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气滞血瘀证现代指标方法学应用研究进展
吴江莹1, 王辉2, 吴竞辉3, 吴俊昊3, 刘晓新4, 王锋4, 丁晶1, 许迎春1
1.天津市环湖医院中医科, 天津 300350;2.天津中医药大学循证医学中心, 天津 301617;3.天津中医药大学中医学院, 天津 301617;4.天津中医药大学第一附属医院针灸临床部, 国家中医针灸临床医学研究中心, 天津 300381
摘要:
气滞血瘀证是中医常见病证类型之一。传统中医诊断方法主要依赖于四诊观察,这种主观性较强的诊断方式限制气滞血瘀证的准确评估和治疗。现代医学指标在中医证候评价中有广阔的应用前景,可为中医临床辨证施治提供客观依据和参考标准。文章对近年来相关研究进行梳理和分析,总结实验室检测指标、影像学检测指标、基因/蛋白质和代谢组学多项指标在气滞血瘀证评价中的应用,为气滞血瘀证的诊疗及科学研究提供有益的启示和参考。
关键词:  气滞血瘀证  中医证候  活血化瘀  脑卒中
DOI:10.11656/j.issn.1672-1519.2025.11.18
分类号:R2-03
基金项目:天津市卫生健康委员会资助项目(2023061);天津市卫生健康委员会中医经典传承高级人才研修项目(2021642);国家中医药管理局全国中医药创新骨干人才培训项目(2019128)。
Advances in the application of modern methodological approaches for the study of qi stagnation and blood stasis syndrome
WU Jiangying1, WANG Hui2, WU Jinghui3, WU Junhao3, LIU Xiaoxin4, WANG Feng4, DING Jing1, XU Yingchun1
1.Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China;2.Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;3.Traditional Chinese Medicine School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;4.Clinic Department of Acupuncture-Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Abstract:
The stagnancy of qi and blood stasis syndrome is one of the common types of diseases in traditional Chinese medicine. Traditional Chinese medicine diagnostic methods mainly rely on four diagnostic observations,and this highly subjective diagnostic method limits accurate evaluation and treatment of stagnancy of qi and blood stasis syndrome. Modern medical indicators have broad application prospects in the evaluation of traditional Chinese medicine syndromes,which can provide objective basis and reference standards for clinical diagnosis and treatment in traditional Chinese medicine. This article reviews and analyzes relevant research in recent years,summarizes application of multiple indicators such as laboratory test indicators,imaging diagnostic indicators and genetic/protein and metabolomic indicators in the evaluation of stagnancy of qi and blood stasis syndrome,and provides beneficial insights and references for diagnosis,treatment,and scientific research of stagnancy of qi and blood stasis syndrome.
Key words:  stagnancy of qi and blood stasis syndrome  traditional Chinese medicine syndrome  promote blood circulation and remove blood stasis  stroke
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