Jiang Feng, Fu Lin-chun, Ma Jian-ping, Zhou Qing, Peng Bo, Xie Shi-ping, Guo Hui-jun, Dong Yong-xin, Ma Xiu-lan, Guo Xuan-xian, Xie Zhong-li, Hu Yan-ping, Li Qing-ya, Li Hua-wei, Jin Yan-tao
Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Zhong Xi Yi Jie He Xue Bao. 2011 Sep;9(9):955-64. doi: 10.3736/jcim20110906.
To study the characteristics of traditional Chinese medicine (TCM) syndrome factors of patients from different areas of China with human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS).
A cross-sectional investigation study was conducted in Henan, Guangdong and Yunnan Provinces and Xinjiang Uygur Autonomous Region of China from October 2008 to August 2010. Based on literature review and expert opinion, a clinical questionnaire of TCM syndromes was drawn up. This survey was carried out after the investigators were professionally trained. Wenfeng III Auxiliary Diagnosis and Treat System of TCM was used to analyze the frequencies of AIDS patients' signs and symptoms with scores above 70 of syndrome factors respectively. Based on this work, syndrome factors of AIDS were analyzed in different areas.
There were 608 HIV/AIDS cases investigated from October 2008 to August 2010 in total; among them, 276 cases were from Henan, 126 cases from Guangdong, 120 cases from Xinjiang and 86 cases from Yunnan. The results of syndrome factor analysis indicated that the syndromes of four provinces were similar. HIV/AIDS patients in the four areas exhibited qi deficiency, blood deficiency, yin deficiency, yang deficiency, dampness, phlegm, qi stagnation and essence deficiency syndromes. Patients in each area also had their own characteristics, such as that the scores of dampness of Guangdong and yin deficiency of Xinjiang were higher than the other syndromes, whereas the scores of Henan Province were higher than the other areas. AIDS patients had higher scores of syndromes than HIV-infected patients.
HIV/AIDS patients from different areas had similar syndrome elements. The theory of "AIDS toxin injuring primordial qi" can sum up the TCM etiology and pathogenesis of HIV/AIDS.
研究我国不同地区人类免疫缺陷病毒（HIV）感染或获得性免疫缺陷综合征（AIDS）患者的中医证候要素特征。
于2008年10月至2010年8月在我国河南、广东、云南三省及新疆维吾尔自治区进行横断面调查研究。在文献回顾和专家意见的基础上，拟定中医证候临床调查问卷。调查人员经专业培训后开展此项调查。采用中医文峰Ⅲ辅助诊疗系统分别分析艾滋病患者症状体征及证候要素积分≥70分的频次，并据此分析不同地区艾滋病的证候要素。
2008年10月至2010年8月共调查HIV/AIDS病例608例，其中河南276例，广东126例，新疆120例，云南86例。证候要素分析结果显示，四省证候相似，HIV/AIDS患者均表现为气虚、血虚、阴虚、阳虚、湿、痰、气滞、精亏等证候。各地区患者又有自身特点，如广东湿证积分、新疆阴虚证积分高于其他证候，河南各证候积分高于其他地区。AIDS患者证候积分高于HIV感染者。
不同地区HIV/AIDS患者证候要素相似，“艾毒伤元气”理论可概括HIV/AIDS的中医病因病机。
