中医临床诊疗术语 证候部分

中医临床诊疗术语 证候部分

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GB/TXXXXX-XXXX中医临床诊疗术语证候部分(修订版)1范围本标准规定了中医临床812种常见证及其定义。本标准适用于中医医疗、卫生统计、中医病案管理、中医临床医疗质量评定、科研、教学、出版及国内外学术交流等领域。2引用标准下列标准所包含的条文,通过在本标准中引用而构成为本标准的条文。本标准出版时,所列示版本均为有效。所有标准都会被修订,使用本标准的各方应同时探讨使用下列标准最新版本的可能性。GB/T15657-1995中医病证分类与代码GB/T16751.1-1997中医临床诊疗术语疾病部分ZY/T001.1~001.9-94中医病证诊断疗效标准3基本虚证类 basicsyndromesofdeficiencytype3.1气虚证 syndromeofqideficiency元气不足,脏腑机能衰退,以气短乏力,神疲懒言,自汗,舌淡,脉虚等为常见症的证候。3.2气陷证 syndromeofqisinking气虚无力升举,中气下陷,以头晕眼花,少气倦怠,脘腹坠胀,脱肛,内脏、子宫下垂,舌淡苔白,脉弱等为常见症的证候。3.3气脱证 syndromeofqicollapse真气因某种原因而急骤外泄,以突然面色苍白,口唇青紫,汗出,肢冷,呼吸微弱,舌淡,脉细数为常见症的危重证候。同义词:元气虚脱证3.4血虚证 syndromeofblooddeficiency血液亏虚,脏腑、经络、形体失养,以面色淡白或萎黄,唇舌爪甲色淡,头晕眼花,心悸多梦,手足发麻;妇女月经量少,色淡,愆期或闭经,脉细等为常见症的证候。3.4.1血虚动[生]风证 syndromeofblooddeficiency[generating]stirringwind血液亏损,形体失养,虚风内动,以面色无华,爪甲不荣,夜寐多梦,视物模糊,头晕眼花,肢体麻木,皮肤瘙痒等为常见症的证候。3.4.2血虚风燥[盛]证 syndromeofblooddeficiencyandwinddryness[exuberance]血虚风胜化燥,皮毛、筋脉失养,以皮肤粗糙,干燥脱屑,瘙痒,或枯皱皲裂,毛发失荣脱落,肌肤麻木,手足拘急,面白无华,爪甲淡白,头晕眼花,舌淡,脉细等为常见症的证候。3.4.3血虚津亏证 syndromeofblooddeficiencyandfluiddepletion津血亏虚,形体失其濡养,以面白无华,皮肤枯槁,唇甲淡白,鼻燥咽干,目涩少泪,小便短少,大便干结,舌红少津,脉细而涩等为常见症的证候。3.5血脱证 syndromeofbloodcollapse突然大量出血或长期反复出血,血液亡脱于外,以面色苍白,头晕眼花,心悸怔忡,气微而短,四肢清冷,舌淡脉芤等为常见症的证候。3.6阴(液亏)虚证 syndromeofyin(humordepletion)deficiency51 GB/TXXXXX-XXXX阴液不足,不能制阳,以潮热盗汗,午后颧红,五心烦热,口燥咽干,舌红少苔,脉细数等为常见症的证候。3.6.1阴虚阳浮证 syndromeofyindeficiencywithyangfloating阴液亏虚,阴不制阳,阳气上浮,以颜面烘热,两颧潮红,形瘦盗汗,头晕目眩,烦躁失眠,舌红少苔,脉细数等为常见症的证候。3.6.2阴虚血燥证 syndromeofyindeficiencyandblooddryness阴液亏虚,津血被耗,以头晕目眩,口干咽燥,皮肤干涩、瘙痒,毛发不荣,午后潮热,盗汗颧红,舌红少津,脉细数等为常见症的证候。3.6.3阴虚动血证 syndromeofyindeficiencywithbloodstirring阴液亏虚,虚热迫血妄行,以咳血,吐血,衄血,尿血,便血,妇女月经量多,五心烦热,午后颧红,形瘦盗汗,舌红少苔,脉细数等为常见症的证候。3.6.4阴虚动风证 syndromeofyindeficiencywithwindstirring阴液亏虚,经脉失养,虚风内动,以头目眩晕,肢体发麻,或手足瘈疭、震颤,形体消瘦,五心烦热,口燥咽干,小便短黄,大便干结,舌红少苔,脉细数等为常见症的证候。3.6.5阴虚津亏证 syndromeofyindeficiencyandfluiddepletion阴津亏耗,形体失养,以口干咽燥,皮肤干涩,眼眶凹陷,小便短黄,大便干结,形瘦盗汗,舌红苔少而干,脉细数等为常见症的证候。同义词:阴津亏虚证3.7亡阴证 syndromeofyinloss体液大量耗损,阴精欲竭,以身热,汗出如油,口渴饮冷,烦躁,面红,舌干无津,脉细疾数等为常见症的危重证候。同义词:阴脱证3.8阳虚证 syndromeofyangdeficiency阳气亏损,失却温煦推动,脏腑机能衰退,以畏寒肢冷,神疲乏力,气短,口淡不渴,或喜热饮,尿清便溏,或尿少浮肿,面白,舌淡胖,脉沉迟无力等为常见症的证候。同义词:阳气(亏)虚证3.9亡阳证 syndromeofyangloss阳气衰竭而欲脱,以冷汗淋漓,身凉肢厥,神倦息微,面色苍白,脉微欲绝,舌淡苔润等为常见症的危重证候。同义词:阳脱证3.10虚阳浮越证 syndromeofdeficiencyyangfloatingupward阳虚阴盛,格阳于上,以面红如妆,口咽干燥,皮肤灼热,然而下肢厥冷,小便清长,大便溏,脉浮大无力等为常见症的证候。3.11气血两虚证 syndromeofdualdeficiencyofqiandblood气血亏虚,形体失养,以神疲乏力,气短懒言,面色淡白或萎黄,头晕目眩,唇甲色淡,心悸失眠,舌淡脉弱等为常见症的证候。3.11.1气随血脱证 syndromeofqicollapsefollowingbleeding因大量出血,气无所附而随之暴脱,以面色苍白,四肢厥冷,大汗淋漓,气息微弱,甚至昏厥,脉微欲绝,或虚大无力等为常见症的危重证候。3.11.2气不摄[统]血证 syndromeofqifailingtocontrol[command]blood气虚不能统摄血液,以便血,肌衄,齿衄,妇女崩漏,月经量多,神疲乏力,气短懒言,面色无华,舌淡,脉弱等为常见症的证候。3.11.3气血两虚动风证 syndromeofdualdeficiencyofqiandbloodwithwindstirring气血亏虚,形体失养,虚风内动,以神疲乏力,气短懒言,面色淡白或萎黄,唇甲色淡,头晕目眩,肢体麻木,手足挛急,舌淡脉弱等为常见症的证候。3.12气阴两[亏]虚证 syndromeofdualdeficiencyofqiandyin元气不足,阴津亏损,以神疲乏力,气短懒言,咽干口燥,潮热,自汗,盗汗,小便短少,大便干结,舌红或胖,苔少而干,脉细无力或虚数等为常见症的证候。3.13阴血亏虚证 syndromeofyin-blooddepletionanddeficiency阴液精血亏虚,形体失养,以形体消瘦,面色萎黄,低热颧红,肢体麻木,头晕目眩,心悸失眠,舌红苔少,脉细数等为常见症的证候。51 GB/TXXXXX-XXXX3.14阴阳两[亏]虚证 syndromeofdual[depletion]deficiencyofyinandyang脏腑阴液阳气俱虚,以眩晕耳鸣,神疲,畏寒肢冷,五心烦热,心悸腰酸,舌淡少津,脉弱而数等为常见症的证候。3.14.1阴损及阳证 syndromeofyindetrimentaffectingyang阴液亏损,日久及阳,终致阴阳俱虚的证候。3.14.2阳损及阴证 syndromeofyangdetrimentaffectingyin阳气亏损,日久及阴,终致阴阳俱虚的证候。3.14.3阴竭阳脱证 syndromeofyinexhaustionandyangcollapse阴精亏损,阳无所附,随之而脱所表现的证候。