目的探讨福建及甘肃地区海洛因成瘾者中医证素特征。方法对福建、甘肃省下属强制戒毒所共462例自愿参加调查的海洛因成瘾者,开展毒品成瘾者中医PRO量表采集,应用证素辨证法提取中医证素。结果福建及甘肃地区海洛因成瘾者证素均有差异(P〈0.05),甘肃地区证素成立比例明显高于福建。福建排名前三的病位证素为脾、肾、肝,病性证素为气虚、阳虚、气滞;甘肃排名前三的病位证素为肝、肾、脾,病性证素为气虚、气滞、阳虚。结论毒品成瘾具有多脏腑功能失调,虚实夹杂的症候学特点。肝郁是毒瘾形成的重要诱因,脾肾两虚是主要病理基础,"痰"是"毒瘾"缠绵难愈特性的根本病理因素。在毒品戒断工作中,要加强对于内陆经济文化相对落后地区毒品问题的关注力度。
Objective To explore the TCM Syndrome element characteristics of Male heroin addicts between Fujian and Gansu Province. Methods To carry out the collection of TCM-PRO scale of drug addicts in compulsory rehabilitation centers which has462 heroin addicts volunteers for the survey in Fujian and Gansu province. Extracting the TCM syndrome elements with the syndrome factor differentiation method. Results The Syndrome elements of heroin addicts are all differences between Fujian and Gansu area( P 0. 05),the establishment of syndrome elements in Gansu is significantly higher than it in Fujian. The top three disease location factors in Fujian are spleen,kidney and Liver,disease syndrome factors are Qi deficiency,Yang deficiency,Qi stagnation. The top three disease location factors in Gansu are liver,kidney and spleen,disease syndrome factors are Qi Deficiency,Qi stagnation,Yang deficiency. Conclusion Drug addiction is characterized by several viscus dysfunctions and the symptoms of excess and deficiency. Liver depression is an important cause of the formation of drug addiction,deficiency of the spleen and kidney is the main pathological basis,phlegm is the root cause of drug addiction lingering. In the work of drug withdrawal,we should pay more attention to the drug problem of inland areas where economic and culture is backward.