冠心病痰瘀互结证基本脉象及其影响因素

Pulse manifestations and influence factors of coronary heart disease with intermingled phlegm-blood stasis syndrome

痰浊、瘀血作为冠心病发病过程中的继发性病理要素,其形成和发展影响了脉管的通利、气血的盈亏,进而导致脉象在"位、数、形、势"等属性方面发生变化。本文通过对冠心病痰瘀互结证脉象既往研究和专家共识的解析,总结冠心病痰瘀互结证的基本脉象为弦脉、滑脉、涩脉,兼脉则以弦滑脉、弦涩脉为多,可因疾病的病期、痰瘀的多寡、合并疾病不同而变化,在冠心病痰瘀互结证的诊断、治疗、判断预后中具有重要的辨识意义。

Intermingled phlegm-blood stasis syndrome is one of the common syndrome patterns of coronary heart disease（ CHD）. As the important pathological factors of CHD,the formation and development of phlegm and blood stasis have affected the movement of blood circulation and the amount of qi and blood,thus resulting in changes in pulse manifestation of location,number,shape and power. This paper summarized the pulse manifestations of CHD with intermingled phlegm-blood stasis syndrome based on the previous studies and the experts＇ consensus. The basic pulses are stringy pulse,slippery pulse and hesitant pulse; the main concurrent pulses are stringy-slippery pulse,slippery-hesitant pulse. These pulse manifestations of CHD may vary according to the condition of disease at different stages,the condition of phlegm and blood stasis,and the condition of complication. Pulse manifestation is of great significance in diagnosis,treatment and prognosis of CHD with intermingled phlegm-blood stasis syndrome.