3.15津液亏虚证 syndromeofdepletionanddeficiencyoffluidandhumor津液亏少,脏腑组织失却濡养,以口燥咽干,唇燥或裂,渴欲饮水,小便短少,大便干结,舌红少津,脉细数无力等为常见症的证候。3.15.1津亏[伤]证 syndromeoffluiddepletion[damage]津液亏虚之轻者,以口鼻、咽喉、唇舌、皮肤干燥,大便干结,脉细数等为常见症的证候。3.15.2液亏[脱]证 syndromeofhumordepletion[collapse]津液亏虚之甚者,以形体消瘦,口唇焦裂,皮肤枯瘪,眼眶凹陷,关节不利,小便短少,大便干结等为常见症的证候。3.16津气亏虚证 syndromeoffluidandqidepletionanddeficiency津液不足,正气亏虚,以神疲气短,烦渴欲饮,皮肤干燥,眼球凹陷,或汗出量多,舌红苔干,脉细无力等为常见症的证候。3.17精气亏虚[不足]证 syndromeofessentialqidepletionanddeficiency[insufficiency]精气亏少,以形体消瘦,头晕脑鸣,身材矮小,动作迟钝,智力低下,或男子精少精稀,阳痿早泄等为常见症的证候。同义词:精亏证3.18精血亏虚证 syndromeofdepletionanddeficiencyofessenceandblood病久体弱,或生化不足,精亏血少,以眩晕,健忘,耳鸣,心悸,面白,损伤久不能复等为常见症的证候。3.19髓亏证 syndromeofmarrowdepletion精髓亏虚,形体失其充养,以眩晕耳鸣,头脑空痛,腰脊酸软,动作迟钝,肢体痿软,或足不任身等为常见症的证候。3.20卫(气亏)虚证 syndromeofdefense(qidepletion)deficiency卫气亏虚,卫外不固,以恶风汗出,容易感冒,脉浮无力等为常见症的证候。3.21营(气亏)虚证 syndromeofnutrient(qidepletion)deficiency营气亏虚,机体失养,以疲乏,消瘦,自汗,面色少华,脉弱等为常见症的证候。4基本实证类 basicexcesssyndromes4.1外风证 syndromeofexteriorwind泛指风邪或夹湿热疫毒等邪侵袭于外,或内犯所致的证候。其症因夹邪及所犯形体脏器的不同而各具特征。4.1.1风邪犯表[外袭]证 syndromeofpathogenicwindinvadingtheexterior[assailingtheexterior]风邪侵袭肤表,卫外机能失常,以恶风、发热、汗出、脉浮,或皮肤瘙痒,水肿,或咳嗽,咽喉痛,头身痛等为常见症的证候。4.1.2风湿犯表[外袭]证 syndromeofwind-dampnessinvadingtheexterior[assailingtheexterior]风邪挟湿侵袭肌表,卫外机能失常,以恶寒发热,肢体困重,关节酸痛,头重如裹,舌苔白薄腻等为常见症的证候。4.1.3风热外袭[侵]证 syndromeofwind-heatassailing[intruding]theexterior51 GB/TXXXXX-XXXX风热之邪侵袭肌表,卫外机能失常,以发热,或微恶寒,恶风,汗出,口渴,咽喉红痛舌尖红,苔薄黄,脉浮数,或皮肤红肿灼痒等为常见症的证候。4.1.3.1风重于热证 syndromeofwindpredominatingoverheat风热外袭证风偏重者,以微热汗出,恶风,皮肤瘙痒,咽喉痒痛,脉浮数等为常见症的证候。4.1.3.2热重于风证 syndromeofheatpredominatingoverwind风热外袭证热偏重者,以发热重,微恶风,口渴饮冷,目赤肿痛,咽喉红肿,舌尖红,苔薄黄,脉浮数,或肌肤痒痛灼热等为常见症的证候。4.1.3.3风热俱[壅]盛证 syndromeofdual[congestion]exuberanceofwindandheat风热邪气壅滞所致,以发热,口渴饮冷,面目或咽喉红肿疼痛,皮肤出疹色赤,或痈疖疔疮红肿灼热痒痛,便结尿黄,舌红苔黄,脉数等为常见症的证候。4.1.3.4风热疫毒证 syndromeofwind-heatandpestilenttoxin风热疫毒壅滞所致,以寒战高热,头面红肿,咽喉肿痛,身发斑疹,烦躁口渴,头痛恶心,舌红绛,脉洪数等为常见症的证候。4.1.4风热痰毒[凝]证 syndromeofwind-heatandphlegm-toxin[congealment]风热痰毒壅滞,气血不畅,以发热面赤,咳嗽,痰多而黄稠,胸闷气喘,咽喉肿痛,或疮疡肿痛质硬,难溃难消,舌红苔黄腻,脉滑数等为常见症的证候。4.1.5风湿挟毒[毒聚]证 syndromeofwind-dampnesswithtoxincomplication[toxinaggregation]风湿毒邪侵渍肌肤,以下肢浮肿,溃疡,阴部湿疹,瘙痒,流黄水,或足趾间奇痒,妇女黄白带下等为常见症的证候。4.1.6风热挟湿证 syndromeofwind-heatwithdampnesscomplication风热湿邪侵袭肌肤,以发热,渴不多饮,肢体困重,或目赤肿痛、睑缘湿烂,或皮肤湿疹、水疱、瘙痒、流水,舌红苔黄腻等为常见症的证候。4.1.7风湿化热[火]证 syndromeofwind-dampnesstransformingintoheat[fire]风湿之邪郁久而化热,以肢体酸胀困重,关节肿痛、活动不利,或皮肤瘙痒、渗液,发热口渴,舌红苔黄白而干等为常见症的证候。同义词:风湿郁热[热郁]证4.1.8风寒化[郁]热证 syndromeofwind-coldtransforminginto[stagnating]heat风寒之邪郁久化热,以恶寒发热,头身、关节酸痛,咳嗽痰稠,咽喉痒痛,舌尖红,苔黄白而干,脉数等为常见症的证候。4.2寒[凝]证 syndromeofcoldcongealment寒邪侵袭机体,阳气被遏,以恶寒甚,无汗,头身或胸腹疼痛,苔白,脉弦紧等为常见症的证候。同义词:寒邪凝滞证4.2.1寒湿阻[凝]滞证 syndromeofcold-dampnessobstruction[congealment]andstagnation寒湿之邪侵袭,阻滞气机,以头身困重,关节疼痛,屈伸不利,无汗,或面浮肢肿,大便稀溏,小便不利,舌苔白润,脉濡或滑等为常见症的证候。同义词:寒湿(内阻)证4.2.2寒凝气滞证 syndromeofcoldcongealmentandqistagnation寒邪凝滞气机,以头身关节疼痛,手足拘急,或脘腹胀满冷痛,泛吐清水,肠鸣腹泻,苔白润,脉弦紧等为常见症的证候。4.2.3寒凝血瘀证 syndromeofcoldcongealmentandbloodstasis寒邪凝滞气机,血行瘀阻,以畏寒冷痛,得温痛减,肢冷色青,妇女月经后期、痛经、经色紫暗夹块,舌紫暗,苔白,脉沉迟而涩等为常见症的证候。4.2.4寒湿化热证 syndromeofcold-dampnesstransformingintoheat寒湿之邪郁久化热,以发热,肢体沉重,关节红肿酸痛,口渴不多饮,恶心欲呕,腹痛腹泻,舌红苔黄白,脉滑数等为常见症的证候。4.2.5寒湿瘀滞证 syndromeofcold-dampnessstasisandstagnation51 GB/TXXXXX-XXXX寒湿内蕴,血行瘀滞,以恶寒畏冷,肢体沉重、酸痛或刺痛,得温痛减,唇舌紫暗,舌有斑点,舌苔白滑,脉沉细涩等为常见症的证候。4.2.6真寒假热证 syndromeoftruecoldwithfalseheat泛指阴寒内盛,格阳于外,以既有手足厥冷,小便清长,大便清冷,舌淡苔白等真寒症状,又有身热反欲衣被,面色浮红,口渴欲热饮等假热表现的证候。4.2.7寒热错[挟]杂证 syndromeofcold-heatcomplex泛指同一病人、同一时期,既有寒证又有热证的表现,寒热交错并见的证候。