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左心衰竭的中医证候特征探讨
郑相颖1,2, 王显1,2
1.北京中医药大学东直门医院, 北京 100700;2.北京中医药大学心血管病研究院, 北京 100700
摘要:
探讨左心衰竭主要临床表现及体征的中医证候特征。基于中医传统文献,运用中医学学术思维,对左心衰竭的主要临床表现及体征进行辨证分析。左心衰竭临床可见肺肾气虚证、水饮内停证、肾虚水泛证、元气虚脱证等多种证候。左心衰竭以虚证、寒证为多见,虚寒是左心衰竭的主要病机。
关键词:  左心衰竭  临床表现  体征  中医证候
DOI:10.11656/j.issn.1672-1519.2025.05.08
分类号:R22
基金项目:国家自然科学基金项目(82074263)。
Exploring the characteristics of traditional Chinese medicine syndromes of left heart failure
ZHENG Xiangying1,2, WANG Xian1,2
1.Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China;2.Cardiovascular Diseases Research Institute of Beijing University of Chinese Medicine, Beijing 100700, China
Abstract:
To explore the traditional Chinese medicine(TCM) syndrome characteristics of clinical manifestations and signs of left heart failure. Using the academic thought of TCM to analyze the clinical manifestations and signs of left heart failure based on the TCM literature. Deficiency of pulmonary and renal qi,fluid retention syndrome,edema syndrome due to kidney deficiency,syndrome of qi desertion are the main pathogenesis of left heart failure. Deficiency syndrome and cold syndrome are common in left heart failure,and deficiency cold is the main pathogenesis of left heart failure.
Key words:  left heart failure  clinical manifestation  sign  traditional Chinese medicine syndrome
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