从体质辨证论治糖尿病肾病
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摘要
糖尿病肾病(DN)是指糖尿病特发性全身微血管病变的肾脏表现。是由糖尿病引起的以肾小球硬化为特征的一种肾脏疾病。随着生活方式的改变和社会老龄化进程的加速,糖尿病肾病作为一种常见的内分泌代谢疾病,其患病率正在逐年增高。
研究目的:探索糖尿病肾病(DN)的辨证治疗与辨体质相结合的规律,找出DN中医证候的演变规律以及证候与体质之间的关系,以期在DN中医诊疗上指导临床用药,并为防治及阻断DN的进展探索更有效的治疗方法提供依据。
研究内容及方法:本文通过文献研究与临床病例分析相结合的方法,探求糖尿病肾病的演变轨迹及辨证与辨体质的关系,期望能够为有效防治糖尿病肾病提供更多借鉴和新的思路。首先,运用文献学的方法,收集整理古今文献,从历史发展的角度,对历代医家关于糖尿病肾病的论述进行了全面总结和回顾。系统分析糖尿病肾病的病名沿革、病因、病机、辨证、治则、方药等诸多方面,力求从整体上认识糖尿病肾病辨证论治与辨体质相结合的发展规律,为今后的研究奠定文献基础。
研究结论:通过分析,可以看出,个人的体质倾向与糖尿病肾病的发病、病理机转,预后密切相关,并且在很大程度上,体质的类型与其他两者相互转化,互相叠加。从某种意义上说,患者的体质倾向就等同于疾病的总体病机。目前,临床上还存在一证一方甚至一病一方的弊端,忽略了患者体质的不同,这势必影响临床疗效。而《内经》中指出“因人制宜”,其核心是“辨质论治”。这就启示现代中医临床工作者在临床实践中不能只注重辨证论治,辨病论治,还要强调辨质论治。将三者有机的全面的结合起来指导临床,以更加充分体现中医治疗疾病的优势。
Purpose: Exploration of diabetic nephropathy (DN) of the differentiation ofphysical therapy and identified a combination of laws, to identify the DN of TCM Syndrome Syndrome evolution, as well as the relationship between body mass, with a view to guiding the DN of TCM clinical medicine clinics, as well as prevention and treatment and blocking the progress of DN to explore more effective treatment methods to provide a basis.
Material and method: In this paper, literature research and analysis ofclinical cases a combination of methods, and explore the evolution of diabetic nephropathy and differentiation trajectory and identify the relationship between physical fitness, look forward to for the effective prevention and treatment of diabetic nephropathy with more new ideas and learn from. First of all, to use literature to learn ways to organize the collection of ancient and modern literature, from the perspective of historical development of ancient medicine Diabetes exposition on a comprehensive summary and review. Diabetes analysis of disease history, etiology, pathogenesis, differentiation, governance is, prescriptions and many other aspects to the overall understanding of diabetic nephropathy syndrome differentiation and identified a combination of physical laws governing the development of research for the future to lay the basis of the literature.
Conclusion: Through analysis, we can see that the individual's physicaltendencies and the incidence of diabetic nephropathy, pathogenesis, prognosis is closely related to, and to a large extent, the type of physical transformation between the two with other, overlapping each other. In a sense, the tendency of patients with physical illness the same as the overall pathogenesis. At present, there is clinical evidence of a disease, or even a party to one of the drawbacks of the neglect of patients with different body mass, which is bound to affect clinical efficacy. And "Neijing" that "the person should be" the core of which is "identified the quality of governance." This revelation of modern clinical practice in clinical workers can not just focus on Treatment, Disease Treatment, but also stressed that the quality of governance identified. The three organic combination of a comprehensive clinical guide to more fully embodies the advantages of Chinese medicine treatment of disease.
