淺析癲癇中醫(yī)證候相關(guān)因素

1、AnalysisepilepsyTCMsyndromesrelatedfacts（淺析癲癇中醫(yī)證候相關(guān)因素）（淺析癲癇中醫(yī)證候相關(guān)因素）1TCMsyndromeepilepsygenderrelations1、癲癇的中醫(yī)證候與性別的關(guān)系Epidemiologicalstudieshaveshownthattheincidencegenderrelationsresultinginepilepsypatientswithmementhan

2、women.Themaletofemaleratioof1.97:1.流行病學(xué)研究表明其發(fā)病與性別有很大關(guān)系，導(dǎo)致癲癇患者男性多于女性。男女比例為197∶1。2TCMsyndromesage2、中醫(yī)證候與年齡的關(guān)系OnestudyinvestigatedthespleenTanshengmecommoninchildrenliverkidneyismecommonintheelderly.一項(xiàng)研究調(diào)查顯示，脾虛痰盛以少年兒童多見，肝腎陰

3、虛以中老年人多見。Chinesemedicinethepediatricspleenisofteninadequateinadditiontodietisnotknownsinceempirical.Asthediseaseprogressesfallingdamagerighteousnesshurttheheartspleeneventuallyleadingtokidneydeficiencythesocalled“insanel

4、ongshallreturnthefiveinternalgans“reflectsthegraduallyfromtherealtotheimaginarytheactualsituationinsightonlyseedeficiencydiseasemachinesprogression.病程長(zhǎng)者以虛證或虛實(shí)夾雜證多見，病程短者以實(shí)證多見，體現(xiàn)了病程的病理變化。中醫(yī)學(xué)認(rèn)為，疾病早期或初病多實(shí)，久病多虛。疾病早期，病情尚輕，氣血充盛

5、，正氣較足，遇風(fēng)、痰、熱等實(shí)邪與正氣相搏，故多見實(shí)證。隨著疾病的發(fā)展，日久則損傷正氣，傷及心脾，最終導(dǎo)致肝腎虧虛，即所謂“癲久必歸五臟”，反映了逐步由實(shí)轉(zhuǎn)虛，虛實(shí)互見，或僅見虛證的病機(jī)進(jìn)展過程。5theageofonsetTCMsyndrome5、發(fā)病年齡與中醫(yī)證候的關(guān)系Physiologicalstatusbloodgainslossesofdifferentageofonsetsoclinicalmanifestationsevid

6、enceisdifferent.Incidenceinchildhooddeficiencymixedcarddeficiencymecommontheincidenceinyouthdleageweremecommonevidence.Childhoodepilepsythatiscloselyrelatedwiththeinnatefactsaffectedthenmaldevelopmentofthefetusshtlyafter

7、birthsusceptibletoepilepticcard.Childrenwithearlyonsetofthevacuityvisibledeficiencymixedcardprotractedillnesscourseoftimesoseethedeficiency.YoungadultbloodChongShengessenceexuberantstrongphysiqueas“SuaskedEldernaivethey“

8、said:“......thirtyeightkidneyaverageachingfreshstrongitistrueteethgrowlongpole48bonesLongshengmusclefullstrong.“righteousnesstruecanantagonizeexogenouspathogensrighteousnesstherealevilCompetingrealevilisalsoreal.Caseofwi

9、ndsputumpyrophlegmrealevilinfestationitismethantheperfmanceoftheempirical.不同發(fā)病年齡生理狀況和氣血盈虧不同，故臨床表現(xiàn)的證不同。發(fā)病于兒童期以虛實(shí)夾雜證或虛證多見，發(fā)病于青年、中年時(shí)期以實(shí)證較多見。幼年即發(fā)癲癇者，與先天因素有密切關(guān)系，使胎兒正常發(fā)育受到影響，出生后不久即易患癇證?；純喊l(fā)病早期本虛標(biāo)實(shí)可見虛實(shí)夾雜證，病情遷延日久，故見虛證。青中年氣血充盛，精氣旺

10、盛，體質(zhì)強(qiáng)壯，正如《素問上古天真論》中所說：“……三八，腎氣平均，筋骨勁強(qiáng)，故真牙生而長(zhǎng)極；四八，筋骨隆盛，肌肉滿壯?！闭龤鈱?shí)而能拮抗外邪，正氣與實(shí)邪相搏，邪實(shí)正亦實(shí)。遇風(fēng)痰、痰火實(shí)邪侵?jǐn)_，故多表現(xiàn)實(shí)證。6etiologyTCMsyndrome6、病因與中醫(yī)證候的關(guān)系Classifiedaccdingtoetiologyepilepsyismainlydividedintoidiopathicepilepsysymptomaticepi

11、lepsycryptogenicepilepsy.TCMemphasizesaholisticapproachDoctsbelievethethreecategiesofcauseofepilepsybuttheTCMclinicalanalysisoftheetiologypathogenesisofepilepsynothingmethanpanicthesevenYuwindphlegmheatbloodstasisvirtual