基于文献系统评价探讨心脉气滞证辨证条目  

Discussion on the Syndrome Differentiation Items of Heart Pulse Qi Stagnation Syndrome Based on the Literature System Evaluation

作　　者：方格 胡志希(指导) 李琳 王菲 欧慧萍 刘彬[1] 徐慧[1] FANG Ge;HU Zhixi;LI Lin;WANG Fei;OU Huiping;LIU Bin;XU Hui(School of Traditional Chinese Medicine,Hunan Traditional Chinese Medical College,Hunan Province,Zhuzhou 412000,China;School of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China)

机构地区：[1]湖南中医药高等专科学校中医学院,湖南株洲412000 [2]湖南中医药大学中医学院,湖南长沙410208

出　　处：《光明中医》2025年第4期645-649,共5页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家自然科学基金资助项目(No.82274412);湖南省自然科学基金面上项目(No.2020JJ4062,2020JJ5408);广东省重点领域研发项目(No.2020B1111100001);湖南省中医药科研计划项目重点课题(No.201731)。

摘　　要：目的为心脉气滞证诊断标准的制定,提供精准的辨证条目。方法以心脉气滞证为研究对象,收集有关心脉气滞证的文献。依据术语规范整理后,运用频数分析、因子分析、聚类分析和网络关联分析多元统计学方法筛选出心脉气滞证的诊断条目。结果纳入70篇文献,25篇专著,共59条症状条目池。通过多元统计学方法分析得出心脉气滞证的初步问卷条目为:胀满(闷)或胀痛或窜痛(心胸部等)、气短、心情抑郁或急躁易怒、失眠、遇情志不遂时易诱发或加重、心悸、头晕、头痛、乏力、矢气、舌质暗、苔薄白、苔腻、脉弦、脉细。结论对检索文献进行评价,筛选出心脉气滞证诊断标准中的重要症状,为中医证候走向定量化发展提供坚实基础。Objective To formulate the diagnostic criteria for heart pulse qi stagnation syndrome,and to provide accurate syndrome differentiation items.Methods Taking heart pulse qi stagnation syndrome as the research object,the documents related to the heart pulse qi stagnation syndrome were collected.After sorting out according to the terminology,the diagnosis items of the heart pulse qi stagnation syndrome was selected by the frequency analysis,factor analysis,cluster analysis and network correlation analysis multivariate statistical methods.Results Seventy articles and 25 monographs were included,with a total of 59 symptom articles.Through multivariate statistical analysis,the preliminary questionnaire items of heart pulse qi stagnation syndrome were as follows:chest swelling,distension,swelling pain or throb pain,shortness of breath,mood depression or irritability,insomnia,palpitation,dizziness,headache,fatigue,qi,mood paralysis symptoms are easy to induce or aggravate,tongue dark,greasy fur,pulse,thin pulse.Conclusion The important symptoms in the diagnosis criteria of heart pulse qi stagnation syndrome were selected by evaluating the retrieved literature,which provided a solid foundation for the quantitative development of TCM syndromes.

关 键 词：心脉气滞证 文献系统评价 辨证条目 

分 类 号：R241[医药卫生—中医诊断学]