以证统病溯源及其临床研究现状的分析  

Analysis on origins and current status of clinical researches on syndrome dominating disease in Chinese medicine

作　　者：黄仟 郭晓慧[1] 祸美玲 周莉[1] 曹文聪 刘冰清 邱幸莹 温泽淮[1,2] HUANG Qian;GUO Xiaohui;XUAN Meiling;ZHOU Li;CAO Wencong;LIU Bingqing;QIU Xingying;WEN Zehuai(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广东省中医院,广州510120 [2]广州中医药大学第二临床医学院,广州510405

出　　处：《中华中医药杂志》2025年第3期1458-1461,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2018YFC1707407)。

摘　　要：以证统病充分体现了中医以证候为中心的诊疗思维,对于保持和发展中医辨证论治的学术特点及临床优势意义重大。文章梳理了以证统病相关概念,并采用概况性评价方法分析以证统病临床研究的现状及设计特征。发现以证统病尚未形成统一、全面的概念定义,其临床研究的数量较少且增速缓慢,呕需方法学规范指引。建议未来研究参考中医以证统病临床研究方法学框架,以提升研究的科学性与规范性,推动以证统病研究模式的应用与发展。Syndrome dominating disease highly refects the syndrome-centered therapeutic concept of Chinese medicine(CM),and plays an important role in maintaining academic characteristics and clinical advantages of CM syndrome differentiation,This article summarizes relevant concepts of syndrome dominating disease and analyze the current status and design features of clinical studies under this scoping review.It is found that a unified and comprehensive definition of syndrome dominating disease has yet to be developed,and the number of studies is small and growing at a slow rate,with an urgent need for guidance.Thus it is recommended that future studies refer to the methodological framework for interventional clinical research of CM under the research mode of syndrome dominating disease,to enhance the scientific and standardized nature of research will promote the application and development of this research model.

关 键 词：证候 异病同治 研究模式 以证统病 概况性评价 

分 类 号：R241[医药卫生—中医诊断学]