作者：王晶1 ，姜丽红2 ，常天瀛3 ，崔英子3 ，靳宏光2

单位：

1.130117吉林省长春市，长春中医药大学　2.130021吉林省长春市，长春中医药大学附属医院 心病中心　3.130021吉林省长春市，长春中医药大学附属医院循证办公室

Units：

1.Changchun University of Chinese Medicine, Changchun 130117, China 2.Department of Cardiology, the Affiliated Hospital to Changchun University of Chinese Medicine, Changchun 130021, China 3.EBM Office, the Affiliated Hospital to Changchun University of Chinese Medicine, Changchun 130021, China

关键词：

冠心病；舌诊；辨证；综述

Keywords：

Coronary disease; Tongue inspection; Syndrome differentiation; Review

CLC：

R 541.4

DOI：

10.12114/j.issn.1008-5971.2024.00.065

Funds：

吉林省科技发展计划项目（20230203069SF）；中医 药循证能力提升项目2023

摘要：

近年我国冠心病（CHD）患病率及终点事件发生率呈上升趋势，故有效防治CHD备受关注。大量研 究表明，中成药治疗CHD安全有效，但大多数基层中医师临床经验不足，不能有效辨证论治，进而影响治疗效果。舌 诊作为中医四诊之一，具有客观、直观、易掌握的特点。本文通过分析文献总结了CHD常见临床辨证分型如痰瘀互结 证、气阴两虚证、气虚血瘀证的舌诊特征，并指出中医舌诊与CHD患者冠状动脉病变严重程度密切相关。

Abstract：

In recent years, the prevalence of coronary heart disease (CHD) and the incidence of endpoint events in China have been on the rise, so effective prevention and treatment of CHD has attracted much attention. A large number of studies have shown that Chinese patent medicine is safe and effective in the treatment of CHD, but most grassroots Chinese medicine practitioners lack clinical experience and cannot effectively treat based on syndrome differentiation, thus affecting the therapeutic effect. As one of the four diagnostic methods of traditional Chinese medicine, tongue inspection has the characteristics of objective, intuitive and easy to grasp. This paper summarizes the characteristics of tongue inspection of common clinical syndrome differentiation of CHD, such as phlegm and blood stasis syndrome, Qi and Yin deficiency syndrome, Qi deficiency and blood stasis syndrome, and points out that tongue inspection of traditional Chinese medicine is closely related to the severity of coronary artery disease in CHD patients.

ReferenceList：