4.2.8血寒(凝滞)证 syndromeofbloodcold(congealmentandstagnation)寒邪客于血脉,凝滞气机,血行不畅,以恶寒,肢体麻木、冷痛,手足清冷,得热痛减,唇舌青紫,妇女月经后期、痛经、经色紫暗夹块,舌紫暗,苔白滑,脉迟沉涩等为常见症的证候。4.3暑热(内郁)证 syndromeofsummer-heat(interiorstagnation)暑热侵袭,耗气伤津,以发热口渴,神疲气短,心烦头晕,汗出,小便短黄,舌红苔黄干等为常见症的证候。4.3.1暑湿(内蕴)证 syndromeofsummer-dampness(interioraccumulation)暑湿之邪交阻内蕴,以发热,口渴,神疲倦怠,肢体困重,关节酸痛,心烦面垢,汗出不彻,舌红苔黄腻,脉滑数等为常见症的证候。同义词:暑湿热郁证4.3.2暑热动风证 syndromeofsummer-heatstirringwind暑热炽盛,引动肝风,以高热,神昏,四肢抽搐,甚至角弓反张、牙关紧闭等为常见症的证候。4.3.3暑闭气机证 syndromeofsummer-heatblockingqimovement暑热卒中,闭阻气机,以突然昏倒,身热汗少,手足厥冷,气喘不语,牙关紧闭等为常见症的证候。4.4湿(浊困)阻证 syndromeofdampness(turbidityencumbrance)obstruction湿浊邪气阻滞气机,以身体重困,关节、肌肉酸痛,屈伸不利,腹胀腹泻,食欲不振,苔滑脉濡等为常见症的证候。同义词:湿邪阻滞证4.4.1湿阻气滞证 syndromeofdampnessobstructionandqistagnation湿邪阻困,气机郁滞,以身体困重,脘腹胸胁等处胀闷或窜痛,苔滑或腻,脉弦等为常见症的证候。4.4.2湿热(蕴结)证 syndromeofdampness-heat(accumulationandbinding)湿热互结,热不得越,湿不得泄,以身热不扬,口渴不欲多饮,大便泄泻,小便短黄,舌红苔黄腻,脉滑数等为常见症的证候。4.4.2.1湿重于热证 syndromeofdampnesspredominatingoverheat湿热蕴结,湿邪偏重,以发热身重,渴不多饮,小便不利,舌红,苔腻略黄,脉滑略数等为常见症的证候。4.4.2.2热重于湿证 syndromeofheatpredominatingoverdampness湿热蕴结,热邪偏重,以身热口渴,面红目赤,头身困重,便溏不爽,小便短少,舌红苔黄腻,脉濡数而滑等为常见症的证候。4.4.3气分湿热证 syndromeofqiaspectdampness-heat湿热侵迫气分,以身热不扬,胸闷腹胀,身目发黄,肢体困倦,呕恶,尿黄,舌红苔黄腻,脉濡数或滑数等为常见症的证候。4.4.4湿热蕴蒸证 syndromeofdampness-heataccumulationandfumigation湿热蕴结熏蒸,以身热发寒,汗出热不退,或但头汗出,咽痛腮肿,肢酸困倦,尿短黄,舌红苔黄腻,脉濡数或滑数等为常见症的证候。4.4.5湿热壅滞证 syndromeofdampness-heatcongestionandstagnation湿热邪气壅滞气机,以身热口渴,头身沉重胀痛,胸闷腹胀,脘痞呕恶,便溏不爽,舌红苔黄腻,脉濡数或滑数等为常见症的证候。4.4.6湿热侵淫证 syndromeofdampness-heatinvadingandspreading51 GB/TXXXXX-XXXX湿热邪气侵渍,以睑缘、耳、鼻、口角、手指、足趾等处红肿湿烂、瘙痒,溃破流水,舌红苔黄腻,脉滑数等为常见症的证候。4.4.7湿热毒蕴[疫毒]证 syndromeofdampness-heattoxin[pestilenttoxin]accumulation湿热毒邪蕴结,以发热身黄,神昏斑疹,小便闭涩,舌红苔黄腻,脉濡数或手足、耳鼻、头面、阴部等处红肿溃烂、瘙痒流水等为常见症的证候。4.4.8湿热瘀阻证 syndromeofdampness-heatstasisandobstruction湿热蕴结,血行瘀滞,以身热口渴,头身肢体沉重刺痛,胁下痞块,小便不利,便溏不爽,舌质紫红,苔黄而腻,脉滑数或涩等为常见症的证候。4.5外燥证 syndromeofexteriordryness外界气候干燥,耗伤津液,以皮肤干燥,口鼻、咽喉干燥等为常见症的证候。4.5.1温燥证 syndromeofwarm-dryness温燥之邪侵袭,耗伤阴津,以发热,微恶风寒,干咳痰少,心烦口渴,皮肤及鼻咽干燥,小便短黄,舌苔薄黄,脉浮数等为常见症的证候。同义词:燥热证4.5.2凉燥证 syndromeofcool-dryness凉燥之邪侵袭,犯表伤肺,以恶寒重,发热轻,头痛无汗,口、鼻、咽干燥,咳嗽痰少,舌苔薄白而干,脉浮紧等为常见症的证候。同义词:寒燥证4.6火[邪]热炽盛证 syndromeofintense[pathogenic]fireandheat火热内盛,以发热,口渴饮冷,胸腹灼热,面红目赤,大便秘结,小便短黄,舌红苔黄而干,脉数或洪等为常见症的证候。同义词:实火[热]证4.6.1气分证 syndromeofqiaspect(exuberantheat)外感温热病邪内入脏腑气分,正盛邪实,邪正剧争,以壮热汗出,烦渴,尿赤便结,舌红苔黄,脉洪或数等为常见症的证候。同义词:气分热盛证;热炽气分证4.6.2营分证 syndromeofnutrientaspect(exuberantheat)温热病邪内陷,营阴受损,心神被扰,以身热夜甚,心烦不寐,神昏谵语,斑疹隐隐,舌质红绛,脉细而数等为常见症的证候。同义词:营分热盛证;热炽营分证;营热炽盛证4.6.3血分证 syndromeofbloodaspect温热病邪深入血分,耗血伤阴,动风动血,以壮热或低热,手足抽搐或蠕动,神昏谵语,斑疹紫黑,吐血衄血,舌质深绛等为常见症的证候。同义词:血热(内扰)证;热炽血分证4.6.3.1血热动血证 syndromeofblood-heatwithbloodstirring温热病邪深入血分,迫血妄行,以吐血、鼻衄、齿衄、便血、尿血,斑疹透露、色紫或黑,身热口渴,心烦不寐,舌绛等为常见症的证候。4.6.3.2血热动风证 syndromeofblood-heatstirringwind温热病邪深入血分,耗损阴血,筋脉失养,虚风内动,以手足蠕动或瘈疭,形体消瘦,神疲倦怠,齿干唇裂,舌绛无苔,脉数无力等为常见症的证候。4.6.3.3血热风盛证 syndromeofblood-heatandexuberantwind温热病邪深入血分,邪热内盛,热极动风,以壮热肢厥,口渴饮冷,四肢抽搐,两目上视,角弓反张,舌质红绛,苔黄而燥,脉弦数等为常见症的证候。4.6.3.4血热化燥证 syndromeofblood-heattransformingintodryness热邪深入血分,伤阴化燥,以咽干口燥,大便干结,形瘦神疲,身热夜甚,渴不多饮,舌绛少苔少津,脉细数等为常见症的证候。4.6.3.5血热瘀滞[结]证 syndromeofblood-heatstasisandstagnation[binding]热邪深入血分,气滞血瘀,以身热夜甚,烦躁不宁,渴欲漱口不欲咽,斑疹紫暗,舌绛紫而干,脉细数等为常见症的证候。4.6.3.6血热挟湿证 syndromeofblood-heatwithdampnesscomplication51 GB/TXXXXX-XXXX热邪深入血分,兼挟湿浊,以身热夜甚,渴不多饮,神识不清,头胀身重,斑疹显露,胸脘痞闷,舌绛苔黄腻,脉濡数等为常见症的证候。4.6.4热入营血证 syndromeofheatenteringthenutrient-blood温热病邪深入营血分,伤耗阴血,扰乱心神,以身热夜甚,心烦不寐,或神昏,渴不多饮,斑疹隐隐,或出血,便结尿黄,舌绛,脉细数等为常见症的证候。4.6.5卫气同病证 syndromeofdiseaseofboththedefenseandqiaspects外感病中卫分证与气分证表现同存,以微恶风寒,壮热口渴,心烦汗出,舌红苔黄白,脉浮数等为常见症的证候。