基于现代医学理论的心力衰竭中医辨证三部曲  

Trilogy of TCM Syndrome Differentiation About Heart Failure Based on Modern Medical Theory

作　　者：周扬海 李南夷[2] ZHOU Yanghai;LI Nanyi(Guangzhou Hospital of Traditional Chinese Medicine,Guangzhou 510130,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州市中医医院,广东广州510130 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《中国中医药信息杂志》2019年第1期10-12,共3页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：现代医学认识的心力衰竭是由各种原因导致心脏收缩或舒张功能障碍从而出现肺/体循环充血、组织低灌注等临床表现的一种综合征。中医认为本病病位在心,与肾、脾、肺相关,基本病机是本虚标实,本虚以心气、心阳亏虚为主,标实主要是血瘀和水饮。本文基于现有标准的临床程度分级,确定中医辨证三部曲,旨在简化心力衰竭的辨证过程。Modern medicine believes that heart failure is a syndrome with clinical manifestations such as pulmonary/systemic hyperemia and tissue hypoperfusion caused by various causes of systolic or diastolic dysfunction. TCM believes that the disease is located in heart, and related to the kidney, the spleen and the lung. The basic pathogenesis is deficiency in origin and excess in superficiality, in which the deficiency is mainly caused by the heart of qi or yang, and the main results are blood stasis and fluid retention stagnating in the interior. This article draw up a trilogy of TCM syndrome differentiation based on the clinical degree of existing standard, aiming to simplify the syndrome differentiation of heart failure.

关 键 词：心力衰竭 中医辨证 临床指南 

分 类 号：R259.416.1[医药卫生—中西医结合]