主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (4): 25-30.doi: 10.3969/j.issn.2095-6606.2020.04.006

• 临床研究 • 上一篇    下一篇

紧张型头痛中医证候分布规律的文献研究*

付国静1, 刘少姣1, 梁晓2, 申伟1, 刘红喜1, 张允岭2#   

  1. 1 北京中医药大学 北京 100029;
    2 中国中医科学院西苑医院
  • 收稿日期:2019-11-16 发布日期:2020-07-30
  • 通讯作者: #张允岭,男,博士,主任医师、教授,博士生导师
  • 作者简介:付国静,女,在读硕士生
  • 基金资助:
    *首都卫生发展科研专项项目(No.首发2020-2-4173),中央级公益性科研院所基本科研业务费专项资金资助项目(No.ZZ13-024-3),国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目

Literature study on distribution of TCM syndromes of tension-type headache*

Fu Guojing1, Liu Shaojiao1, Liang Xiao2, Shen Wei1, Liu Hongxi1, Zhang Yunling2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences
  • Received:2019-11-16 Published:2020-07-30

摘要: 目的 探讨紧张型头痛中医证候分布规律,以期为规范辨证提供依据。方法 检索2000—2019年与紧张型头痛中医证候相关的文献,建立数据库,采用SPSS 20.0统计软件对中医证候诊断的参照标准、中医证候分布、证候要素及证候靶点分布、证候组合情况及常见证候的症状和体征分布情况进行统计分析。结果 纳入146篇合格文献,共出现56个证候、16个证候要素、12个证候靶点。其中,肝阳上亢证、瘀阻脑络证、痰蒙清窍证、气血两虚证较为多见,血瘀、痰和阳亢为常见的证候要素,肝、脑(络)、肾为常见的证候靶点。单一证素和两证素为较常见的证候要素出现形式,在单一证素中,阳亢、血瘀、痰出现频次较多,在两证素中,气虚和血虚、气滞和血瘀出现频次较多,肝、脑(络)为与单一证素、两证素组合最多的证候靶点;在单一证素与证候靶点组合中,阳亢与肝的组合最多,其次是血瘀和脑(络),痰和脑(络)也较为常见;在两证素与证候靶点组合中,气滞、血瘀与肝,痰、血瘀与脑(络)的组合较为常见。结论 紧张型头痛的中医证候以肝阳上亢证、瘀阻脑络证、痰蒙清窍证、气血两虚证较为多见,通过归纳紧张型头痛中医证候分布规律,规范了紧张型头痛的中医证候,对紧张型头痛的临床诊疗规范具有一定的借鉴意义。

关键词: 紧张型头痛, 中医, 证候, 证候要素, 证候靶点, 文献研究

Abstract: Objective To explore the distribution of TCM syndromes of tension-type headache and to provide evidence for specification differentiation of tension-type headache. Methods Literature related to TCM syndromes of tension-type headache from 2000 to 2019 was collected and a database was established. SPSS for windows 20.0 statistical software was used for statistical analysis of the reference criteria of TCM syndrome diagnosis, syndrome distribution, syndrome factors, syndrome target distribution, syndrome combination and symptom distribution of the common syndromes. Results A total of 146 literature met the inclusion criteria. There were 56 kinds of syndromes, 16 syndrome factors and 12 syndrome targets. The major syndromes included liver-yang hyperactivity, blood stasis in the brain, brain confusion due to phlegm, and deficiency of both qi and blood. The major syndrome factors included blood stasis, phlegm and yang-hyperactivity. The major syndrome targets included the liver, brain (collaterals) and kidney. The form of single syndrome factor and form of two syndrome factors were the combination of common syndrome factors. Among the forms of single syndrome factor, the most common ones were yang-hyperactivity, blood stasis and phlegm. Among the forms of two syndrome factors, the most common ones were qi deficiency combined with blood deficiency and qi stagnation combined with blood stasis. The liver and brain (collaterals) were the most common syndrome targets combined with the single and two syndrome factors. Among the combination of single syndrome factor and syndrome target, the most common one was yang-hyperactivity combined with the liver, and secondary ones were blood stasis combined with the brain(collaterals)and phlegm combined with the brain(collaterals). Among the combination of two syndrome factors and syndrome targets, the most common ones were qi stagnation and blood stasis combined with the liver, and secondary ones were phlegm and blood stasis combined with the brain. Conclusions The main TCM syndromes of tension-type headache were liver-yang hyperactivity, blood stasis in the brain, brain confusion due to phlegm, deficiency of both qi and blood. Through summarizing the distribution of TCM syndromes of tension-type headache, the TCM syndromes of tension-type headache were standardized, which can provide references for the clinical diagnosis and treatment of tension-type headache.

Key words: tension-type headache, traditional Chinese medicine, syndromes, syndrome factors, syndrome targets, literature study

中图分类号: 

  • R259