对无症状高血压从“无症可辨”到“有证可辨”的探索  

Exploration of Asymptomatic Hypertension from "No Symptoms for Differentiation" to "Having Syndromes for Differentiation"

作　　者：郭泉滢[1] 唐桂军[1] 田元生[1] GUO Quanying;TANG Guijun;TIAN Yuansheng(Tha Affiliated Hospital of Henan Academy of Chinese Medicine,Zhengzhou Henan China 450003)

机构地区：[1]河南省中医药研究院附属医院,河南郑州450003

出　　处：《中医学报》2022年第3期491-495,共5页Acta Chinese Medicine

基　　金：全国中医优秀临床人才研修项目国中医药人教发项目{【2017】24};河南省中医管理局河南省首届中医拔尖人才培养项目豫中医科教发项目{【2018】35}。

摘　　要：症状只是辨证的一项依据。辨证是综合望、闻、问、切四诊合参所得出的结论。无症状高血压早期大多没有表现出典型的临床症状或者症状轻微,容易被患者忽视从而"无症可辨"。中医重视患者的体质差异、舌脉象变化、经络传变,临床可从高血压患者所产生的病理变化以及患者的体质、神色、形态、舌脉象等变化,推断出患者患有高血压,从而辨为某"证"而"辨证论治",也就是说变"无症可辨"为"有证可辨"。Symptoms are only one basis of syndrome differentiation.Syndrome differentiation is the conclusion obtained by comprehensively looking, smelling, asking, pulse-taking and four diagnosis combined with reference.In the early stage of asymptomatic hypertension, most of them do not show typical clinical symptoms or mild symptoms, which are easy to be ignored by patients, so there is "no symptoms for differentiation".Doctors attach importance to patients′ physical differences, changes of tongue and pulse and changes of meridians.Clinically, it can be inferred that patients have hypertension from the pathological changes of patients with hypertension and the changes of patients′ physique, look, shape, tongue and pulse, so as to distinguish them into "syndrome" and "syndrome differentiation and treatment",that is to say, change "no symptoms for differentiation" to "having syndromes for differentiation".

关 键 词：无症状高血压 “无症可辨” “有证可辨” 体质辨证 经络辨证 

分 类 号：R255.3[医药卫生—中医内科学]