南京中医药大学学报2026，Vol.42Issue(4)：485-491,7.DOI:10.14148/j.issn.1672-0482.2026.0485
心系疾病"类方为引"辨证组方策略的构建与应用
Construction and Application of Syndrome Differentiation Prescription Strategy with"Similar Prescrip-tions as Guidance"for Cardiac Diseases
摘要
Abstract
Cardiac diseases have complex pathogenesis and diverse syndromes,with traditional syndrome differentiation and pre-scription facing bottlenecks like difficult formula selection,fluctuating curative effects,and insufficient integration of"principles,meth-ods,medicines and prescriptions".Based on TCM classic theories and clinical practice,this paper proposes the"similar prescriptions as guidance"strategy.It first sorts out three core pathogenesis categories of cardiac diseases:obstruction of cardiac vessels,malnutri-tion of the heart,and disturbance of the mind,key pathological factors(phlegm,fire,stagnation,blood stasis,deficiency,mental disor-der)and core therapeutic methods including promoting blood circulation and removing blood stasis,resolving phlegm and calming the mind,clearing heat and relieving irritability,soothing the liver and relieving depression,warming yang and tonifying qi,and nourishing yin and tranquilizing the mind.Then,guided by core pathogenesis,therapies and medicinal ingredients,it integrates traditional pre-scriptions into eight similar prescription systems:Banxia similar prescriptions,Zhizi similar prescriptions,Chaifu similar prescriptions,Danhong similar prescriptions,Shenqi similar prescriptions,Guifu similar prescriptions,Shengdi similar prescriptions,and Longmu similar prescriptions.A four-step clinical decision pathway("determine disease location-identify pathogenesis-select similar prescriptions-modify flexibly")is built to realize systematic connection from pathogenesis identification to medication.This strategy provides a concise and efficient TCM diagnosis and treatment mode for cardiac diseases,improving prescription accuracy and curative effect repeatability,with theoretical innovation and clinical promotion value.关键词
心系疾病/类方为引/病机/治法/类方/组方策略Key words
cardiac diseases/similar prescriptions as guidance/pathogenesis/treatment methods/similar prescriptions/prescription strategy分类
医药卫生引用本文复制引用
刘达,王新东..心系疾病"类方为引"辨证组方策略的构建与应用[J].南京中医药大学学报,2026,42(4):485-491,7.基金项目
江苏省中医药领军人才培养项目(CZ2023SLJ0305) （CZ2023SLJ0305）
江苏省中医药研究院高质量研究成果后补助项目(HBZ202410) （HBZ202410）
江苏省前沿技术研发计划(卫生健康领域)临床诊疗关键技术攻关项目(BF2025620) （卫生健康领域）
