摘要 在查阅中医文献的基础上，以中医基础理论为指导，对169名国家及省级优秀运动员出现的运动性疲劳证候进行深入调查分析研究，总结出5种常见的运动性疲劳证候：筋肉疲劳酸痛证、运动性失眠证、运动性脾胃功能失调证、肾气不足证及月经失常证，并结合运动性疲劳证候的生理性特点，制订出诊断标准。作者认为运动性疲劳证与内伤虚劳病的发生密切相关，其本质主要与脾、肾根本机能变化或受损密切相关。

    关键词 运动性疲劳 中医 分型 诊断

    Classification and Diagnosis of Exercise Fatigue by Traditional Chinese Medicine

    Zhang Shiming et al

    1998，18(6):59

    (National Research Institute of Sports Injury, Chengdu, China 610041)

    Abstract Based on the theory of traditional Chinese medicine and relative literature, 169 elite athletes from national and provincial sports teams were investigated for exercised induced fatigue. Five types of common signs of exercise fatigue were summarized as muscular fatigue and soreness, exercise-induced insomnia, dysfunction of spleen and stomach, deficiency of the kidney-qi, and menstrual disorder. Scientific criterions for diagnosis of different fatigue signs were established in combination with the physiological characteristics of exercise fatigue. The interrelationship between the five signs was analyzed which proved coincident with traditional Chinese medicine. The authors believe that the signs of exercise fatigue have a direct bearing on the occurrence of internal injury and deficient overtraining, of which the essence is the changes or injuries of spleen and kidney function. Fatigue is a physiological and functional sign while overtraining is a pathological sign. ......