冠心病的中医病证范畴探讨

Discussion on TCM Disease Category of Coronary Artery Disease(CAD)

冠心病为现代医学病名,在古代中医文献中历代医家据其证候冠以胸痹、心痛、胸痛、心痹、厥心痛、真心痛等不同的名称。根据古代和现今医家的论述,结合冠心病的临床症状特点,轻者仅有短暂轻微的胸部隐痛或沉闷感,重者胸闷如窒,疼痛如绞,伴有气短、心悸、汗出等症,持续时间较长,从而认为应当将冠心病的中医病证确定在胸痹心痛的范畴。这样既体现了中医学的特点,又为中医诊断标准化和临床研究确立了目标,对研究和提高中医治疗冠心病的临床疗效具有重要意义。

There was no term of CAD in ancient TCM literatures. The disease were described with many terms such as thoracic obstruction, carduakgia, chest complaint, cardiac obstruction. The ancient literatures were studied,the signs and symptoms were analyzed,so the definite TCM disease term of CAD were described as thoracic obstruction and cardialgia. This definition reflected TCM characterisitics and had the advantages of the treatment effect of CAD with TCM,and TCM diagnosis standardization may also be promoted.