心衰中医药辩证论治研究进展

Research Progress on Syndrome Differentiation and Treatment of Heart Failure in Traditional Chinese Medicine

摘要: 心力衰竭(以下简称心衰)是所有心脏相关疾病的最终转归，是我国中老年人常见的慢性疾病之一。基于我国人口年龄结构老龄化转型的流行病学调查数据，冠心病、系统性高血压、2型糖尿病等代谢性慢性疾病的标化发病率不断攀升，心衰患病率亦呈持续上升趋势。近年来，中医药治疗心衰以辨证论治为基础，开始探索更加全面的方式，以期改善患者的临床症状，提高生存质量，减少负面后果，并取得不少成果。本文对近年来中医药辨证论治心衰的研究进行梳理和总结，旨在对中医药临床诊治心衰提供参考，并对下一步的科研工作提供借鉴。

Abstract: Heart failure (hereinafter referred to as HF) represents the ultimate outcome of all cardiac-related diseases and is one of the common chronic conditions among middle-aged and elderly populations in China. Epidemiological survey data, based on the demographic transition towards an aging population in China, indicate a continuous rise in the standardized incidence rates of metabolic chronic diseases such as coronary heart disease, systemic hypertension, and type 2 diabetes mellitus, with the prevalence of HF also showing a persistent upward trend. In recent years, Traditional Chinese Medicine (TCM) has begun to explore more comprehensive approaches to treating HF based on syndrome differentiation and treatment, aiming to alleviate clinical symptoms, enhance the quality of life, reduce adverse outcomes, and has achieved significant results. This article reviews and summarizes recent research on the syndrome differentiation and treatment of HF in TCM, aiming to provide references for the clinical diagnosis and treatment of HF with TCM and to offer insights for future scientific research endeavors.