基于中医整体观构建脑卒中病证结合诊疗方案的思路OA北大核心CSTPCD

The disease-pattern combination is a diagnostic and treatment model that guides individualized treatment from the holistic view of traditional Chinese medicine(TCM).The construction of a compre-hensive diagnosis and treatment plan that integrates"disease-core pathogenesis-key TCM patterns-series of prescriptions",is a highly consensus clinical diagnosis,treatment and research paradigm based on more than 30 years of research result and practical experience in the prevention and treatment of stroke with TCM,which covers the understanding of the core pathogenesis from the pathological characteristics of the disease,grasps the key TCM patterns and their change patterns that closely affect the prognosis,provides effective series of prescriptions,and achieves complete unity of theory,treatment,prescription and medication.This article mainly elaborates on the patterns differentiation thinking process of"disease-pathogenesis-syndrome-treatment"from the aspects of disease-syndrome correlation,patterns diagnosis,innovative pathogenesis,as well as systematic differentiation and treatment plan,early general treatment plan,Chinese and western medicine integration plan,etc.The key points of the newly released relevant expert consensus and guidelines are explained to improve the practical ability and diagnosis and treatment level of clinicians in the prevention and treatment of stroke with TCM.