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tenantId=1146029695717560320, journalId=1315121837170065538, language=CN, title=基于“病-证-症”三阶辨识的冠心病汗证发病机制及临证治疗策略, columnId=null, journalTitle=中医学报, columnName=论著, runingTitle=null, highlight=null, articleAbstract=“病-证-症”是中医诊疗体系中的核心概念，三者存在层次关系与互动关系两种理解。从层次关系来看，病处于最高层次，是宏观的疾病框架。证处于中间层次，是对病在某一阶段的细化。症处于最低层次，是微观的外在表现。从互动关系角度，三者相互影响、相互制约。在冠状动脉粥样硬化性心脏病(简称冠心病)汗证“病”的层面，冠心病作为明确的病理实体，其引发汗证的机制复杂多元;在“证”的层面，冠心病汗证的证型划分目前主要参照传统汗证辨证分为气虚、阴虚等类型;在“症”的层面，汗出特征是冠心病汗证的重要症状，也是辨证的关键要素。汗出部位、时间、性质等特征可以为辨证提供重要线索。临证治疗冠心病汗证时，应首先通过现代医学检查明确冠心病诊断及严重程度(辨病层)，其次结合中医四诊和实验室指标进行精准辨证分型(辨证层)，最后根据汗出特征等具体症状进行个体化用药调整(对症层)。, authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, 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