4.6.6气营两燔证 syndromeofblazingofboththeqiandnutrientaspects外感病中气分证与营分证表现同存,以壮热口渴,烦躁不宁,或神昏谵语,斑疹隐隐,便结尿黄,舌红或绛,脉洪数或细数等为常见症的证候。4.6.7气血两燔证 syndromeofblazingofboththeqiandbloodaspects外感病中气分证与血分证表现同存,以壮热口渴,烦躁不宁,或神昏谵语,斑疹显露、色紫暗,或鼻衄、齿衄、便血、尿血,舌绛,脉数等为常见症的证候。4.6.8热盛动风证 syndromeofexuberantheatstirringwind邪热炽盛,引动肝风,以壮热口渴,神志昏迷,手足抽搐,颈项强直,角弓反张,牙关紧闭,舌红绛,苔黄,脉弦数等为常见症的证候。4.6.9热盛动血证 syndromeofexuberantheatstirringblood邪热炽盛,迫血妄行,以壮热口渴,面红目赤,便血、尿血、衄血、或斑疹显露,舌红绛,苔黄,脉洪数等为常见症的证候。4.6.10热盛[郁]气滞证 syndromeofexuberant[stagnant]heatandqistagnation邪热炽盛,气机郁滞,以发热口渴,胸腹等处胀满、窜痛,便秘尿黄,舌红苔黄,脉弦数等为常见症的证候。4.6.11热(极肢)厥证 syndromeofheatsyncope(coldlimbs)邪热炽盛,阳气内郁,不能达于四肢,以壮热口渴,烦躁不宁,胸腹灼热,手足厥冷,便秘尿黄,舌红苔黄,脉弦数等为常见症的证候。同义词:真热假寒证4.6.12热盛酿脓证 syndromeofexuberantheatbrewingpus邪热壅积,血肉腐败,酿成痈脓,以发热口渴,局部红灼肿痛、拒按,溃破流脓,舌红苔黄腻或黄腐,脉滑数等为常见症的证候。同义词:热盛肉腐证4.7痰证 phlegmsyndrome痰浊内阻,以咳嗽气喘,咯痰量多,呕恶眩晕,或局部有圆滑肿块,苔腻脉弦滑等为常见症的证候。同义词:痰浊(阻滞)(凝聚)证4.7.1风痰证 syndromeofwind-phlegm外风挟痰浊为患,或肝风痰浊内扰,以咯吐泡沫痰涎,胸闷,眩晕,头目胀痛,或喉中痰鸣,口眼喎斜,苔白腻,脉弦滑等为常见症的证候。4.7.2寒痰证 syndromeofcold-phlegm寒邪与痰浊凝滞,以咯吐白痰,胸闷脘痞,气喘哮鸣,恶寒肢冷,苔白腻,脉弦滑或弦紧等为常见症的证候。4.7.3湿痰证 syndromeofdampness-phlegm痰湿内阻,以咯吐痰多色白,或淡黄,痰滑易咯,肢体困重,胸脘痞闷,食少口腻,甚则腹胀腹泻,面足浮肿,苔白腻,脉濡缓或滑等为常见症的证候。同义词:痰湿(阻滞)(内阻)证4.7.4热痰证 syndromeofheat-phlegm痰浊与邪热互结,以咯吐黄痰,发热口渴,舌红苔黄腻,脉滑数等为常见症的证候。4.7.5燥痰(蕴结)证 syndromeofdryphlegm(accumulationandbinding)燥热痰浊内蕴,以咳嗽,咯痰涩少不爽,或痰粘成块,或痰中带血,胸闷胸痛,口鼻干燥,舌干少津,脉涩或细数等为常见症的证候。4.7.6痰气互[郁]结证 syndromeofphlegmandqibinding[stagnation]51 GB/TXXXXX-XXXX痰气相互阻结,以情志抑郁,失眠多梦,或觉喉中有物梗阻,胸胁满闷,痰多,苔白腻,脉弦滑等为常见症的证候。4.7.7痰瘀互[搏]结证 syndromeofphlegmandstasisbinding[struggle]痰浊瘀血相互搏结,以局部肿块刺痛,或肢体麻木、痿废,胸闷痰多,或痰中带紫暗血块,舌紫暗或有斑点,苔腻,脉弦涩等为常见症的证候。同义词:瘀痰内阻证;血瘀痰凝证4.7.8痰瘀化热证 syndromeofphlegmandstasistransformingintoheat痰瘀互结,日久化热,以患处肿硬、灼热、刺痛,胸闷,咯痰色黄或夹血块,舌暗红或有斑点,苔黄腻,脉弦涩等为常见症的证候。4.7.9痰热气滞证 syndromeofphlegm-heatandqistagnation痰热内蕴,阻滞气机,以心烦易怒,胸胁胀闷、走窜灼痛,咳嗽气喘,咯痰黄稠,发热口渴,舌红苔黄腻,脉弦数等为常见症的证候。4.7.10痰热内扰[阻][盛]证 syndromeofharassment[obstruction][exuberance]ofinteriorphlegm-heat痰热内盛,扰乱心神、气机,以咳嗽气喘,咯痰黄稠,发热口渴,烦躁不宁,失眠多梦,舌红苔黄腻,脉滑数等为常见症的证候。同义词:痰热搏[蕴]结证;痰火郁结[内扰]证4.7.11痰热内闭证 syndromeofinteriorblockofphlegm-heat痰热内蕴,阻闭心神,以胸胁胀闷、灼痛,咳嗽气喘,咯痰黄稠,或有哮鸣,发热口渴,或神志昏迷,谵语狂乱,或昏仆喉中痰鸣,舌红苔黄腻,脉滑数等为常见症的证候。4.7.12痰热动风证 syndromeofphlegm-heatstirringwind痰热内盛,引动肝风,以胸胁胀闷,咳嗽气喘,发热口渴,咯痰黄稠,或喉中痰鸣,四肢抽搐,或眩晕呕恶,舌红苔黄腻,脉滑数等为常见症的证候。4.7.13痰结毒滞证 syndromeofphlegmbindingandtoxinstagnation痰浊与邪毒蕴结,以胸闷,咳嗽痰多,局部包块、麻木硬痛不移,或溃后流脓水腥腐秽臭,苔垢腻等为常见症的证候。4.7.14痰食互结证 syndromeofphlegmandfoodbinding痰浊与宿食互结,阻滞气机,以胸脘痞闷、胀痛,咳嗽吐痰,食少腹胀,呕吐痰涎宿食,苔腐腻,脉弦滑等为常见症的证候。4.7.15痰虫互[搏]结证 syndromeofphlegmandwormbinding[struggle]痰浊与虫体搏结,蕴聚体内,以胸闷咯痰,或头痛固定,或突然昏仆、口吐痰涎,或肢体触及包块,苔腻脉滑等为常见症的证候。4.7.16痰湿瘀滞证 syndromeofphlegm-dampnessstasisandstagnation痰湿内阻,气血瘀滞,以胸闷脘痞、胀痛或刺痛,头身困重,疲乏嗜睡,或肌肤肿硬、麻木,舌淡紫或有斑点,苔滑腻,脉弦涩等为常见症的证候。4.7.17痰核留结证 syndromeoflingeringandbindingofphlegmnodule痰浊结块,留滞不消,以颈项、肢体等处皮下生核,甚或成串,圆滑质硬、推之可移、不红不热不痛,苔腻,脉弦滑等为常见症的证候。4.8水饮内停证 syndromeofinteriorfluidretention水饮停聚体腔,以眩晕,胸脘痞闷,呕吐清水、涎液,苔滑,脉弦等为常见症的证候。同义词:饮证4.9水停[气]证 syndromeofwater[qi]retention水湿停聚体内,以肢体浮肿,小便不利,或腹大痞胀,身体困重,舌淡胖,苔白滑,脉濡缓等为常见症的证候。4.10气滞证 syndromeofqistagnation某些脏腑或局部气机阻滞,以胸胁脘腹胀闷疼痛,时轻时重,走窜不定,胀痛常随太息、嗳气、肠鸣、矢气而减,脉弦等为常见症的证候。同义词:气机阻滞[郁结]证4.10.1气滞血瘀证 syndromeofqistagnationandbloodstasis气机阻滞,血行不畅,瘀血阻滞以胸胁脘腹胀闷窜痛,偶有刺痛,或有痞块、时散时聚,舌紫或有斑点,脉弦涩等为常见症的证候。51 GB/TXXXXX-XXXX同义词:气血瘀滞证4.10.2气滞[郁]痰凝[阻]证 syndromeofqistagnation[depression]andphlegmcongealment[obstruction]气机郁滞,痰浊内阻,以胸胁脘腹胀闷窜痛,或有圆滑痞块,或肌肤肿硬麻木,情绪抑郁,吐白痰,苔白腻,脉弦滑等为常见症的证候。