研究目的:探索糖尿病肾病(DN)的辨证治疗与辨体质相结合的规律,找出DN中医证候的演变规律以及证候与体质之间的关系,以期在DN中医诊疗上指导临床用药,并为防治及阻断DN的进展探索更有效的治疗方法提供依据。
研究内容及方法:本文通过文献研究与临床病例分析相结合的方法,探求糖尿病肾病的演变轨迹及辨证与辨体质的关系,期望能够为有效防治糖尿病肾病提供更多借鉴和新的思路。首先,运用文献学的方法,收集整理古今文献,从历史发展的角度,对历代医家关于糖尿病肾病的论述进行了全面总结和回顾。系统分析糖尿病肾病的病名沿革、病因、病机、辨证、治则、方药等诸多方面,力求从整体上认识糖尿病肾病辨证论治与辨体质相结合的发展规律,为今后的研究奠定文献基础。
研究结论:通过分析,可以看出,个人的体质倾向与糖尿病肾病的发病、病理机转,预后密切相关,并且在很大程度上,体质的类型与其他两者相互转化,互相叠加。从某种意义上说,患者的体质倾向就等同于疾病的总体病机。目前,临床上还存在一证一方甚至一病一方的弊端,忽略了患者体质的不同,这势必影响临床疗效。而《内经》中指出“因人制宜”,其核心是“辨质论治”。这就启示现代中医临床工作者在临床实践中不能只注重辨证论治,辨病论治,还要强调辨质论治。将三者有机的全面的结合起来指导临床,以更加充分体现中医治疗疾病的优势。
Purpose: Exploration of diabetic nephropathy (DN) of the differentiation ofphysical therapy and identified a combination of laws, to identify the DN of TCM Syndrome Syndrome evolution, as well as the relationship between body mass, with a view to guiding the DN of TCM clinical medicine clinics, as well as prevention and treatment and blocking the progress of DN to explore more effective treatment methods to provide a basis.
Material and method: In this paper, literature research and analysis ofclinical cases a combination of methods, and explore the evolution of diabetic nephropathy and differentiation trajectory and identify the relationship between physical fitness, look forward to for the effective prevention and treatment of diabetic nephropathy with more new ideas and learn from. First of all, to use literature to learn ways to organize the collection of ancient and modern literature, from the perspective of historical development of ancient medicine Diabetes exposition on a comprehensive summary and review. Diabetes analysis of disease history, etiology, pathogenesis, differentiation, governance is, prescriptions and many other aspects to the overall understanding of diabetic nephropathy syndrome differentiation and identified a combination of physical laws governing the development of research for the future to lay the basis of the literature.
Conclusion: Through analysis, we can see that the individual's physicaltendencies and the incidence of diabetic nephropathy, pathogenesis, prognosis is closely related to, and to a large extent, the type of physical transformation between the two with other, overlapping each other. In a sense, the tendency of patients with physical illness the same as the overall pathogenesis. At present, there is clinical evidence of a disease, or even a party to one of the drawbacks of the neglect of patients with different body mass, which is bound to affect clinical efficacy. And "Neijing" that "the person should be" the core of which is "identified the quality of governance." This revelation of modern clinical practice in clinical workers can not just focus on Treatment, Disease Treatment, but also stressed that the quality of governance identified. The three organic combination of a comprehensive clinical guide to more fully embodies the advantages of Chinese medicine treatment of disease.
引文
[1]程益春.糖尿病肾病的中医治疗[C].上海:第六届全国糖尿病中医学术会议论文集,2000:16-18
[2]何堂均,李铁强.糖尿病肾病中医治疗进展[J]辽宁中医药大学学报,2008,10(1):64.
[3]魏华.欧阳忠兴教授补肾活血法为主辨治糖尿病肾病经验[J].安徽中医学院学报,1997,16(2):33-34.
[4]范冠杰,唐咸玉,李双蕾,等.益气养阴活血法对早期糖尿病肾病患者一氧化氮的影响[J].中国中西医结合杂志,2002,2(12):912-914
[5]林爱武.益气养阴活血和络法治疗糖尿病肾病[J].中国中西医结合肾病杂志,2003,4(11):663-664
[6]夏迎春.活血化瘀法为主治疗糖尿病肾病56例疗效观察[J].中国中医急症,2002,11(5):357-358
[7]时振声.消渴病专辑,1990,53
[8]郭连川.辨证治疗糖尿病肾病.辽宁中医杂志,1993(3):19
[9]温化冰.糖尿病肾病晚期的中医治疗.北京中医学院学报,1992,巧(1):46
[8]高彦彬,易京红.中医药辨治糖尿病肾病100例临床分析.中医杂志,1991,32(7):31
[9]刘从明,何金霞.辨证治疗糖尿病肾病临床观察.内蒙古中医药,1996,巧(1):46
[10]卢玲.38例糖尿病肾病辨证施治.广西中医药,1995,18(3):5
[11]赵东鹰.辨证论治结合西药治疗糖尿病肾病56例[J].陕西中医,2007,28(4):415-416.
