Abstract：Objective: To explore the distribution rules of traditional Chinese medicine syndrome elements in patients with primary insomnia,thereby providing ideas and methods for clinical diagnosis and treatment.Methods: The clinical data of 120 patients with primary insomnia in this area were collected by retrospective research method.The factors such as age,gender,course of disease,chief complaint and symptoms,syndrome were statistically analyzed.And the clinical syndrome elements and pattern combination rules of primary insomnia were obtained.The correlation between different syndrome elements and gender was discussed.Results: The age distribution of 120 patients was mainly middle-aged and elderly,with 43 cases (35.8%) in 51-60 years old group,and 53 cases (44.2%) in disease course >24 months group.Among the different syndrome element combinations of primary insomnia,the number of patients with double syndrome element combination (87 cases) was more than that of three syndrome element combination (33 cases),among which the number of liver stagnation and heat transforming fire syndrome (26 cases,21.7%) of double syndrome element combination was more than other combination.Fire heat (83 cases),Qi Stagnation (63 cases) and phlegm turbidity (48 cases) were more common in the disease nature syndrome elements,heart (57 cases),liver (63 cases) and spleen (26 cases) were more common in disease location syndrome elements;in 34 male patients,the top three syndrome elements were fire heat (24 cases),phlegm turbidity (20 cases),Qi Stagnation (16 cases).In 86 female patients,the top three syndrome factors were fire heat (59 cases),Qi Stagnation (47 cases) and Qi deficiency (32 cases).Among them,the number of cases of qi deficiency and phlegm turbidity between male and female was statistically significant (P<0.05).Conclusion: The main disease location syndrome elements involved in primary insomnia are:liver,gallbladder,heart,spleen,stomach and kidney;the main disease nature syndrome elements are:fire heat,qi stagnation,Qi deficiency,phlegm turbidity,blood deficiency,yin deficiency,and the pathogenesis of insomnia is mostly double syndrome elements.
边菁哲, 陈秀娟, 樊明爽, 李珺, 闫丽伟, 孟彦华. 原发性失眠患者的证素分布规律及相关性研究[J]. 河北医学, 2020, 26(11): 1932-1936.
BIAN Jingzhe, CHEN Xiujuan, et al. Study on the Distribution and Correlation of Syndrome Elements in Patients with Primary Insomnia. HeBei Med, 2020, 26(11): 1932-1936.
2020, Vol. 26 
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