冠心病稳定期因毒致病的辨证诊断量化标准

现代中医学认为，血瘀是冠心病发生发展过程的一个主要病机，但冠心病急性心血管事件发生所表现的临床表征和病理变化，似非单一“血瘀” 病因病机所能概括。根据传统中医学因毒致病特点的认识，冠心病急性心血管事件发生当存在因毒致病或“瘀”、“毒”从化互结致病的病因病机。利用临床流行病学方法，制订符合循证医学理念的冠心病因毒致病的辨证诊断及量化标准，对早期识别冠心病高危人群，促进中医在冠心病防治领域发挥既病防变相关干预措施的优势，提高临床疗效，具有重要意义。

The Criterion of Syndrome Differentiation and Quantification for Stable Coronary Heart Disease Caused by Etiological Toxin of Chinese Medicine

Contemporary Chinese medicine supposes that the blood stasis is a pivotal pathogenic mechanism of coronary heart disease（CHD）.The presentation and pathological changes in acute cardiovascular events of CHD,however,seem to exceed the etiological category of blood stasis.The toxin or the combination and transformation of toxin and blood stasis of Chinese medicine are involved in the pathogenesis of CHD according to the basic theory of Chinese medicine.Therefore,to establish a criterion of differentiation and diagnosis for stable CHD caused by etiological toxin of Chinese medicine applying clinical epidemiological method,which is correlated to concept of evidence based medicine,is significant in early recognizing high risk patients and improving treatment of CHD.