急性脑梗死中医病因病机、辨证研究概述及简评  

Review of the Existent Research about the Etiology, Pathogenesis and Syndrome Differentiation of Acute Cerebral Infarction

作　　者：苏占清[1] 夏毅[1] 宁厚旭[1] 王海东[1] Su Zhanqing;Xia Yi;Ning Houxu;Wang Haidong(The Affiliated Nanjing Brain Hospital,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属脑科医院,南京210029

出　　处：《世界科学技术-中医药现代化》2022年第6期2481-2486,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

摘　　要：目前对急性脑梗死(ACI)病因病机的研究较少,其辨证分型多是参照“中风”分型进行的,大体上可分为教材、标准、临床分型3类,针对ACI的临床分型又多是参照标准分型进行的,这些分型差异较大。辨证相关研究主要集中在辨证分型与实验室检查等的相关性方面,得出的结论不尽一致,其结果也有待进一步论证。当前,需要对ACI的病因病机、辨证分型进一步深入研究。在此基础上,开展其辨证相关研究,有可能实现ACI的宏/主观辨证与微/客观辨证的有机统一,为中医辨证走向微观化、客观化打开一扇窗,使中、西医在这一点上衔接起来,有着重要的理论和实践意义。At present, there are few studies on the etiology and pathogenesis of acute cerebral infarction(ACI). The syndrome differentiation of ACI is mostly conducted with reference to the "stroke" classification, which can be broadly divided into three types: teaching materials, standard and clinical classification, with noticeable differences among one another. For clinical classification, it mainly takes standard as its reference. Studies on syndrome differentiation mainly focus on the correlation between syndrome differentiation and laboratory examination, the conclusions of which are not consistent, and the results also need to be further tested. Therefore, further research should be carried out in the areas of etiology, pathogenesis and syndrome differentiation of ACI, so that it would be possible to realize the organic unity between macro/subjective and micro/objective differentiation, and push open the window for a future vision where TCM syndrome differentiation will be more microscopic and objective. This has important theoretical and practical significance for the integration of Chinese and Western medicine.

关 键 词：急性脑梗死 病因 病机 辨证 

分 类 号：R241[医药卫生—中医诊断学]