不同系统疾病痰瘀互结证主要症状及特点探讨  

Discussion on the Main Symptoms and Characteristics of Phlegm and Blood Stasis Syndrome in Different System Diseases

作　　者：王孟秋 张逸雯 江丽杰[2] 胡镜清[1,2,3,4,5] 张佳乐 黄燕 何润铭 赵越 WANG Mengqiu;ZHANG Yiwen;JIANG Lijie;HU Jingqing;ZHANG Jiale;HUANG Yan;HE Runming;ZHAO Yue(Hubei University of Chinese Medicine,Wuhan 430065,China;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;State Key Laboratory of Dampness Syndrome of Chinese Medicine,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;China Science and Technology Development Center for Chinese Medicine,Beijing 100027,China;Xin-Huangpu Joint Innovation Institute of Chinese Medicine,Guangzhou 510000,China;The Third Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China;Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]湖北中医药大学,武汉430065 [2]中国中医科学院中医基础理论研究所,北京100700 [3]省部共建中医湿证国家重点实验室/广州中医药大学第二附属医院,广州510120 [4]中国中医药科技发展中心,北京100027 [5]广东省新黄埔中医药联合创新研究院,广州510000 [6]南京中医药大学第三临床医学院,南京210023 [7]长春中医药大学,长春130117

出　　处：《中国中医基础医学杂志》2024年第1期76-81,共6页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：省部共建中医湿证国家重点实验室专项(SZ2021ZZ01,B202201);国家重点研发计划中医药现代化研究重点专项(2019YFC1708501);佛山市科技创新项目中医药领域先行先试科技攻关专项(2020001005585)。

摘　　要：目的 通过整理痰瘀相关证诊断标准的四诊信息,挖掘不同系统不同疾病痰瘀互结证的主要症状和相应特点,为构建普适性痰瘀互结证临床诊断标准提供基础。方法 系统检索中国期刊全文数据库(CNKI)、中文科技期刊数据库(CCD)、中国学术期刊数据库(CSPD)与中国生物医学文献数据库(CBM)、《中医病证诊断疗效标准》等收录的痰瘀相关证的标准、指南、共识,开展痰瘀相关证四诊信息的整理和条目筛选。检索日期为建库以来2021年10月1日。结果 最终纳入包含痰瘀相关证诊断标准的文献208篇。其中,病证结合类诊断标准文献共174篇,包含呼吸、循环、神经等九大系统,共计68种疾病。将其按照不同系统疾病进行分类,结果提示虽同为痰瘀互结证,但不同系统痰瘀互结证的临床症状与所涉疾病的病变特点差异较大,而局部肿块、疼痛、麻木在多系统疾病痰瘀互结证的临床表现上具有一致性,且舌脉一致性高。结论 痰瘀互结证是许多重大疾病尤其是慢性非传染性疾病的常见证候。其中,痰瘀互结证在不同系统疾病中,局部肿块、疼痛、麻木、舌脉等临床症状和体征一致性高,可以作为构建普适性痰瘀互结证诊断标准的基础。Objective Through the analysis of four diagnosis information about related certificates which linked to phlegm and blood stasis syndrome,this study aimed to systematically sort out the main symptoms and characteristics of phlegm and blood stasis in different diseases,which can provide supports for the construction of universal clinical diagnostic standards of phlegm and blood stasis syndrome.Methods CNKI,Wanfang database,VIP database and CBM were searched,and the textbooks and guidelines containing phlegm and blood stasis were manually searched,such as diagnostic efficacy standard of TCM diseases.The retrieval date of periodical literature and work literature was up to October 1,2021.Analying the four diagnosis information,and finding out universal symptoms of phlegm and blood stasis syndrome.Results 208 articles were included,174 of which were in the category based on combination of disease and syndrome.174 articles were classified according to the different nine systems and contained 68 diseases.Although all diseases had the same syndrome,their clinical symptoms were related to the characteristics of the diseases involved.The performance of the mass,pain,numbness,tongue and pulse condition in the syndrome of phlegm and blood stasis syndrome were consistent.Conclusion The phlegm and blood stasis syndrome was a common syndrome of many major diseases,especially chronic non-communicable diseases.The clinical symptoms of the mass,pain,numbness,tongue and pulse were consistent in different diseases,which can be used as the basis to construct the diagnostic criteria of universal phlegm and blood stasis syndrome.

关 键 词：痰瘀互结证 诊断标准 证候标准 证候客观化 证候诊断 

分 类 号：R241.2[医药卫生—中医诊断学]