4.10.3气滞湿阻[困]证 syndromeofqistagnationanddampnessobstruction[encumbrance]气机郁滞,湿浊内阻,以胸胁脘腹胀闷窜痛,恶心欲吐,肢体困重,头晕嗜睡,或有浮肿,苔白腻,脉弦滑或濡缓等为常见症的证候。4.10.4气滞热壅证 syndromeofqistagnationandheatcongestion气机郁滞,邪热壅盛,以胸胁脘腹胀痛或灼痛,发热口渴,舌红苔黄,脉弦数等为常见症的证候。4.10.5气郁[滞]化火[热]证 syndromeofqidepression[stagnation]transformingintofire[heat]气机阻滞,日久化火,以情绪抑郁,烦躁易怒,胸胁胀闷、灼痛,口苦口干,舌红苔黄,脉弦数等为常见症的证候。4.10.6气滞水停证 syndromeofqistagnationandwaterretention气机阻滞,水液内停,以肢体浮肿,小便不利,头身困重,胸胁脘腹胀闷、窜痛,舌淡苔白滑,脉弦缓等为常见症的证候。4.11气(机上)逆证 syndromeofqi(movement)counterflow泛指气机逆乱向上,以咳嗽气喘,或恶心、呕吐、呃逆、嗳气,或觉气从少腹上冲胸咽,胸胁胀闷,头胀眩晕等为常见症的证候。4.12气闭证 syndromeofqiblock气机闭塞不通,以脘腹绞痛,或阵发走窜剧痛,无肠鸣矢气,二便不通,或突然昏厥,牙关紧闭,肢体强直等为常见症的证候。同义词:气机壅闭[闭塞]证4.13血瘀证 syndromeofbloodstasis瘀血内阻,血行不畅,以局部出现青紫肿块、疼痛拒按,或腹内癥块、刺痛不移、拒按,或出血紫暗成块,舌紫或有斑点,脉弦涩等为常见症的证候。同义词:瘀血内阻[阻滞]证4.13.1血瘀气滞证 syndromeofbloodstasisandqistagnation瘀血内阻,气机郁滞,以腹内癥块、刺痛或胀痛、拒按,或局部青紫肿胀、疼痛,舌紫或有斑点,脉弦涩等为常见症的证候。4.13.2血瘀动血证 syndromeofbloodstasiswithbloodstirring瘀血阻塞,血溢脉外,以出血色紫暗、夹块,或局部刺痛、固定,或见青紫肿块,舌紫或有斑点,脉涩等为常见症的证候。4.13.3血瘀[瘀滞]化热证 syndromeofbloodstasis[stasisandstagnation]transformingintoheat血瘀日久,郁滞化热,以局部刺痛、灼热,或有青紫肿块,午后或夜间发热,口干漱水不欲咽,舌暗红或有斑点,脉涩而数等为常见症的证候。同义词:瘀热内郁证4.13.4血瘀水停证 syndromeofbloodstasisandwaterretention瘀血内阻,水液停聚,以腹内有癥块、刺痛,腹大而胀,小便不利,或妇女经水不通,而见水肿,或局部青紫、漫肿胀痛,舌淡紫或有斑点,脉涩等为常见症的证候。4.14邪毒炽盛证 syndromeofintensepathogenictoxin泛指各种邪毒壅盛所致证候,其症因毒邪的不同而各具特征。4.14.1毒邪流窜证 syndromeofpathogenictoxinspreadingandscurrying火热毒、风毒、湿毒等流窜为患,以局部肿胀、疼痛、化脓、溃烂等为常见症的证候。4.14.2风毒(炽盛)证 syndromeof(exuberantandintense)windtoxin风毒侵袭,以突然肌肤水肿、痒麻相兼、疼痛,或起pei癗风团,或肢体抽搐,牙关紧闭,或头面、口鼻、两眼焮红肿痛,脉浮数等为常见症的证候。4.14.3火[热]毒(炽盛)证 syndromeof(intenseandexuberant)fire[heat]toxin51 GB/TXXXXX-XXXX火热壅盛成毒,以肌肤等处生疮疖疔痈,红肿灼痛,化脓溃烂,发热口渴,舌红苔黄,脉数等为常见症的证候。同义词:热毒蕴结[壅滞]证4.14.4火毒流窜证 syndromeoffiretoxinspreadingandscurrying火热毒邪走散流窜,以多处生疮疖疔痈,红肿灼痛,化脓溃烂,发热口渴,便秘尿黄,舌红苔黄,脉数等为常见症的证候。4.14.5热[火]毒入[陷]营证 syndromeofheat[fire]toxinentering[sinking]intothenutrientaspect火热毒邪侵入营血,以身热夜甚,斑疹隐隐,神昏谵语,渴不多饮,便结尿黄,舌绛,脉细数等为常见症的证候。4.14.6热[火]毒内陷[闭]证 syndromeofinteriorsinking[block]ofheat[fire]toxin火热毒邪炽盛,内陷脏腑,以壮热口渴,神昏谵语,面色暗红,便秘尿黄,舌红绛,苔黄,脉沉数等为常见症的证候。4.14.7湿毒(蕴结)证 syndromeofdampnesstoxin(accumulationandbinding)湿邪蕴结成毒,以肌肤、阴股、下肢、趾间等处生疮疡、湿疹,糜烂流水,痒麻疼痛,苔腻,脉濡缓等为常见症的证候。4.14.8风火热毒证 syndromeofwind-fire-heattoxin风火热毒壅滞肌肤,以肌肤生疮疖疔痈,红肿、痒麻、灼痛,化脓溃烂,或头面、口鼻、两目焮红肿痛,发热口渴,甚或神昏谵语,便秘尿黄,舌红绛,苔黄焦,脉洪数等为常见症的证候。4.14.9毒入营血证 syndromeoftoxinenteringtheblood泛指火热等邪毒侵入营血,以壮热烦渴,神昏谵语,斑疹紫暗,或出血色暗红,舌绛脉数等为常见症的证候。4.14.10虫毒(结聚)证 syndromeofwormtoxin(bindingandaggregation)虫毒侵袭,结聚肌肤,以皮肤痒麻、灼痛或刺痛,甚或水肿、溃烂,或局部有暗红出血点等为常见症的证候。4.14.11疫毒(侵袭)证 syndromeofpestilenttoxin(intrudingandassailing)泛指天行疫毒侵袭所致证候,因疫毒性质不同,而其症各具特征。4.14.12疫毒内闭证 syndromeofinteriorblockofpestilenttoxin泛指天行疫毒侵袭,内闭心神,以神昏谵语,喉间痰鸣,呼吸不利,大便秘结等为常见症的证候。4.14.13脓毒(蕴积)证 syndromeofpurulenttoxin(retentionandaccumulation)脓毒蓄积于内,以痈疡流脓,脓气腥臭,发热口渴,苔腐腻,脉滑数等为常见症的证候。4.14.14食毒证 syndromeoffoodtoxin吞食有毒食物所致,以脘腹剧痛,呕吐腹泻,甚或出现厥脱等症状的证候。4.14.15燥毒证 syndromeofdrynesstoxin燥热毒邪侵袭,以咽喉焮红肿痛、溃烂,或目赤溃烂,便秘尿黄,口渴欲饮,鼻干肤燥,舌干少津,脉细涩等为常见症的证候。4.14.16胎毒(蕴结)(内蕴)证 syndromeoffetaltoxin(accumulationandbinding)(interioraccumulation)婴儿因母体遗毒所致,以皮肤出斑疹,或赤烂、脱皮,或目赤溃烂,或口舌、咽喉赤烂,大便腥臭等为常见症的证候。4.14.17阴[寒]毒证 syndromeofyin[cold]toxin阴寒邪毒结聚营血,阻滞经络,以局部漫肿冷痛、喜温、不红,难溃、不易成脓,或脓稀气腥,恶寒肢冷,苔白,脉迟沉;或指阴毒伤寒,面目色青,身痛如被杖,咽喉痛,手足指趾皆冷,脉沉细而弦急等为常见症的证候。4.14.18蛇毒内攻证 syndromeofinteriorattackofsnakevenom毒蛇咬伤,蛇毒内攻脏腑,以头痛眩晕,胸闷,呼吸困难,或见斑疹、衄血,或冷汗肢厥,或神识不清等为常见症的证候。4.15食积证 syndromeoffoodretention51 GB/TXXXXX-XXXX乳食停积胃肠,以脘腹胀满疼痛,嗳腐吞酸,呕吐酸馊,厌食,大便不爽、臭如败卵,苔腐腻,脉弦滑等为常见症的证候。