常见四时感冒症状及病机特点分析

张秀梅  段海辰  

（河南中医学院第一附属医院，河南  郑州，450000）

中图分类号：R241       文献标识码：A    文章编号：1674-7860（2015）33-0012-02   证型：GBAI

【摘  要】目的：调查我院就诊普通感冒患者常见临床表现及证型在四时不同季节的分布情况，并统计分析其症状及病机特点。方法：记录就诊患者起病48 h内症状表现，进行中医辨证分型分析研究。结果：资料完整的感冒患者205例，症状表现以发热最多76.6%，头痛身痛次之66.3%，咽喉肿痛，咽干痒等占第三位65.4%（134/205），中医辨证分型研究发现风寒型感冒发病12h内为单纯风寒型占47.0%；超过12 h后多为寒包火型占，风热型29.0%；暑湿24.0%。感冒证型除与季节有关外，与居住环境也有密切的关系。结论：四时感冒发病证型及表现与季节气候及居住环境有密切关系。

【关键词】感冒；证型

【Abstract】Objective: To investigate the clinical manifestation ofpestilent cold and its distribution in four season in addition to analyzing itsstatistical symptoms and pathogenesis characteristics. Methods: Patientssymptoms within 48 hours were recorded and analyzed based on TCM syndromedifferentiation. Results: There were 205 cold patients with complete data,among their symptoms, fever percentage reached 76.6%, which was followed byheadache and pantalgia, which accounted for 66.3%, swelling and pain in throatand dry throat itching accounted for 65.4%(134/205). TCM syndrome differentiationfound that simple wind-cold type occupied 47.0% of cold within 12 hours whilefire wrapped by cold became the major type after 12 hours, in which wind heattype occupied 29.0% and summer-heat and damp type occupied 24.0%. In additionto the seasons, the cold symptoms were also closely related to the livingenvironment. Conclusion: The symptoms and manifestation of pestilent cold wereclosely related to season, climate and the living environment.

【Keywords】Pestilent cold; Pathogenesis characteristics; Symptoms  

doi:10.3969/j.issn.1674-7860.2015.33.006

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