[12]李肇晕曲丽卿糖尿病肾病的辨证论治时珍国医国药2006年第17卷第3期2006VOL.1 7NO.3448;
[13]林兰.糖尿病肾病的中西医结合治疗.北京科学技术出版社
[14]刘承琴.滋肾健脾化瘀方治疗早期糖尿病肾病41例[J].山东中医杂志,2003,22(11):648-649
[15]张风瑞.愈糖肾治疗消渴肾病的临床研究[J].吉林中医药,2003,23(4):10-11
[16]吕仁和,等。北京中医 1999;(2):9
[17]罗苏生。浙江中医学院学报 1993;17(6):12
[18]钱荣江.自拟益肾活血方治疗糖尿病肾病[J].中国中西医结合肾病杂志,2004,5(2):102
[19]杨广智.化瘀固肾散治疗糖尿病早期肾病94例临床观察[J].山西中医,2003,19(6):14-1
[20]陈艳。中医杂志 1995;36(6):347
[21]刘宏伟。辽宁中医杂志 1993;20(10):18
[22]王宁元,等。陕西中医 1995;(694):186
[23]韩柯,等.保肾降糖汤治疗糖尿病肾病的临床疗效观察.长春中医学院学报,1997,13(1):31
[24]朱晓红.温阳益气法为主治疗糖尿病肾病30例[J].光明中医,2003,18(3):51
[25]张志远.糖尿病肾病的中医治疗及研究进展[J].宁夏医学院学报,1999,(2):152-155.
[26]李金海等.利湿化瘀法治疗糖尿病肾病临床观察[J].中国中西医结合杂志,2008,9(3):265
[27]孟灵芝.辨证治疗糖尿病肾病60例疗效观察[J].中华实用中西医杂志,2005,18(20):1339.
[28]邓经林.48例糖尿病肾病的中医辨证论治[J].江西中医药,2001(5):29.
[29]王亚敏.中西医结合治疗糖尿病肾病疗效观察[J].中国中西医结合肾病杂志,2002,3(4):232-234.
[30]任全顺糖尿病肾病辨治浅析时珍国医国药2004年第15卷第1期29;
[31]谢立群.活血化瘀法治疗糖尿病肾病80例疗效观察[J].时珍国医国药,2001,12(8):721.
[32]余毅,陈杭军,林宏初,等.益气补肾活血辅助治疗早期糖尿病肾病的临床观察[J].中国中西医结合肾病杂志,2005,6(7):389-392.
[33]夏红梅,尹卫华,宋雅琴.益气滋阴活血化瘀法治疗早期糖尿病肾病30例[J].江西中医药,2005(1):30.
[34]王秀芬,赵苍朵,顾连方,等.加减补阳还五汤对早期糖尿病肾病的临床疗效及作用机制探讨[J].中国中西医结合肾病杂志,2005,6(5):280-281.
[35]杨丽珍.中西医结合治疗糖尿病肾病38例疗效观察[J].新中医,1998,(9):11.
[36]陈丁生.糖肾康治疗糖尿病肾病的临床研究[J].北京中医药大学学报,1996,19(1):64.
[37]张永华,裴材.糖尿病肾病血液流变学改变及桃红四物汤的治疗作用[J].浙江中医杂志,1995,30(2):88.
[38]张国山,陆建芬.益肾活血方治疗糖尿病肾病[J].天津中医,2000,7(3):17-18.
[39]郭赛珊.治疗糖尿病肾病的经验体会[J].中国中西医结合杂志,1996,16(1):3
[40]魏华.欧阳忠兴教授补肾活血法为主辨治糖尿病肾病经验[J].安徽中医学院学报,1997,16(2):33
[41]刘洪陆,郭惠芳.从痰瘀论治糖尿病肾病--附181例临床分析[J].国医论坛,1999,14(3):22
[42]胡建萍.丹芪益肾汤治疗糖尿病肾病蛋白尿48例[J].上海中医药杂志,2001,35(8):24
[43]冉颖卓.虫草菌制剂对2型糖尿病早期肾病30例的干预治疗[J].陕西中医,2006,27(3):309-310.