同义词:乳食内积证4.16虫积证 syndromeofwormaccumulation寄生虫积聚体内,以腹胀腹痛,贪食易饥,体瘦乏力,大便稀烂,面色萎黄等为常见症的证候。4.17石阻证 syndromeofstoneobstruction泛指体内有结石阻滞,以脘腹痞胀疼痛,或腰连少腹痛等为常见症状,因结石停滞部位不同而其症各具特征。4.17.1石阻气机证 syndromeofstoneobstructingqimovement结石阻滞气机,以脘腹痞胀、疼痛,或身目发黄,或小便不畅、涩痛,或尿血等为常见症的证候。4.17.2石阻气闭证 syndromeofstoneobstructionandqiblock结石阻闭气机,以突发右胁下、脘腹部绞痛,恶心欲呕,或腰连少腹绞痛,血尿等为常见症的证候。4.18真实假虚证 syndromeoftrueexcesswithfalsedeficiency泛指疾病本质为实证,而表现出某些类似虚弱症状的证候。5虚实夹杂证类 syndromesofdeficiencyandexcesscomplication5.1气虚夹实证 syndromeofqideficiencywithexcesscomplication泛指气虚兼夹痰湿、水饮、瘀血等邪的证候。其症除有气虚表现外,并因实邪不同而各具特征。5.1.1气虚发热证 syndromeofqideficiencywithfever正气亏虚,阳气浮动,以日久低热,劳累更显,食少乏力,气短懒言,舌淡脉虚为常见症的证候。5.1.2气虚痰结[阻]证 syndromeofqideficiencyandphlegmbinding[obstruction]气虚而痰浊留结脏腑形体,以气短乏力,咳喘咯痰,神识昏蒙错乱,肌肤不仁,瘿、瘤、瘰、疬,苔腻,脉滑等为常见症的各种证候。5.1.3气虚湿困[阻]证 syndromeofqideficiencyanddampnessencumbrance[obstruction]正气亏虚,湿邪困阻,以食少气短,神疲困倦,头身沉重,胸闷不舒,或腹胀腹泻,舌胖苔腻,脉濡软等为常见症的证候。5.1.4气虚水停证 syndromeofqideficiencywithwaterretention正气亏虚,水液停聚,以气短,神疲乏力,肢体浮肿,小便短少,舌胖苔腻,脉濡软等为常见症的证候。5.1.5气虚寒凝证 syndromeofqideficiencyandcoldcongealment气虚血行不畅,寒邪凝滞,以神疲气短,手足不温,肢体麻木冷痛,或挛急不舒,或妇女经行腹痛,经色紫暗,舌淡苔白润等为常见症的证候。5.1.6气虚气滞证 syndromeofqideficiencyandqistagnation正气亏虚,运行无力而气机阻滞,以神疲,气短乏力,胸腹胀闷窜痛,舌淡,脉弦缓等为常见症的证候。5.1.7气虚血瘀[凝]证 syndromeofqideficiencyandbloodstasis[congealment]气虚运血无力,血行瘀滞,以面淡而晦暗,身倦乏力,少气懒言,疼痛如刺,痛处不移,舌质淡紫,或有紫斑,脉沉涩等为常见症的证候。5.1.8气虚外感证 syndromeofqideficiencywithexternalcontraction素体气虚,卫表不固,感受外邪,以恶寒发热,自汗,头痛鼻塞,语声低怯,气短倦怠,脉浮无力等为常见症的证候。5.2血虚夹实证 syndromeofblooddeficiencywithexcesscomplication泛指血虚兼夹风、寒、湿、热、痰、瘀等邪的证候。其症除有血虚表现外,并因实邪不同而各具特征。5.2.1血虚夹瘀证 syndromeofblooddeficiencywithstasiscomplication51 GB/TXXXXX-XXXX血虚而又有瘀血内阻,以面色萎黄或淡白,头晕眼花,心悸多梦,刺痛固定,妇女月经量少色紫暗,或有血块,经痛、经闭,舌淡紫或有斑点,脉细涩等为常见症的证候。5.2.2血虚夹痰[痰阻]证 syndromeofblooddeficiencywithphlegmcomplication[phlegmobstruction]血虚而又有痰浊内阻,以面色萎黄或淡白,头晕眼花,心悸多梦,咳吐痰浊,或神识昏蒙错乱,或肌肤不仁、瘿瘤瘰疬,苔腻,脉滑等为常见症的证候。5.2.3血虚寒凝证 syndromeofblooddeficiencywithcoldcongealment血虚而又有寒邪凝滞,血行不畅,以面色淡暗,头晕眼花,唇舌紫暗,手足不温,局部冷痛麻木,或妇女月经后期、量少色紫、经血夹块、经痛经闭,苔白,脉沉细涩等为常见症的证候。5.2.4血虚外感证 syndromeofblooddeficiencywithexternalcontraction素体血虚而复感外邪,以发热,恶寒,无汗或少汗,面色不华,唇甲淡白,心悸,头晕,舌淡,脉浮等为常见症的证候。5.2.5血虚风袭证 syndromeofblooddeficiencywithwindassailing素体血虚,复受风袭,以面白无华,唇甲淡白,皮肤干燥、瘙痒、脱屑,颜面麻木不仁,口眼喎斜,舌淡,脉细等为常见症的证候。5.2.6血虚内热证 syndromeofblooddeficiencywithinteriorheat血虚而气无依附,浮动而发热,以面目无华,舌淡,脉细,而又有发热为主要表现的证候。5.3阴虚夹实证 syndromeofyindeficiencywithexcesscomplication泛指阴虚兼夹实热、水湿、痰浊、瘀血等邪的证候。其症除有阴虚表现外,并因实邪不同而各具特征。5.3.1阴虚内热证 syndromeofyindeficiencywithinteriorheat阴液亏虚,虚热内生,以低热不退,盗汗颧红,口干欲饮,小便短黄,大便干结,舌红少津,脉细数等为常见症的证候。同义词:虚热证5.3.2阴虚火旺[炽][炎]证 syndromeofyindeficiencywitheffulgent[intense][flaming]fire阴液亏乏,虚火亢旺,以心烦失眠,口燥咽干,盗汗遗精,两颧潮红,小便短黄,大便干结,或咳血、衄血,或舌体、口腔溃疡,舌红少津,脉细数等为常见症的证候。同义词:虚火证5.3.3阴虚阳亢证 syndromeofyindeficiencywithyanghyperactivity阴液亏虚,阳失制约而偏亢,以潮热盗汗,两颧潮红,头晕目眩,烦躁失眠,舌红少津,脉细数等为常见症的证候。5.3.4阴虚血热证 syndromeofyindeficiencywithblood-heat阴液亏虚,热迫血分,以低热颧红,心烦口渴,咽干痒痛,小便短黄,大便干结,或咳血、衄血、斑疹,舌红苔黄少津,脉细数等为常见症的证候。5.3.5阴虚外感证 syndromeofyindeficiencywithexternalcontraction阴液亏虚,又感外邪,以发热微恶寒,头身疼痛,五心烦热,脉浮细数等为常见症的证候。5.3.6阴虚热郁[郁热]证 syndromeofyindeficiencywithheatstagnation[stagnantheat]阴液亏虚,兼挟郁热,以五心烦热,午后颧红,口苦口干,胸胁胀闷灼痛,眩晕,易怒,小便短黄,舌红苔少而干,脉弦细数等为常见症的证候。5.3.7阴虚气滞证 syndromeofyindeficiencywithqistagnation阴液亏虚,兼气机阻滞,以五心烦热,颧红盗汗,咽干口燥,胸胁、脘腹、头目胀痛,肠鸣矢气,或嗳气太息,舌红,脉弦细等为常见症的证候。5.3.8阴虚血瘀[瘀热]证 syndromeofyindeficiencywithbloodstasis[stagnantheat]阴液亏虚,兼挟瘀血或有热,以五心烦热,口燥咽干,午后低热,局部刺痛,或出血挟块、色紫暗,或舌有瘀斑点,脉细涩等为常见症的证候。5.3.9阴虚水停证 syndromeofyindeficiencywithwaterretention51 GB/TXXXXX-XXXX阴液亏虚,水饮内停,以肢体或局部水肿,小便短少,口燥咽干,五心烦热,大便干结,舌红苔少,脉细数等为常见症的证候。