目的探讨原发性失眠症的中医证候群特点,分析其诊断要点。方法通过收集原发性失眠患者的四诊信息,采用系统聚类分析的方法归纳出原发性失眠的中医证候群,从而确定原发性失眠的证候诊断要点。结果原发性失眠的中医证候分布特点主要包括4个证型:肝郁脾虚、阴虚火旺、痰热扰心、心虚胆怯,其中肝郁脾虚为主要类型。结论筛选证候标准与专家诊断结果一致性较好,老年患者以肝郁脾虚证型为主,而年轻患者则以阴虚火旺、痰热扰心型为主。
Objective To study the characteristics of syndrome of traditional Chinese medicine about primary insomnia,and analyze the main points of diagnosis. Methods The four diagnostic information in patients with primary insomnia was collected and summarized the primary insomnia in traditional Chinese medicine syndrome by the method of system clustering analysis,in oeder to determine the syndrome diagnosis of primary insomnia. Results The distribution of traditional Chinese medicine syndromes of primary insomnia mainly included 4 types of syndrome:liver stagnation and spleen deficiency,hyperactivity of fire due to Yin deficiency,phlegm heat disturbance of the heart, afraid cowardice,which is the main type of liver stagnation and spleen deficiency. Conclusion Syndrome screening criteria and expert diagnosis has better consistency.Liver stagnation and spleen deficiency syndromes is the main syndromes in elderly patients, hyperactivity of fire due to Yin deficiency syndromes is the main syndromes in young patients.