[44]计磊,潘美妍,王璐.黄芪注射液治疗糖尿病肾病的疗效[J].实用医药杂志,2006,23(4):439.
[45]王啸飞,王洪语.川芎嗪对早期糖尿病肾病的治疗作用[J].实用中医内科杂志,2005,20(2):78.
[46]李忠亮,常冰玲.血塞通治疗糖尿病肾病的疗效观察[J].中国误诊学杂志,2005,5(11):33-34.
[47]王慧芳,马骏,陈国庆,等.大黄对早期糖尿病肾脏血流动力学的影响[J].铁道医学,2001,38(5):320-321.
[48]郭妍,王海莲,董海荣,等.糖尿病肾病患者血清型胶原水平变化的临床意义及葛根素的治疗作用[J].南京医科大学学报,2000,45(1):45.
[49]谢秋芳,钱胜.从瘀论治糖尿病肾病水肿32例[J].北京中医药大学学报,1999,22(1):43.
[50]罗月中·叶任高教授治疗糖尿病肾病的经验·中国中西医结合肾病杂志,2001,2(8):438-440·
[51]韩彬,兰红勤.旷惠桃教授论治糖尿病肾病经验[J].中医药导报,13(7):16-17
[52]李雷.从络病论治糖尿病肾病[J].浙江中医杂志,2007,42(5):258-259
[53]薛国忠,戴恩来.刘宝厚教授治疗糖尿病肾病经验[J].中国中西医结合肾病杂志,2007,8(6):314-315
[54]佟杰,周潮.调肾保精散热罨包治疗糖尿病肾病[J].吉林中医药,2005,25(2):13-14.
[55]吉学群,薛莉,于颂华.补肾活血针刺法在糖尿病肾病中的应用[J].针灸临床杂志,2005,21(1):43-44.
[56]褚芹,王琳.针药并用治疗糖尿病肾病疗效观察.中国针灸,2007,27(7):488-490
[57]王琦,叶加农.肥胖人痰湿型体质的血液流变学及甲皱微循环研究[J].中国中医基础医学杂志,1995,1(1):52-54
[58]鲁明源.湿热体质与冠心病-冠心病危险因素的中医评析[J].山东中医药大学学报,2003,27(1):16-20
[59]赵进喜.糖尿病及其并发症与辨体质、辨病、辨证“三位一体”辨证模式[J].河北中医,2004,10:(10):785-786
[1]王琦.中医体质学[M].北京:中国医药科技出版社,1995:40.
[2]匡调元.人体体质学--中医学个性化治疗原理[M].上海:上海科技出版社,2003.
[3]叶加农.肥胖人痰湿型体质血液流变学和甲皱微循环研究[J].中国中医基础杂志,1995,1(1):52-54
[4]宋秀明.谈体质与临床的意义[J]辽宁中医学院学报,2004,6(6):454-455
[5]赵进喜.糖尿病及其并发症与辨体质、辨病、辨证“三位一体”辨证模式[J].河北中医 2004,10(26)
[6]匡调元.人体体质学:中医学个性化诊疗原理.上海:上海技术出版社,2003,234,263,288
[7]王秀莲,孟繁洁.试论体质在温病“截断”治疗中的意义.陕西中医,2001,22(9)
[8]刘艳娇,中医痰湿体质的若干定义及其相互关系[J]中医杂志,2005,46(5)
[9]李东涛.论气虚体质的特征[J].山东中医杂志,1998,17(9):389
[10]郭蕾,王永炎,张志斌.关于证候概念的诠释[J].北京中医药大学学报,2003,26(2):5.
[11]宋红普.体质分析与辨证论治[J].中医研究,1998,11(4):1.
[2]何堂均,李铁强.糖尿病肾病中医治疗进展[J]辽宁中医药大学学报,2008,10(1):64.
[3]魏华.欧阳忠兴教授补肾活血法为主辨治糖尿病肾病经验[J].安徽中医学院学报,1997,16(2):33-34.
