文献类型：期刊文献

中文题名：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

英文题名：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

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]

第一作者：刘静

机构：[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

第一机构：甘肃中医药大学

年份：2023

卷号：31

期号：7

起止页码：12

中文期刊名：中国中医骨伤科杂志

外文期刊名：Chinese Journal of Traditional Medical Traumatology & Orthopedics

收录：CSTPCD

基金：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)。

语种：中文

中文关键词：腰椎间盘突出症;六经理论;中医证候;聚类分析;主成分分析

外文关键词：lumbar disc herniation;six meridians theory;syndrome of traditional Chinese medicine;cluster analysis;principal component analysis

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。
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.