|本期目录/Table of Contents|

[1]吕丹丹 彭秋红 袁静等.狂犬病患者分期证候学调查及 病因病机分析[J].环球中医药,2014,7(02):92-0.
　YU Dan dan,PENG Qiu hong,YUAN Jing,et al.Syndrome staging investigation and analysis of the etiology and pathogenesis of rabies patientsL[J].,2014,7(02):92-0.
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狂犬病患者分期证候学调查及 病因病机分析()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第7卷
期数:
2014年02期
页码:
92-0
栏目:
论著
出版日期:
2014-02-06

文章信息/Info

Title:
Syndrome staging investigation and analysis of the etiology and pathogenesis of rabies patientsL
作者:
吕丹丹 彭秋红 袁静等
Author(s):
YU Dandan;  PENG Qiuhong;  YUAN Jing; et al.
Hunan University of Traditonal Chinese Medicine ，Changsha 410208，China
关键词:
狂犬病; 分期辨证; 伏邪; 证素
Keywords:
Rabies; Staging syndrome; Latent poison; Syndrome key factors
分类号:
R2414
DOI:
-
文献标志码:
A
摘要:
目的通过对狂犬病临床表现的回顾性研究，初步探讨狂犬病不同分期中医证候要素的分布情况并总结病因病机，为中医临床辨证提供可能的参考。方法收集符合狂犬病诊断的病例36例，按照超早期、早期、中期、晚期整理分析其症状、体征。采用描述性统计，初步探讨不同分期中医症状及证候要素的分布情况。结果狂犬病超早期以毒伏脉络为主；早期基本病机为风毒内动出表，次要病机为正气亏虚、瘀阻脉络；中期以瘀热入络、肝风内动、痰蒙心窍为主，次要病机为气阴两虚；晚期病机为热毒互结，痰瘀阻闭，阳脱阴竭。结论根据狂犬病临床表现确定中医“证素”，结合病因病机及伏气温病理论分期辨证更能体现狂犬病的发生、发展过程、临床表现的时空特点，为中医药防治狂犬病提供可能的依据。
Abstract:
Explore the rabies syndromes distribution of the different stages on the basis of the clinical study retrospectively and sum up the pathogenesis, which could provide a reference for clinical syndrome differentiation in Traditional Chinese Medicine(TCM). Methods 36 patients diagnosed with rabies cases were collected, whose symptoms and signs were analyzed in the light of the superearly, early, mid, and advanced stages. And symptoms and syndrome factors in TCM were studied preliminarily with descriptive statistics. Results Rabies patients in superearly stage mainly showed the sign that poison latent in collaterals ; the basic pathogenesis in early stage was the wind poison stirring within and go without , and the secondary pathogenesis would be deficiency of vital qi and blood stasis resistance; the main pathogenesis in mid stage were stagnant heat entering into vessels and collaterals , liverwind stirring within, phlegm blocking the heart, the secondary pathogenesis showed deficiency of both qi and yin; the pathogenesis in late stage were toxic and heat combining with each other , phlegm and blood stasis blocking , yinyang dissociation . Conclusion According to clinical manifestations of rabies, “Syndrome key factors ” in TCM were determined. And then combining the etiology and pathogenesis and disease theory based on temperature, the spacetime feature on the occurrence and development process of rabies can be better seen, which could also provide gist for the prevention and control of rabies in TCM.

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相似文献/References:

[1]陈珊珊,危剑安,黄霞珍,等.中医药治疗狂犬病文献回顾[J].环球中医药,2012,5(02):114.

备注/Memo

备注/Memo:

作者单位：410208 长沙，湖南中医药大学针灸推拿学院［吕丹丹（硕士研究生）］；华南师范大学2011级信息光电子科技学院(彭秋红)；广东省深圳市第三人民医院感染科(袁静)，中西医结合科（聂广）作者简介：吕丹丹（1986-），女，2007级七年制硕士研究生。研究方向：中医肝病。Email：lydiafly030201@126.com通讯作者：聂广（1955-），硕士，主任医师，教授，中国中西医结合学会传染病专业委员会副主任委员。研究方向：中西医结合传染病。Email：fqng1008@163.com
更新日期/Last Update: 1900-01-01