[4]范冠杰,唐咸玉,李双蕾,等.益气养阴活血法对早期糖尿病肾病患者一氧化氮的影响[J].中国中西医结合杂志,2002,2(12):912-914
[5]林爱武.益气养阴活血和络法治疗糖尿病肾病[J].中国中西医结合肾病杂志,2003,4(11):663-664
[6]夏迎春.活血化瘀法为主治疗糖尿病肾病56例疗效观察[J].中国中医急症,2002,11(5):357-358
[7]时振声.消渴病专辑,1990,53
[8]郭连川.辨证治疗糖尿病肾病.辽宁中医杂志,1993(3):19
[9]温化冰.糖尿病肾病晚期的中医治疗.北京中医学院学报,1992,巧(1):46
[8]高彦彬,易京红.中医药辨治糖尿病肾病100例临床分析.中医杂志,1991,32(7):31
[9]刘从明,何金霞.辨证治疗糖尿病肾病临床观察.内蒙古中医药,1996,巧(1):46
[10]卢玲.38例糖尿病肾病辨证施治.广西中医药,1995,18(3):5
[11]赵东鹰.辨证论治结合西药治疗糖尿病肾病56例[J].陕西中医,2007,28(4):415-416.
[12]李肇晕曲丽卿糖尿病肾病的辨证论治时珍国医国药2006年第17卷第3期2006VOL.1 7NO.3448;
[13]林兰.糖尿病肾病的中西医结合治疗.北京科学技术出版社
[14]刘承琴.滋肾健脾化瘀方治疗早期糖尿病肾病41例[J].山东中医杂志,2003,22(11):648-649
[15]张风瑞.愈糖肾治疗消渴肾病的临床研究[J].吉林中医药,2003,23(4):10-11
[16]吕仁和,等。北京中医 1999;(2):9
[17]罗苏生。浙江中医学院学报 1993;17(6):12
[18]钱荣江.自拟益肾活血方治疗糖尿病肾病[J].中国中西医结合肾病杂志,2004,5(2):102
[19]杨广智.化瘀固肾散治疗糖尿病早期肾病94例临床观察[J].山西中医,2003,19(6):14-1
[20]陈艳。中医杂志 1995;36(6):347
[21]刘宏伟。辽宁中医杂志 1993;20(10):18
[22]王宁元,等。陕西中医 1995;(694):186
[23]韩柯,等.保肾降糖汤治疗糖尿病肾病的临床疗效观察.长春中医学院学报,1997,13(1):31
[24]朱晓红.温阳益气法为主治疗糖尿病肾病30例[J].光明中医,2003,18(3):51
[25]张志远.糖尿病肾病的中医治疗及研究进展[J].宁夏医学院学报,1999,(2):152-155.
[26]李金海等.利湿化瘀法治疗糖尿病肾病临床观察[J].中国中西医结合杂志,2008,9(3):265
[27]孟灵芝.辨证治疗糖尿病肾病60例疗效观察[J].中华实用中西医杂志,2005,18(20):1339.
[28]邓经林.48例糖尿病肾病的中医辨证论治[J].江西中医药,2001(5):29.
[29]王亚敏.中西医结合治疗糖尿病肾病疗效观察[J].中国中西医结合肾病杂志,2002,3(4):232-234.
[30]任全顺糖尿病肾病辨治浅析时珍国医国药2004年第15卷第1期29;
[31]谢立群.活血化瘀法治疗糖尿病肾病80例疗效观察[J].时珍国医国药,2001,12(8):721.
[32]余毅,陈杭军,林宏初,等.益气补肾活血辅助治疗早期糖尿病肾病的临床观察[J].中国中西医结合肾病杂志,2005,6(7):389-392.
[33]夏红梅,尹卫华,宋雅琴.益气滋阴活血化瘀法治疗早期糖尿病肾病30例[J].江西中医药,2005(1):30.
[34]王秀芬,赵苍朵,顾连方,等.加减补阳还五汤对早期糖尿病肾病的临床疗效及作用机制探讨[J].中国中西医结合肾病杂志,2005,6(5):280-281.
[35]杨丽珍.中西医结合治疗糖尿病肾病38例疗效观察[J].新中医,1998,(9):11.
[36]陈丁生.糖肾康治疗糖尿病肾病的临床研究[J].北京中医药大学学报,1996,19(1):64.
[37]张永华,裴材.糖尿病肾病血液流变学改变及桃红四物汤的治疗作用[J].浙江中医杂志,1995,30(2):88.
[38]张国山,陆建芬.益肾活血方治疗糖尿病肾病[J].天津中医,2000,7(3):17-18.
