冠心病血瘀证疼痛性质的探讨

Discussion on the Character of Pain in Coronary Heart Disease with Blood Stasis Pattern

血瘀是冠心病的主要病机也是其主要证候之一,近年多版中医内科学教材将刺痛作为冠心病血瘀证的诊断要点。通过回顾分析历代医籍相关记载及现代研究结果,提出冠心病血瘀证的基本特点为固定性疼痛、舌质紫暗、脉弦或涩,同时可具有血管闭塞的客观证据;认为刺痛并非冠心病血瘀证疼痛性质的主要特点,部分冠心病血瘀证患者出现刺痛可能与个体感觉差异有关,或与合并心律失常所致临床症状有关。

Blood stasis is the main pathogenesis and one of the main clinical patterns of coronary heart disease.In recent years,many versions of traditional Chinese internal medicine textbooks have been taking stabbing pain as the diagnostic key point of blood stasis pattern of coronary heart disease.Based on the review of ancient books and contemporary research literature,it is believed that the basic characteristics of blood stasis pattern of coronary heart disease should be fixed pain,dark purple tongue,stringy or astringent pulse,and there may be objective evidence of vascular occlusion.Stabbing pain is not the main feature of blood stasis pattern of coronary heart disease,and it may be related to individual sensory differences in some patients with blood stasis pattern of coronary heart disease,or it is related to clinical symptoms caused by arrhythmia.