基于病机研究出血性中风证候诊断方法  

On Syndrome Diagnosis of Hemorrhagic Stroke Based on Pathogenesis

作　　者：过伟峰[1] 李国春[2] 李婷婷[1] 孙蓉蓉[1] 吴勉华[1] 

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023 [2]南京中医药大学基础医学院,江苏南京210023

出　　处：《南京中医药大学学报》2013年第1期1-4,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省"六大人才高峰"第七批高层次人才项目;国家中医药管理局"中医瘀热病机重点研究室"开放课题

摘　　要：有其"症",辨其"证",分其"型",是中医传统辨证体系的基本模式,其优势和特色是灵活、多变,缺陷是难以规范统一。基于审证求机提出病机证素概念,它是某种疾病范围内某一证候的病机要素,能概括/体现该病证的病机特征。病机证素源自病理因素,因其数量有限,内容相对清晰,故建立其规范化的辨证诊断标准是完全可行的。研制病机证素诊断量表是规范化辨证诊断的前提。以出血性中风为例,探讨病机证素诊断量表研制的方法和步骤,进而研究基于病机证素组合的证候辨证诊断方法。结果体现了辨证灵活性与证候规范化之间的统一,以适应中医临床证候繁杂多变的局面,为构建证候规范化与辨证灵活性相统一的中医辨证模式开辟途径。Differentiating the syndrome of a disease according to the symptoms is the basic pattern of traditional Chinese medical （TCM） syndrome-differentiating system, with the advantage and feature of flexibility, and the disadvantage of being difficult to be regulated and unified. Based on determining the pathogenesis according to syndrome differentiation, this paper has presented the conception of pathogenic syndrome element which is the pathogenic element of a syndrome in a certain disease range, with the function of generalizing/reflecting the pathogenic characteristics of the syndrome. Springing from the patho- genic elements, the pathogenic syndrome elements have a limited number and clear content, so it＇s completely feasible to set up their regular syndrome-differentiating diagnostic standard, of which the premise is making a diagnostic scale of pathogenic syn- drome element. Taking hemorrhagic stroke for example, this paper has studied the method and procedure of making the patho- genic syndrome element diagnostic scale, and has further studied the syndrome-differentiating diagnostic method based on the combination of pathogenic syndrome elements. The results have reflected the union of syndrome-differentiating flexibility and syndrome standardization, so as to adapt to the complicated and changeable situation of TCM clinical syndromes, and open up a new way of establishing the TCM differential model with the union of syndrome standardization and syndrome-differentiating flexibility.

关 键 词：出血性中风 病机证候 辨证诊断 

分 类 号：R241[医药卫生—中医诊断学]