Traditional Chinese Medicine Syndrome of Influenza Complicated with Pneumonia:An Analysis of 189 Cases
10.13359/j.cnki.gzxbtcm.2025.10.002
- VernacularTitle:189例流行性感冒合并肺炎患者的中医证候分析
- Author:
Jieyi DENG
1
;
Fang LI
;
Siqi WU
Author Information
1. 广州中医药大学第二临床医学院,广东 广州 510405
- Keywords:
influenza;
pneumonia;
clinical characteristics;
TCM syndromes;
exterior cold with interior heat syndrome;
phlegm-turbidity obstructing internally syndrome;
phlegm-stasis obstructing the lung syndrome;
factor analysis;
cluster analysis
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(10):2374-2379
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of traditional Chinese medicine(TCM)syndromes in patients with influenza complicated with pneumonia and to provide references for TCM treatment strategies.Methods A retrospective analysis was conducted on 189 cases of influenza complicated with pneumonia,which were treated in the outpatient or inpatient department of Guangdong Provincial Hospital of Chinese Medicine from January 2016 to December 2023.Frequency analysis,factor analysis,and cluster analysis were performed to summarize the distribution patterns of TCM syndromes in these patients.Results(1)Clinical characteristics:Among the 189 patients,162 were infected with influenza A virus,27 with influenza B virus,and 1 with co-infection of both viruses.There were 93 males(49.2％)and 96 females(50.8％).The age of the patients ranged from 19 to 96 years,with a mean of(68.06±19.08)years.(2)TCM four-examination findings:The top four clinical symptoms were cough,fever,expectoration,and fatigue.Regarding tongue manifestations,the predominant tongue colors were red,dark red,and pale with dark hue,while the primary tongue coatings were yellow greasy and white greasy.The most common pulse patterns were slippery,wiry,and rapid.(3)Syndrome distribution characteristics:Factor analysis revealed that the disease location was primarily lung and spleen,with cold,heat,and phlegm as the main pathological factors.Cluster analysis identified three distinct syndrome types:exterior cold with interior heat syndrome,phlegm-turbidity obstructing internally syndrome,and phlegm-stasis obstructing the lung syndrome.Conclusion The predominant TCM syndromes in influenza complicated with pneumonia are exterior cold with interior heat syndrome,phlegm-turbidity obstructing internally syndrome,and phlegm-stasis obstructing the lung syndrome.The disease primarily affects the lung and spleen,with cold,heat,and phlegm as the major pathological factors.Attention should also be paid to the influence of"stasis"as a pathological factor on these patients.
