呼吸系统感染性疾病微观辨证应用的研究进展*

作者：刘小宁1，王湘雨2，匡菊欣1，陈慧萍1

单位：1.河南中医药大学第一附属医院国家区域中医（肺病）诊疗中心，河南 郑州 450000； 2.河南中医药大学第一附属医院，河南 郑州 450000

引用：引用：刘小宁，王湘雨，匡菊欣，陈慧萍.呼吸系统感染性疾病微观辨证应用的研究进展[J].中医药导报,2025,31(4):147-151.

DOI：10.13862/j.cn43-1446/r.2025.04.025

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摘要：从气管镜下表现（气管黏膜颜色、气管黏膜形态、气管管腔状态、镜下分泌物）及影像学特征、实验室检查、病原学、组学等方面探讨微观辨证在呼吸系统感染性疾病中的应用现状及价值，发现呼吸系统感染性疾病患者的中医证型、证候、舌脉与微观、近微观指标之间存在一定程度的相关性。微观辨证可以为呼吸系统感染性疾病中医辨证提供更加客观化、精准化的参考依据，指导临床中西医结合及时准确地诊断和治疗，促进中医学的发展与创新。

关键词：呼吸系统；感染性疾病；微观辨证；综述

Abstract：

This paper explores the current application status and value of microcosmic syndrome differentiation in respiratory system infectious diseases from aspects such as the manifestations under bronchoscopy (the color of tracheal mucosa, the morphology of tracheal mucosa, the state of the tracheal lumen, and the secretions observed under the endoscope), imaging features, laboratory tests, etiology, and omics. It is found that there is a certain degree of correlation between traditional Chinese medicine syndrome types, manifestation of syndrome, tongue manifestations, and pulse conditions of patients with respiratory system infectious diseases and microcosmic and near-microcosmic indicators. The microcosmic syndrome differentiation can provide a more objective and precise reference basis for traditional Chinese medicine syndrome differentiation of respiratory system infectious diseases, guide the timely and accurate diagnosis and treatment through the integration of traditional Chinese and Western medicine in clinical practice, and promote the development and innovation of traditional Chinese medicine.

Key words：respiratory system; infectious diseases; microcosmic syndrome differentiation; review

发布时间：2025-12-20

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