论;  中医证候;  聚类分析;  主成分分析
Keywords:
lumbar disc herniation;  six meridians theory;  syndrome of traditional Chinese medicine;  cluster analysis;  principal component analysis
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230703
文献标志码:
A
摘要:
目的:基于六经辨证体系探索腰椎间盘突出症中医辨证分型及分布规律。方法:纳入300例腰椎间盘突出症患者病例资料,运用聚类分析和主成分分析方法确定证型和主次证。结果:证型具体分布为风袭太阳证(12.33%)、邪犯少阳证(36.67%)、热扰阳明证(11.67%)、寒犯少阴证(8.00%)、湿停太阴证(19.33%)、血瘀厥阴证(12.00%)六大类,并明确其主证次证。结论:腰椎间盘突出症的中医证型分为6类,呈现出三阴为本、邪实为标的特征,可为腰椎间盘突出症中医防治提供参考。
Abstract:
Objective:To explore the traditional Chinese medicine(TCM)syndrome differentiation and distribution of lumbar intervertebral disc herniation based on the six meridian syndrome differentiation system.Methods:The data of 300 patients with lumbar disc herniation were included in this study.The syndrome types and primary and secondary symptoms were determined using cluster analysis and principal component analysis.Results:The syndrome types were divided into six categories:wind attacking sun syndrome(12.33%),evil invading Shaoyang syndrome(36.67%),heat Yu Yang Ming syndrome(11.67%),cold invading Shaoyin syndrome(8.00%),dampness stopping Taiyin syndrome(19.33%),and blood stasis syncope Yin syndrome(12.00%).The main symptoms and secondary symptoms of each syndrome type were clearly defined.Conclusion:The TCM syndrome types of lumbar disc herniation can be classified into six types,characterized by three Yin-based syndromes and three evil-based syndromes.This classification provides a theoretical basis for the prevention and treatment of lumbar disc herniation in TCM.

参考文献/References:

[1] LIU F J,XIE L Y,LI H Z,et al.Expression of ANGPTL4 in nucleus pulposus tissues is associated with intervertebral disc degeneration[J].Dis Markers,2021:3532716.
[2] ÖTEN E,CIVAN O,UUR L.Traction therapy in lumbar disc hernias:a finite element analysis study[J].Jt Dis Relat Surg,2022,33(1):86-92.
[3] KOVACS F M,FERNÁNDEZ C,CORDERO A,et al.Non-specific low back pain in primary care in the Spanish National Health Service:a prospective study on clinical outcomes and determinants of management[J].BMC Health Services Research,2006,6:57.
[4] 孙艺玲,陈瑛,臧书晗,等.针刀诊疗腰椎间盘突出症经验[J].中华中医药杂志,2021,36(7):4076-4078.
[5] 张皓博,赵宇楠,杨学军.细胞焦亡在椎间盘退变中的作用及治疗意义[J].中国组织工程研究,2022,26(9):1445-1451.
[6] 中华医学会骨科学分会脊柱外科学组,中华医学会骨科学分会骨科康复学组.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-487.
[7] 吕艳,刘芬,彭涛,等.中西医结合在腰椎间盘突出症康复中的作用[J].中国临床保健杂志,2022,25(5):717-720.
[8] 赵龙,张荣宜,刘畅.椎间孔镜手术与等离子联合胶原酶手术治疗腰椎间盘突出症的临床疗效比较[J].中华全科医学,2021,19(11):1827-1830.
[9] 杨敏,蒋立,徐桂华.中医药治疗腰椎间盘突出症的系统评价/Meta分析的再评价[J].中华中医药学刊,2016,34(12):2897-2901.
[10] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.
[11] KREINER D S,PAUL M,BONO C M,et al.Guideline summary review:an evidence-based clinical guid eline for the diagnosis and treatment of low back pain[J].Spine J,2020,20(7):998-1024.
[12] 黄桂成,王拥军.中医骨伤科学[M].北京:中国中医药出版社,2016.
[13] 李景虎,吕立江,吕智桢,等.腰椎间盘突出症从筋骨论治初探[J].中医正骨,2022,34(6):50-52.
[14] 方略,黄晓涛,王翠玉,等.中医辨证论治联合硬膜外冲击治疗腰椎间盘突出症的探讨[J].中医正骨,2016,28(1):76-78.
[15] 吴凯,江晓霁,万斌.应用六经理论辨证论治颈椎病经验[J].中国中医骨伤科杂志,2020,28(10):75-77.
[16] 祁通.杨建新主任医师治疗腰椎间盘突出症的辨证思路[J].中医临床研究,2021,13(11):91-93.
[17] 叶子丰,匡浩铭,戎宽,等.匡建军教授六经辨证治疗腰椎间盘突出症的经验[J].中国中医骨伤科杂志,2022,30(11):73-76.
[18] 王春晓,杨建新.杨建新主任医师治疗腰椎间盘突出症的经验[J].中国中医骨伤科杂志,2017,25(12):74-76.
[19] 龚燕冰,倪青,王永炎.中医证候研究的现代方法学述评(二)——中医证候的量化及数理统计方法[J].北京中医药大学学报,2007(1):5-8.
[20] 陶嘉磊,袁斌,汪受传.中医证候学研究的技术方法及其运用现状[J].中华中医药杂志,2018,33(7):2982-2985.
[21] 冷玉琳,高泓,富晓旭,等.中医证候临床研究方法研究进展[J].中华中医药杂志,2021,36(10):6002-6005.
[22] 徐玮斐,刘国萍,王忆勤.多元统计学方法在中医证候分类识别中的应用及展望[J].中国中医药信息杂志,2015,22(8):124-128.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81860864)
甘肃省科技计划资助项目(20JR5RA129)
甘肃省省级中医药科研课题(GZK-2017-78)
△通信作者 E-mail:13893856538@163.com
更新日期/Last Update: 2023-07-10