中风病病证结合诊断标准的发展概述与思考  

Summarization and thinking of the diagnostic criteria of apoplexy with combination of disease and syndrome

作　　者：张云帆 梁晓 魏竞竞 赵迪 刘红喜 刘悦 苗丽娜 张允岭 ZHANG Yunfan;LIANG Xiao;WEI Jingjing;ZHAO Di;LIU Hongxi;LIU Yue;MIAO Lina;ZHANG Yunling(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Encephalopathy,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院西苑医院脑病科,北京100091

出　　处：《中华中医药杂志》2024年第9期4527-4533,共7页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国中医科学院科技创新工程项目(No.CI2021A01301);中国中医科学院中医药防治脑病传承创新团队(No.CI2021B006);国家中医药管理局中医药创新团队及人才支持计划项目(No.ZYYCXTD-C-202007)。

摘　　要：文章根据中医辨病与辨证、西医辨病与中医辨证相结合、证候要素辨证的分类方式,对中风病病证结合诊断标准的发展脉络进行梳理,并对三类标准的优势与目前发展的局限性进行阐述。以此为基础,对构建中风病病证结合诊断标准的过程进行分析,从“辨病”中西医分属问题、证候诊断的判定形式和证型分类问题、中风病主症及发病特点作为证候诊断依据问题、当前基于证候要素制定诊断标准的局限性四个方面进行探索性思考,以期为标准的制定工作提供思路。This article sorts out the development of diagnostic criteria for stroke disease syndrome differentiation based on the classification methods of traditional Chinese medicine(TCM)disease differentiation and syndrome differentiation,disease differentiation of western medicine and syndrome differentiation of TCM,and syndrome element differentiation.It also elaborates on the advantages and limitations of the three types of criteria.Based on this,this article analyzes the process of constructing a diagnostic criteria for the combination of stroke and syndrome,exploring four aspects:‘differentiation of diseases’in TCM and western medicine,the unified judgment form and classification of syndrome types for syndrome diagnosis,the five main symptoms and onset characteristics of stroke as the basis for syndrome diagnosis,and limitations of current diagnostic criteria based on syndrome elements,in order to provide ideas for the formulation of the criteria.

关 键 词：中风病 病证结合 诊断标准 辨证论治 证候要素 

分 类 号：R255.2[医药卫生—中医内科学]