现代中医药2026,Vol.46Issue(2):30-35,6.DOI:10.13424/j.cnki.mtcm.2026.02.007
王晓玲主任医师对不同中医体质脑出血高危人群筛查及湿热体质干预经验探析
Analysis on the experience of screening and intervention of damp heat physiques by Chief Physician Wang Xiaoling on high-risk groups of people with cerebral hemorrhage in different traditional Chinese medicine constitutions
摘要
Abstract
Objective Based on the screening schemes of different groups of people with high risk of cerebral hemor-rhage in chief physician Wang Xiaoling's team,we analyze the distribution of Chinese medicine constitution in high-risk groups in high-risk groups in cerebral hemorrhage,and the main risk factors of high-risk groups in high-risk groups in differ-ent types of Chinese medicine constitutions were summarized,and the clinical intervention experience of high-risk groups in high-risk groups in damp heat constitution was summarized to provide reference for stroke prevention and treatment.Meth-ods 846 high-risk patients with high-risk cerebral hemorrhage who were screened for stroke at Ankang Traditional Chinese Medicine Hospital from July 2021 to December 2023 were included.General information of patients,type of traditional Chi-nese medicine constitution and high-risk factors were collected,and descriptive statistics were used to analyze the distribu-tion of traditional Chinese medicine constitution and high-risk factors in all patients;at the same time,the clinical experi-ence of Chief Physician Wang Xiaoling's intervention in high-risk cerebral hemorrhage at the high-risk group of damp heat constitution was summarized and analyzed.Results A total of 846 high-risk patients with cerebral hemorrhage were includ-ed,among which the distribution of medical physiques was damp heat and phlegm and dampness>yin deficiency>blood sta-sis>qi deficiency>yang deficiency>qi depression>calmness>special quality,among which the proportion of damp heat,phlegm and dampness,yin deficiency,blood stasis and qi deficiency was 90.2%;among the high-risk groups with hyperten-sion,exercise deficiency,obesity,family history of stroke and stroke,most of the stroke risk factors of damp heat and phlegm and dampness were manifested as damp heat and phlegm and dampness,and most of the patients with smoking,dyslipidemia and heart disease were manifested as damp heat and blood stasis,and most of the patients with diabetes and environmental psychological factors were manifested as damp heat and yin deficiency;the proportion of stroke risk factors for high-risk groups with damp heat and cerebral hemorrhage was relatively high.Conclusion The five most common types of Chinese medicine biased constitutions in high-risk groups for people with high risk of cerebral hemorrhage are damp heat,phlegm and dampness,yin deficiency,blood stasis and qi deficiency;damp heat constitution is the most important biased constitu-tion for people with high-risk cerebral hemorrhage;Chief Physicians Wang Xiaoling's team has formulated the"Pinggan and Zhu Zhu Zhu Prescription"for people with high-risk cerebral hemorrhage with high-risk cerebral hemorrhage with accurate clinical efficacy,and its mechanism of action needs to be further studied.关键词
脑出血/高危人群/中医体质/湿热体质/干预Key words
cerebral hemorrhage/high-risk population/traditional Chinese medicine constitution/damp and heat constitution/intervention分类
医药卫生引用本文复制引用
王凯,唐勇,陈亮,王晓玲,陈向荣,范小璇,卜圆齐..王晓玲主任医师对不同中医体质脑出血高危人群筛查及湿热体质干预经验探析[J].现代中医药,2026,46(2):30-35,6.基金项目
陕西省科技厅重点研发计划项目(2025SF-YBXM-484) (2025SF-YBXM-484)
陕西省中医药科技创新计划项目(2025-CXRC-30) (2025-CXRC-30)
陕西省科学技术协会青年人才托举计划项目(20230338) (20230338)
安康市青年科技新星项目(AK2023PD-KJXX-03) (AK2023PD-KJXX-03)
陕西省中医脑病临床医学研究中心建设项目(陕科社发[2017]176号) (陕科社发[2017]176号)