5.3.10阴虚湿阻[困]证 syndromeofyindeficiencywithdampnessobstruction[encumbrance]阴液亏虚,湿浊阻滞,以低热盗汗,肢体困重,口腻食少,胸脘痞闷,舌红苔腻,脉细滑等为常见症的证候。5.3.11阴虚湿热证 syndromeofyindeficiencywithdampness-heat阴液亏虚,湿热内阻,以低热盗汗,午后颧红,五心烦热,小便淋涩灼痛,口苦口腻,肢体困重,舌红苔黄腻,脉细滑数等为常见症的证候。5.3.12阴虚痰热证 syndromeofyindeficiencywithphlegm-heat阴液亏虚,痰热内阻,以低热盗汗,午后颧红,五心烦热,咳嗽,咯痰黄稠,或痰中带血,胸闷或痛,咽干口渴,舌红苔黄腻,脉细滑数等为常见症的证候。5.3.13阴虚痰湿[浊][阻]证 syndromeofyindeficiencywithphlegm-dampness[turbidity][obstruction]阴液亏虚,痰湿内阻,以五心烦热,颧红盗汗,胸闷,痰多质粘稠,肢体困重,口腻,或生瘰疬,舌质红苔腻,脉细滑等为常见症的证候。5.3.14阴虚热盛证 syndromeofyindeficiencywithexuberantheat阴液亏虚,邪热内盛,以发热烦躁,口干欲饮,午后热甚,两颧潮红,小便短黄,大便干结,或干咳咯血,舌红苔少而干,脉细数等为常见症的证候。5.3.15阴虚毒盛证 syndromeofyindeficiencywithexuberanttoxin阴液亏虚,而热毒、火毒、水毒等毒邪壅盛,以潮热盗汗,舌红少苔,脉细数,并有邪毒内蕴症状的证候。5.3.16津亏热结证 syndromeoffluiddeficiencywithheatbinding津液亏虚,热邪内结,以发热口渴,唇舌干燥,小便不利,大便秘结,烦躁不宁,舌红苔黄,脉数等为常见症的证候。5.4阳虚夹实证 syndromeofyangdeficiencywithexcesscomplication泛指阳虚兼夹痰浊、水湿、瘀血、风寒等邪的证候。其症除有阳虚表现外,并因实邪不同而各具特征。5.4.1阳虚气滞证 syndromeofyangdeficiencywithqistagnation阳虚失温,气机阻滞,以畏寒肢冷,面色苍白,胸胁、脘腹胀痛,肠鸣,大便溏,尿清长,舌淡胖,脉沉迟无力等为常见症的证候。5.4.2阳虚湿困[阻]证 syndromeofyangdeficiencywithdampnessencumbrance[obstruction]阳气亏损,气化失常,水湿内停,以畏寒肢冷,肢体浮肿、困重,小便不利,大便溏泻,食少腹胀,舌淡胖,苔白腻或白滑,脉沉迟而滑等为常见症的证候。5.4.3阳虚饮停证 syndromeofyangdeficiencywithfluidretention阳气亏损,饮邪停聚,以畏冷肢凉,或咳嗽吐稀白痰,或眩晕,胸闷心悸,或脘痞,呕吐清水,或胁肋饱胀,舌淡胖,苔白滑,脉弦滑或弦紧等为常见症的证候。5.4.4阳虚水泛[停]证 syndromeofyangdeficiencywithwaterflooding[retention]阳气亏损,不能温运、气化水液,以形寒肢冷,肢体浮肿,小便不利,心悸喘促,腹胀濡泻,舌淡胖,苔白滑为常见症的证候。5.4.5阳虚血瘀证 syndromeofyangdeficiencywithbloodstasis阳气亏损,瘀血阻滞,以畏寒肢凉,肢体麻木,或痿废不用,或局部固定刺痛,肢体紫斑,出血紫暗夹块,舌淡胖或有斑点,脉沉迟而涩等为常见症的证候。5.4.6阳虚痰凝[阻]证 syndromeofyangdeficiencywithphlegmcongealment[obstruction]阳气亏损,痰浊凝滞,以形寒肢冷,眩晕嗜睡,胸闷痰多,体胖身重,或瘿瘤、瘰疬、乳核不散,关节漫肿、僵硬、不热,苔腻,脉滑等为常见症的证候。5.4.7阳虚寒凝证 syndromeofyangdeficiencywithcoldcongealment阳虚失温,阴寒凝滞,以形寒肢冷,胸胁、脘腹、腰膝冷痛喜温,妇女月经后期、痛经、经色紫暗夹块,舌淡胖,苔白滑,脉沉迟等为常见症的证候。51 GB/TXXXXX-XXXX5.4.8阳虚感寒证 syndromeofyangdeficiencywithcoldcontraction阳气亏损,复感寒邪,以恶寒重,微发热,汗出恶寒更甚,面色huang白,骨节酸冷疼痛,四肢不温,声低,欲寐,舌淡胖,苔白滑,脉沉迟无力或微细等为常见症的证候。5.5正虚邪恋[留]证 syndromeofhealthyqideficiencywithlingering[retained]pathogen泛指正气亏虚,痰饮、湿热、寒湿、余热等病邪留滞所反映的证候。因正虚与病邪性质的不同而临床表现各异。5.5.1气虚邪恋[留]证 syndromeofqideficiencywithlingering[retained]pathogen泛指气虚而又有病邪留滞的证候。除有神疲乏力,气短懒言,舌淡脉弱等气虚见症外,由于留滞的病邪不同而又兼有各自的特征。5.5.2气虚毒恋[滞]证 syndromeofqideficiencywithtoxinstagnation[lingering]泛指气虚而又有火毒、热毒、湿毒、虫毒等毒邪留滞的证候。除有神疲乏力,气短懒言,舌淡脉弱等气虚见症外,由于留滞的病邪不同而又兼有各自的特征。5.5.3气虚余热证 syndromeofqideficiencywithremnantheat正气亏虚而又有余热留滞,以低热不退,或夜热早凉,心烦懊憹,神疲体瘦,气短自汗,食欲不振,舌红苔薄黄,脉细数无力等为常见症的证候。5.5.4正虚毒恋证 syndromeofhealthyqideficiencywithlingeringtoxin泛指正气亏虚而又有火毒、热毒、湿毒、虫毒等毒邪留滞的证候。因毒邪的性质不同而表现出各自的特征。5.5.5正虚毒陷证 syndromeofhealthyqideficiencywithinteriorsinkingoftoxin泛指正气亏虚,正不胜邪而致毒邪内陷,以神昏、谵语、动风、动血、气息微弱、二便失禁等为常见症的危重证候。5.5.6阴虚邪[毒]恋证 syndromeofyindeficiencywithlingeringpathogen[toxin]泛指阴液亏虚而又有邪毒留滞的证候。除有低热颧红、盗汗、咽干口燥等阴虚见症外,因邪毒性质不同而有各自的特征。5.5.7血虚邪[毒]恋证 syndromeofblooddeficiencywithlingeringpathogen[toxin]泛指血液亏虚而又有邪毒留滞所反映的证候。除有面、睑、唇、舌、甲色淡,肢体麻木,脉细等血虚见症外,由于邪毒性质不同而有各自的特征。5.5.8阳虚邪[毒]恋证 syndromeofyangdeficiencywithlingeringpathogen[toxin]泛指阳气亏虚而又有邪毒留滞所反映的证候。除有畏寒肢冷喜暖,尿清便溏,舌淡胖,苔白滑等阳虚见症外,由于留滞的邪毒性质不同而有各自的特征。5.5.9阴虚余热证 syndromeofyindeficiencywithremnantheat阴液亏虚,余热未尽,以形体消瘦,低热或夜热早凉,颧红,盗汗,心烦懊憹,皮肤干燥,咽干口渴,舌红苔薄黄,脉细数等为常见症的证候。5.5.10正虚脓毒证 syndromeofhealthyqideficiencywithpurulenttoxin正气亏虚,脓毒壅滞,以患处肿痛,脓液清稀,疮口久不收敛,神疲气短,烦渴,舌红苔腐等为常见症的证候。5.6实中挟虚证 syndromeofexcesswithdeficiencycomplication泛指实证中兼挟有某些虚弱的症状。