冠心病中医辨证存在问题与对策
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摘要
通过对《中药新药临床研究指导原则》《中医病证诊断疗效标准》、5-7版统编教材《中医内科学》和学术界对冠心病辨证构成的比较分析,发现在权威文献之间,学术界之间,权威文献与学术界之间的辨证差异较大,文中对存在的诸多问题进行分析,并提出解决这一问题的基本思路与方法,建议中医界组成有机协调、统一操作的辨证规范团队,在症状体征规范的基础上,开展冠心病证规范,配合基于流行病学调查的前瞻性辨证研究,或可实现对冠心病辨证的规范统一。
It is found that in authoritative literature and academic circles, there is a large discrepancy between authoritative literature and academic circles, by comparing and analyzing Criteria of Diagnosis and Therapeutic Effect of TCM Diseases, Guideline for the Clinical Research on New TCM Drugs, 5-7 version of Internal Chinese Medicine as well as syndrome differentiation of academic circles towards coronary heart disease, In this paper, many problems are analyzed. And basic ideas and methods are put forward to solve that problem. It is suggested that an organic, coordinated,unified dialectical and standardized team is to be formed in TCM circle. On the basis of symptoms and signs standardization, we should develop the standardization of coronary heart disease syndrome. With prospective syndrome differentiation research achievement, based on epidemiological survey, it may possible to realize the standardization and unification of syndrome differentiation of coronary heart disease.
It is found that in authoritative literature and academic circles, there is a large discrepancy between authoritative literature and academic circles, by comparing and analyzing Criteria of Diagnosis and Therapeutic Effect of TCM Diseases, Guideline for the Clinical Research on New TCM Drugs, 5-7 version of Internal Chinese Medicine as well as syndrome differentiation of academic circles towards coronary heart disease, In this paper, many problems are analyzed. And basic ideas and methods are put forward to solve that problem. It is suggested that an organic, coordinated,unified dialectical and standardized team is to be formed in TCM circle. On the basis of symptoms and signs standardization, we should develop the standardization of coronary heart disease syndrome. With prospective syndrome differentiation research achievement, based on epidemiological survey, it may possible to realize the standardization and unification of syndrome differentiation of coronary heart disease.
引文
1郑筱萸.中药新药临床研究指导原则.北京:中国医药科技出版杜,2002,63(9):511-513.
2国家中医药管理局.中华人民共和国中医药行业标准中医病证诊断疗效标准ZY/T001.1-001.9-94.南京:南京大学出版社,1994,18.
3张伯臾.中医内科学.上海:上海科学技术出版社,1985:109-111.
4王永炎.中医内科学.上海:上海科学技术出版社,1997,543(2):26.
5周仲英.中医内科学(第一版).北京:中国中医药出版,2003.
6朱文莉.胸痹心痛中医证型与16层螺旋CT冠状动脉成像的相关牲研究.西部中医药.2014,27(2):134.
7黄捷.冠心病心绞痛首诊表现辩证分析.医学文选,1999,18(3):381.
8于发渭,于有山.《高辉远论治冠心病经验撷菁》.河南中医,1994,14(4):227-228.
9李雪平,谢艳虹,许朝霞,等.概述不同数理统计方法在冠心病中医证候特征分类中的应用.中华中医药杂志,2016,31(3):958-962.
10任毅,陈可冀,张敏州,等.405例冠心病患者冠状动脉造影结果与中医证型的相关性.中医杂志,2010,51(8):726.
11胡元会.冠心病心绞痛中医诊疗方案(初稿).中华中医药杂志,2008,23(9):806.
12梁茂新,范颖.论西医疾病辨证规范所属症状虚拟性及其成因.中华中医药杂志,2012,27(3):544-547.
2国家中医药管理局.中华人民共和国中医药行业标准中医病证诊断疗效标准ZY/T001.1-001.9-94.南京:南京大学出版社,1994,18.
3张伯臾.中医内科学.上海:上海科学技术出版社,1985:109-111.
4王永炎.中医内科学.上海:上海科学技术出版社,1997,543(2):26.
5周仲英.中医内科学(第一版).北京:中国中医药出版,2003.
6朱文莉.胸痹心痛中医证型与16层螺旋CT冠状动脉成像的相关牲研究.西部中医药.2014,27(2):134.
7黄捷.冠心病心绞痛首诊表现辩证分析.医学文选,1999,18(3):381.
8于发渭,于有山.《高辉远论治冠心病经验撷菁》.河南中医,1994,14(4):227-228.
9李雪平,谢艳虹,许朝霞,等.概述不同数理统计方法在冠心病中医证候特征分类中的应用.中华中医药杂志,2016,31(3):958-962.
10任毅,陈可冀,张敏州,等.405例冠心病患者冠状动脉造影结果与中医证型的相关性.中医杂志,2010,51(8):726.
11胡元会.冠心病心绞痛中医诊疗方案(初稿).中华中医药杂志,2008,23(9):806.
12梁茂新,范颖.论西医疾病辨证规范所属症状虚拟性及其成因.中华中医药杂志,2012,27(3):544-547.