[39]郭赛珊.治疗糖尿病肾病的经验体会[J].中国中西医结合杂志,1996,16(1):3
[40]魏华.欧阳忠兴教授补肾活血法为主辨治糖尿病肾病经验[J].安徽中医学院学报,1997,16(2):33
[41]刘洪陆,郭惠芳.从痰瘀论治糖尿病肾病--附181例临床分析[J].国医论坛,1999,14(3):22
[42]胡建萍.丹芪益肾汤治疗糖尿病肾病蛋白尿48例[J].上海中医药杂志,2001,35(8):24
[43]冉颖卓.虫草菌制剂对2型糖尿病早期肾病30例的干预治疗[J].陕西中医,2006,27(3):309-310.
[44]计磊,潘美妍,王璐.黄芪注射液治疗糖尿病肾病的疗效[J].实用医药杂志,2006,23(4):439.
[45]王啸飞,王洪语.川芎嗪对早期糖尿病肾病的治疗作用[J].实用中医内科杂志,2005,20(2):78.
[46]李忠亮,常冰玲.血塞通治疗糖尿病肾病的疗效观察[J].中国误诊学杂志,2005,5(11):33-34.
[47]王慧芳,马骏,陈国庆,等.大黄对早期糖尿病肾脏血流动力学的影响[J].铁道医学,2001,38(5):320-321.
[48]郭妍,王海莲,董海荣,等.糖尿病肾病患者血清型胶原水平变化的临床意义及葛根素的治疗作用[J].南京医科大学学报,2000,45(1):45.
[49]谢秋芳,钱胜.从瘀论治糖尿病肾病水肿32例[J].北京中医药大学学报,1999,22(1):43.
[50]罗月中·叶任高教授治疗糖尿病肾病的经验·中国中西医结合肾病杂志,2001,2(8):438-440·
[51]韩彬,兰红勤.旷惠桃教授论治糖尿病肾病经验[J].中医药导报,13(7):16-17
[52]李雷.从络病论治糖尿病肾病[J].浙江中医杂志,2007,42(5):258-259
[53]薛国忠,戴恩来.刘宝厚教授治疗糖尿病肾病经验[J].中国中西医结合肾病杂志,2007,8(6):314-315
[54]佟杰,周潮.调肾保精散热罨包治疗糖尿病肾病[J].吉林中医药,2005,25(2):13-14.
[55]吉学群,薛莉,于颂华.补肾活血针刺法在糖尿病肾病中的应用[J].针灸临床杂志,2005,21(1):43-44.
[56]褚芹,王琳.针药并用治疗糖尿病肾病疗效观察.中国针灸,2007,27(7):488-490
[57]王琦,叶加农.肥胖人痰湿型体质的血液流变学及甲皱微循环研究[J].中国中医基础医学杂志,1995,1(1):52-54
[58]鲁明源.湿热体质与冠心病-冠心病危险因素的中医评析[J].山东中医药大学学报,2003,27(1):16-20
[59]赵进喜.糖尿病及其并发症与辨体质、辨病、辨证“三位一体”辨证模式[J].河北中医,2004,10:(10):785-786
[1]王琦.中医体质学[M].北京:中国医药科技出版社,1995:40.
[2]匡调元.人体体质学--中医学个性化治疗原理[M].上海:上海科技出版社,2003.
[3]叶加农.肥胖人痰湿型体质血液流变学和甲皱微循环研究[J].中国中医基础杂志,1995,1(1):52-54
[4]宋秀明.谈体质与临床的意义[J]辽宁中医学院学报,2004,6(6):454-455
[5]赵进喜.糖尿病及其并发症与辨体质、辨病、辨证“三位一体”辨证模式[J].河北中医 2004,10(26)
[6]匡调元.人体体质学:中医学个性化诊疗原理.上海:上海技术出版社,2003,234,263,288
[7]王秀莲,孟繁洁.试论体质在温病“截断”治疗中的意义.陕西中医,2001,22(9)
[8]刘艳娇,中医痰湿体质的若干定义及其相互关系[J]中医杂志,2005,46(5)
[9]李东涛.论气虚体质的特征[J].山东中医杂志,1998,17(9):389
[10]郭蕾,王永炎,张志斌.关于证候概念的诠释[J].北京中医药大学学报,2003,26(2):5.
[11]宋红普.体质分析与辨证论治[J].中医研究,1998,11(4):1.