Article(id=1317114960048668829, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1317114959243362461, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260195, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1752681600000, receivedDateStr=2025-07-17, revisedDate=1778169600000, revisedDateStr=2026-05-08, acceptedDate=null, acceptedDateStr=null, onlineDate=1791954277287, onlineDateStr=2026-10-14, pubDate=1792425600000, pubDateStr=2026-10-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1791954277287, onlineIssueDateStr=2026-10-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1791954277287, creator=13701087609, updateTime=1791954277287, updator=13701087609, issue=Issue{id=1317114959243362461, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='10', pageStart='1', pageEnd='137', issueExtLink='null', onlineDate='null', pubDate='1792425600000', pubDateStr='2026-10-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1791954277096, creator='13701087609', updateTime=1792120134547, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1317810615909991147, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1317114959243362461, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1317810615909991148, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1317114959243362461, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=7, endPage=12, ext={EN=ArticleExt(id=1317114960224829598, articleId=1317114960048668829, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Analysis of the Pattern Differentiation and Treatment Model for Heart System Diseases Based on the “Unifying Diseases by Syndrome” Approach Centered on Heart Qi Deficiency Pattern, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=

The clinical manifestations of cardiac diseases are complex and varied, often combined with a variety of co-morbidities, which significantly increases the difficulty of diagnosis and treatment of the disease and clinical risk. The “syndrome-based approach” is to take the syndromes as the core and integrate different diseases into a unified framework to grasp the whole. This model emphasizes the simplification of complex clinical problems by comprehensively analyzing the underlying syndromes, grasping the core disease mechanism, and combining it with the dynamic evolution of the disease. Although the evolution of the disease follows a certain pattern, it is by no means a mechanical application, but needs to be organically integrated with the “evidence” and flexibly utilized. Cardiac qi deficiency is a common pathogenetic mechanism throughout the development of cardiac diseases. Based on the evidence of heart qi deficiency, this paper systematically proposes three major laws for the evolution of cardiac diseases: the theory of four levels of heart qi deficiency (to quantify the severity of symptoms), the theory of three levels of accumulation of internal organs (to explain the pathway of disease transmission), and the pathological transformation of “water-dampness-phlegm-blood stasis” (to reveal the evolution of pathological products). The management model of cardiac diseases was constructed with this framework, and the heterogeneous characteristics of the five aspects of disease location, disease condition, degree, concurrent symptoms and concurrent diseases were summarized while taking into account the commonality of the same evidence. The aim of this paper is to provide diagnostic and therapeutic ideas with Chinese medicine characteristics for the clinical management of cardiac diseases, and to improve clinical efficacy by optimizing evidence-based thinking.

, authors=Jingyi ZHANG, Yichen ZHAO, Ji LI^*, authorsList=Jingyi ZHANG, Yichen ZHAO, Ji LI, authorCompany=null, correspAuthors=Ji LI, 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, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317114960644259999, articleId=1317114960048668829, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=基于心气虚证“以证统病”之心系疾病辨治模式探析, columnId=1303760927581561416, journalTitle=中医药学报, columnName=学术探讨, runingTitle=null, highlight=null, articleAbstract=

心系疾病临床表现复杂多样，常合并多种疾病，显著增加了诊疗难度和临床风险。“以证统病”是以证候为核心，将不同疾病纳入统一病机框架进行整体把握。该模式强调通过全面辨析基础证候群、抓住核心病机，并与病情动态演变相结合，实现复杂临床问题的简化处理。病情演变虽遵循一定规律，但绝非机械套用，而需与“证”有机结合、灵活运用。心气虚是心系疾病发生发展过程中的重要病机。基于心气虚证，本文系统整合了心系疾病演变的三大规律：心气虚四级分度理论（量化证候严重程度）、脏腑累积三阶层学说（阐释病变传变路径）以及“水湿-痰浊-血瘀”病理转化（揭示病理产物演变），以此框架构建了心系疾病的管理模式，在兼顾同证共性同时总结了病位、病势、程度、兼证、兼病五个方面的异质性特征。本文旨在为心系疾病的临床管理提供具有中医特色的诊疗思路，通过优化辨证思维提升临床疗效。

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张婧裔（2001-），女，硕士研究生，研究方向：中医临床方药学研究。

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张婧裔（2001-），女，硕士研究生，研究方向：中医临床方药学研究。

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