| 引用本文: |
周小青,郑彩杏.影响证候转化的因素及与疾病预后的关系[J].湖南中医药大学学报,2019,39(1):1-5[点击复制] |
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| 影响证候转化的因素及与疾病预后的关系 |
| 周小青,郑彩杏 |
| (数字中医药协同创新中心, 湖南 长沙 410208;湖南中医药大学中医诊断学科, 湖南 长沙 410208;中医诊断学湖南省重点实验室, 湖南 长沙 410208) |
| 摘要: |
| 精准医疗，要求诊断的精细观察。除了已经被重视的精准辨证诊病外，证候转化的细致观察应当引起重视。在疾病过程中，证候可有好转或恶化两种转归情况。证候转化，是疾病向愈或恶化的转折处，也是检验辨治正确与否的标准之一。临床中，影响证候转化的因素举不胜举，而证候转化方向提示疾病预后。笔者从疾病的病位、病性、患者的体质等角度阐述影响证候转化的因素，探讨证候转化与疾病预后的相关问题，期望有利于精准诊疗。 |
| 关键词: 证候 证候转化 病位 病性 体质 精准医疗 |
| DOI：10.3969/j.issn.1674-070X.2019.01.001 |
| 投稿时间：2018-06-07 |
| 基金项目:湖南省高等学校2011数字中医药协同创新中心资助项目。 |
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| Factors Affecting Syndrome Transformation and Its Relationship with Disease Prognosis |
| ZHOU Xiaoqing,ZHENG Caixing |
| (Collaborative Innovation Center of Digital Chinese Medicine, Changsha, Hunan 410208, China;The Subject of Diagnostics of Traditional Chinese Medicine in Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Provincial Key Laboratory of Diagnostics of Traditional Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Precision medicine requires careful observation for diagnosis. In addition to the accurate differentiation and diagnosis of diseases, which we have attached importance to, the meticulous observation of syndrome transformation should be taken seriously. In the course of the disease, the syndrome may improve or worsen. The transformation of syndromes is a turning point in the healing or worsening of the disease, and it is also one of the criteria for testing whether syndrome differentiation-based treatment is correct or not. In clinical practice, the factors affecting the transformation of syndromes are too numerous to mention, and the direction of syndrome transformation indicates disease prognosis. This article expounds the factors affecting the transformation of syndromes from the perspectives of disease location, disease nature, and patient's body constitution, and discusses the problems related to syndrome transformation and disease prognosis. It is expected to be conducive to accurate diagnosis and treatment. |
| Key words: syndrome syndrome transformation disease location disease nature body constitution precision medicine |
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