Lei Yan, Wang Zhen-Hua, Liu Jian-Gang
Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Dec;27(12):1074-7.
To explore the rules of TCM syndrome in patients with dyslipidemia and its relation with C-reactive protein (CRP), homocysteine (Hcy), carotid ultrasonic picture, blood lipids and blood viscosity.
From 152 recruited patients symptoms and physical signs (including figures of tongue and pulse) were selected and analyzed in grading and quantifying by factor analysis. At the same time, blood lipids, CRP, Hcy, carotid ultrasonic picture and blood viscosity were detected to conduct a canonical correlation analysis for exploring the relationship between different TCM syndromes and their corresponding physical and/or chemical indexes.
Five types of TCM syndrome obtained by factor analysis were syndrome of Shen-yin deficiency (I), Pi-qi deficiency (II), turbid-phlegm impediment (III), blood stasis (IV), and phlegm-blood block (V). By canonical correlation analysis, they were characterized with: Type I, high levels of CRP and blood viscosity; Type II, high level of very low-density lipoprotein cholesterol (VLDL-C); Type III, high level of total cholesterol (TC) and low level of high-density lipoprotein cholesterol (HDL-C); and Type V, high level of Hcy.
The five syndrome types frequently found in patients with dyslipidemia are syndrome of Shen-yin deficiency, Pi-qi deficiency, turbid-phlegm impediment, blood stasis, and phlegm-blood block. Different syndrome has its own correlation with some corresponding physical and/or chemical laboratory indexes, the issue provides new evidences for the objectification of TCM syndromes in patients with dyslipidemia.
探讨血脂异常患者的中医证候规律及其与C反应蛋白(CRP)、同型半胱氨酸(Hcy)、颈动脉超声图像、血脂及血液黏度的关系。
选取152例入选患者的症状和体征(包括舌象和脉象),采用因子分析进行分级和量化分析。同时,检测血脂、CRP、Hcy、颈动脉超声图像及血液黏度,进行典型相关分析,以探讨不同中医证候与其相应理化指标之间的关系。
通过因子分析得出5种中医证型,分别为肾阴亏虚证(I型)、脾气虚证(II型)、痰浊内阻证(III型)、血瘀证(IV型)和痰瘀互结证(V型)。典型相关分析显示,各证型特点为:I型,CRP和血液黏度升高;II型,极低密度脂蛋白胆固醇(VLDL-C)升高;III型,总胆固醇(TC)升高,高密度脂蛋白胆固醇(HDL-C)降低;V型,Hcy升高。
血脂异常患者常见的5种证型为肾阴亏虚证、脾气虚证、痰浊内阻证、血瘀证和痰瘀互结证。不同证型与相应的某些理化指标存在相关性,为血脂异常患者中医证候的客观化提供了新的依据。