摘要
目的通过对冠心病“热”相关证的临床研究文献中的四诊信息分析,总结冠心病热证临床表征,为构建临床冠心病热证诊断标准提供基础。方法检索1980-2019年中国期刊全文数据库(CNKI)、万方数据知识服务平台(WANFANG)、中文科技期刊数据库(CQVIP)、中国生物医学文献数据库(CBM)发表的冠心病“热”相关证的临床研究文献,对冠心病热相关证诊断标准中的临床表征进行综合分析。结果纳入冠心病热相关证临床研究文献40条,主要症状为胸痛(85.00%)、胸闷(80.00%)、烦躁(60.00%)、口干(55.00%)、心悸(55.00%)、口苦(45.00%)、大便秘结(45.00%)、气短(40.00%);主要舌象为红舌(45.00%)、紫舌(35.00%)、舌生瘀斑(32.50%)为主;舌苔以黄苔(67.50%)、腻苔(42.50%)为主,脉象以数脉(47.50%)、滑脉(45.00%)、弦脉(30.00%)为主。结论冠心病热证临床症状以胸痛、胸闷、烦躁、口干、心悸、口苦、大便秘结、气短为主;舌象以舌质红、苔黄腻为主;脉象以数脉、滑脉为主,可作为构建冠心病热证诊断标准的基础。
Objective To summarize the clinical manifestations of coronary heart disease(CHD)heat syndrome by analyzing the four diagnostic information in the clinical research literature of CHD heat-related syndrome,so as to provide a basis for establishing the diagnostic criteria of CHD heat syndrome.Methods The clinical research literature of“heat”related syndromes of coronary heart disease published in CNKI,WANFANG,CQVIP and CBM from 1980 to 2019 were searched,and the clinical manifestations of the diagnostic criteria of heat-related syndrome of coronary heart disease were comprehensively analyzed.Results 40 articles were included in the clinical research literature of CHD heat-related syndrome.The main symptoms were chest pain(85.00%),chest tightness(80.00%),irritability(60.00%),dry mouth(55.00%),palpitation(55.00%),bitter mouth(45.00%),constipation(45.00%)and shortness of breath(40.00%).The main tongue signs were red tongue(45.00%)and purple tongue(35.00%).The main types of tongue coating were yellow coating(67.50%)and greasy coating(42.50%).The main types of pulse were rapid pulse(47.50%),slippery pulse(45.00%)and taut pulse(30.00%).Conclusion The main clinical symptoms of CHD heat syndrome are chest pain,chest tightness,irritability,dry mouth,palpitation,bitter mouth,constipation and shortness of breath;the tongue is red and greasy moss;and the pulse is mainly several and slippery arteries.These clinical manifestations can be used as the basis for the construction of diagnostic criteria for heat syndrome of coronary heart disease.
作者
张佳乐
张逸雯
许伟明
杨燕
江丽杰
王传池
吴珊
胡镜清
Zhang Jiale;Zhang Yiwen;Xu Weiming;Yang Yan;Jiang Lijie;Wang Chuanchi;Wu Shan;Hu Jingqing(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Basic Medical College,Hubei University of Chinese Medicine,Wuhan 430065,China;Shanxi University of Chinese Medicine First Clinical Medical College,Xianyang 712046,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2019年第10期2021-2026,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
中国中医科学院中医基础理论研究所中央级公益性科研院所基本科研业务费专项资金资助项目(YZ-1878)：热结血脉证诊断标准研究，负责人：胡镜清
中国中医科学院中医基础理论研究所中央级公益性科研院所基本科研业务费专项资金资助项目（YZ-1802）：加味四妙勇安汤治疗冠心病、高血压病、脉管炎的临床疗效评价关键问题研究，负责人：江丽杰
国家科技部重点基础研究发展计划“973计划”(2014CB542903):基于冠心病痰瘀互结证辨证方法的创新研究
负责人：胡镜清
关键词
冠心病
热证
诊断标准
Coronary heart disease
Heat syndrome
Diagnostic criteria
