从临床流行病学调查探讨肝气郁结病机特点

目的通过临床流行病学调查分析，探讨肝气郁结病机特点。方法采用流行病学整群抽样法，从湖南中医药大学第一附属医院、第二附属医院及第三附属医院2000年1月-2001年12月所有住院病例中，查找临床中医证候诊断属肝气郁结及其兼证者，填写调查表格，运用SPSS软件进行统计分析。结果运用流行病学调查分析的方法论证了肝气郁结的广泛性-杂病多郁、复杂性-变证多端、倾向性-易传脾胃三大病机特点。结论本法为中医病机学研究的有效方法，比较客观、真实，符合临床实际情况。

Study of Pathogenic Characteristics of Hepatic Depression Syndrome through Clinical Epidemiologic Survey

Objective To study the pathogenic characteristics of hepatic depression syndrome （HDS） through clinical epidemiologic survey. Methods By using the method of epidemiologic cluster sampling, the cases complicated with HDS from the hospitalized cases from January 2000 to December 2001 of the First Affiliated Hospital, the Second Affiliated Hospital and the Third Affiliated Hospital of Hunan University of TCM, and survey forms were f＇filed. The data was counted and analyzed by using SPSS statistical analysis software. Result By the method of epidemiologic survey, the pathogenic characteristics of HDS were demonstrated as follows： universality-HDS could occur in many dieases, complexity-HDS often changed into other syndromes, orientation-HDS often influenced the function of spleen and stomach. Conclusion The method is an effective way to study pathogenesis of TCM. It is objective, truthful and consistent with the clinical situation.