摘要
目的 寻找急性心肌梗死(AMI)的中医证候规律。方法 对2010—2020年中国急性心肌梗死的中医证候文献进行回顾性研究。结果 在临床实践中,中医药治疗冠心病AMI的疗效仍有待提高。中医对冠心病的证型主要有心血瘀滞、痰浊阻滞、气滞血瘀、气虚血瘀、心气不足、气阴两虚,但是由于AMI病机复杂,不能仅仅根据证型分类而确定治疗方案,如心血瘀滞型可选择活血化瘀类药物,痰浊阻滞型可选择化痰利水类药物,气滞血瘀型可选择行气活血类药物等。结论 急性心肌梗死的中医证候目前问题是缺乏统一的分型标准。AMI中医证候的研究还存在不少问题,如证候无客观标准、缺乏与西医病的对比研究、缺乏病例数与有效病例数之间的比较、缺乏对症状发生频率和持续时间的分析、缺乏对主要中医证候与中医整体疗效关系的分析等。
Objective To find TCM syndrome rules of AMI.Methods The paper reviewed and studied TCM syndrome literature of acute myocardial infarction in China from 2010 to 2020.Results Curative effect of TCM for coronary heart disease with AMI should be improved in clinical practice.Traditional Chinese medicine mainly had following types of syndromes for coronary heart disease:heart blood stasis phlegm turbidity obstruction qi stagnation and blood stasis qi deficiency and blood stasis insufficient heart qi and deficiency of both qi and yin.However due to complexity of pathogenesis of AMI treatment scheme cannot be determined only based on classification of syndromes.for example for heart blood stasis type drugs promoting blood circulation and blood stasis can be selected;for phlegm turbidity obstruction type drugs promoting phlegm and diuresis can be selected;for qi stagnation and blood stasis type drugs promoting qi and blood circulation can be selected.Conclusion The current problem is lacking unified classification standard.There are many problems in research of AMI traditional Chinese medicine syndrome including:no objective standard for syndrome lacking comparative research with Western medical diseases lacking comparison between number of cases and number of effective cases lacking analysis on frequency and duration of symptom occurrence lacking analysis on the relationship between main TCM syndromes and overall curative effect of TCM.
作者
潘雨忻
吴文胜
PAN Yuxin;WU Wensheng(Graduate School Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110033;Diagnosis Department Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Shenyang Liaoning 110033)
出处
《智慧健康》
2024年第3期98-100,104,共4页
Smart Healthcare
关键词
AMI
中医
痰浊
血瘀
AMI
Traditional Chinese Medicine
Phlegm turbidity
Blood stasis
