从“病证结合,以证统病”探讨双心疾病的诊治思路  

Discussion on the diagnosis and treatment of psycho-cardiological disease from the perspective of“combination of disease and syndrome,and syndrome-based disease”

作　　者：孙治琪 王超[1] 赵海滨[1] 侯季秋 史金玉 丁婉丽 SUN Zhiqi;WANG Chao;ZHAO Haibin;HOU Jiqiu;SHI Jinyu;DING Wanli(Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《北京中医药大学学报》2023年第4期546-550,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(No.82174332);北京市自然科学基金(No.7202126)。

摘　　要：双心疾病症状繁多、病机复杂,传统的“以病统证”在临床施治时常捉襟见肘。“病证结合,以证统病”是以辨证为主,从证出发,先证后病,将辨病和辨证结合起来,通过抓主症归纳不同疾病的证候共性,精准定位,辨证施治。用“病证结合,以证统病”的诊治思路治疗双心疾病,即首先提炼各种症状背后的共性病机(证候),再兼顾疾病的特殊性,同时考虑兼证,最后通过提炼出来的证候辨证论治。“病证结合,以证统病”的诊治思路为临床更加精准地施治双心疾病、提高疗效提供了参考。Psycho-cardiological disease has many symptoms and a complex pathogenesis,so it is difficult to treat with syndrome differentiation in clinical practice.The combination of disease and syndrome is based on syndrome differentiation,starting from syndrome dfferentiation and combining disease differentiation with syndrome differentiation.By focusing on the main symptoms and summarizing the common symptoms of dfferent diseases,precise positioning,and treatment based on syndrome differentiation are achieved.Using the diagnosis and treatment approach of“combining disease and syndrome to unify diseases”to treat Psycho-cardiological disease,that is,first extract the common pathogenesis behind various symptoms,then consider the particularity of the disease,and consider concurrent symptoms.Finally,treat the extracted syndrome based on syndrome differentiation.The diagnosis and treatment approach of“combining disease and syndrome to unify diseases”provides a reference for more precise treatment of Psycho-cardiological diseases and improving therapeutic effects in clinical practice.

关 键 词：病证结合 以证统病 双心疾病 

分 类 号：R256.2[医药卫生—中医内科学] R259[医药卫生—中医学]