5.6.1风热血[化]燥证 syndromeofwind-heatandblood[transforming]dryness风热之邪损伤阴血而化燥,形体失其濡养,以皮肤干燥、瘙痒脱屑,目赤干涩痒痛,咽喉红肿干痛,口渴,大便干结,舌红苔黄,脉细数等为常见症的证候。5.6.2寒凝血虚证 syndromeofcoldcongealmentwithblooddeficiency寒邪凝滞,血液亏虚,以面色苍白紫暗,局部冷痛,形寒肢冷,或挛急不舒,头晕眼花,妇女月经量少色暗,舌淡苔白,脉沉细等为常见症的证候。5.6.3寒凝阳虚证 syndromeofcoldcongealmentwithyangdeficiency阴寒凝滞,损伤阳气,以形寒肢冷,畏寒喜温,神疲,小便清长,大便清冷,局部冷痛,舌淡苔白滑,脉沉迟等为常见症的证候。5.6.4暑伤津气证 syndromeofsummer-heatdamagingfluidandqi暑热侵袭,耗气伤津,以身热汗出,口渴多饮,心烦面赤,神疲气短,小便短黄,舌红苔黄干,脉浮大无力等为常见症的证候。51 GB/TXXXXX-XXXX5.6.5邪热伤阴证 syndromeofpathogenicheatdamagingyin泛指火热、痰热等邪耗损阴津的证候。除有烦热,口渴欲饮,舌红,便干尿黄等阴津亏虚见症外,因病邪不同而又兼有各自的特征。5.6.5.1血热伤阴[阴虚]证 syndromeofblood-heatdamagingyin[yindeficiency]温热病邪深入血分,耗伤阴液,以身热面红,口舌干燥,耳鸣耳聋,神疲不寐,五心烦热,脉数无力等为常见症的证候。5.6.5.2火热[热盛]伤阴证 syndromeoffire-heat[exuberantheat]damagingyin火热炽盛,损伤阴液,以发热,口渴喜冷饮,大便干结,小便短黄,舌红干,苔黄燥,脉细数等为常见症的证候。5.6.5.3热盛伤津[耗液]证 syndromeofexuberantheatdamaingfluid[consuminghumor]火热炽盛,损伤津液,以发热,口渴喜饮,皮肤干瘪,眼眶凹陷,大便干结,小便短黄,舌红干,苔黄燥,脉细数等为常见症的证候。5.6.5.4热伤营阴证 syndromeofheatdamagingnutrient-yin热邪深入营血,损伤营阴,以身热夜甚,心烦不寐,口渴欲饮,斑疹隐隐,便结尿黄,舌绛,脉细数等为常见症的证候。5.6.5.5热毒伤血证 syndromeofheattoxindamagingblood火热毒邪壅盛,损伤血液,以壮热,口渴,便血尿血,或斑疹显露,或衄血、崩漏,便结尿黄,舌红绛,苔黄,脉细数等为常见症的证候。5.6.5.6热[火]毒伤阴证 syndromeofheat[fire]toxindamagingyin火热毒邪壅盛,耗伤阴液,以壮热,口渴,烦躁不宁,面赤唇焦,少汗或无汗,便结尿黄,舌红绛而干,苔黄少津,脉细数等为常见症的证候。5.6.5.7痰热伤阴[阴虚]证 syndromeofphlegm-heatwithyindeficiency[yindamage]痰热内盛,阴液亏虚,以胸闷咳嗽,吐痰黄稠,或痰粘难咯,发热口渴,五心烦热,便结尿黄,舌红苔黄厚,脉细数等为常见症的证候。5.7血瘀风燥[盛]证 syndromeofbloodstasisandwinddryness[exuberance]瘀血内阻,新血不生,化燥生风,以肌肤甲错,皮肤干涩脱屑、瘙痒,或眩晕,肢体麻木,舌紫暗或有斑点,脉细涩等为常见症的证候。5.8余毒未清证 syndromeoflingeringremnanttoxin泛指毒邪未尽,以低热不退为主症,并因不同毒邪而症状有别。5.8.1余热未清证 syndromeoflingeringremnantheat邪热未能彻底清除,以低热不退,或夜热早凉,心烦口渴,便结尿黄,体瘦疲乏,舌红少津,脉细数等为常见症的证候。5.8.2余毒攻窜证 syndromeofremnanttoxinattackingandscurrying泛指毒邪未尽,走散流窜,以低热不退为主症,并因毒邪及其攻窜部位的不同而症状有别。5.8.3余毒凝滞证 syndromeofremnanttoxincongealment泛指毒邪未尽,凝滞不散,以低热不退为主症,并因毒邪凝滞部位的不同而症状有别。5.9邪陷正脱证 syndromeofpathogensinkingandhealthyqicollapse泛指邪毒内陷,而正虚欲脱,以发热口渴,烦躁不宁,甚或神昏,面色苍白,四肢厥冷,冷汗淋漓,脉微欲绝等为常见症的证候。5.10内闭外脱证 syndromeofinteriorblockandexteriorcollapse泛指实邪内闭,而正虚欲脱,以发热,咳嗽气喘,或腹痛,里急后重,或二便不通,或心胸、脘腹绞痛,面白,肢厥,冷汗淋漓,气息微弱,脉微欲绝等为常见症的证候。6心系证类 syndromesofheartsystem6.1心气(亏)虚证 syndromeofheartqideficiency(depletion)心脏与心神气虚,以心悸气短,精神疲倦,或有自汗,面白舌淡,脉弱等为常见症的证候。6.2心气虚血瘀证 syndromeofheartqideficiencywithbloodstasis51 GB/TXXXXX-XXXX心气虚弱,运血无力,心脉瘀阻,以心悸气短,胸闷心痛,精神疲倦,面色紫暗,舌淡紫,脉弱而涩等为常见症的证候。6.3心气血两虚证 syndromeofdualdeficiencyofheartqiandheartblood气血两虚,心与心神失养,以心悸,神疲头晕,多梦健忘,面白,舌淡,脉弱等为常见症的证候。6.4心气阴两虚证 syndromeofdualdeficiencyofheartqiandheartyin气阴两虚,心与心神失养,以心悸气短,神疲头晕,失眠多梦,颧红,舌红少苔,脉弱而数等为常见症的证候。6.5心阳(亏)虚证 syndromeofheartyang(depletion)deficiency心阳虚衰,温运失司,以心悸怔忡,心胸憋闷而喘,畏冷肢凉,面色huang白,或下肢浮肿,唇舌色暗,苔白,脉弱或结代等为常见症的证候。6.5.1心阳暴脱证 syndromeofsuddencollapseofheartyang因实邪暴袭、阻滞等,使心阳突然衰败而欲脱,以突然冷汗淋漓,四肢厥冷,呼吸微弱,心悸怔忡,面色苍白,脉微欲绝,神志模糊等为常见症的危重证候。6.5.2心阳虚脱证 syndromeofheartyangcollapse因病久阳气虚衰,渐致心阳衰败而欲脱,在病重虚衰的基础上出现冷汗淋漓,四肢厥冷,呼吸微弱,心悸怔忡,面色苍白,神志模糊,脉微欲绝等常见症的证候。6.6心阳气虚证 syndromeofheartyangandqideficiency心阳亏虚,心气不足,温运失司,以神疲气短,心悸怔忡,畏冷肢凉,自汗懒言,唇舌暗淡等为常见症的证候。6.7心阳虚血瘀证 syndromeofheartyangdeficiencywithbloodstasis心阳虚衰,运血无力,心脉瘀阻,以心悸,胸闷心痛,畏冷肢凉,面色紫暗,舌淡紫,脉弱而涩或结代等为常见症的证候。6.8心血(亏)虚证 syndromeofheartblood(depletion)deficiency血液亏虚,心与心神失养,以心悸,头晕,多梦,健忘,面色淡白或萎黄,唇舌色淡,脉细等为常见症的证候。6.9心阴(亏)虚证 syndromeofheartyin(depletion)deficiency阴液亏虚,心与心神失养,以心悸心烦,失眠多梦,头晕,健忘,舌红少苔,脉细数等为常见症的证候。6.10心阴血虚证 syndromeofheartyinandblooddeficiency阴虚血亏,心与心神失养,以心悸心烦,面白,颧红,头晕,健忘,脉细或数等为常见症的证候。6.11心阴虚火旺[阳亢]证 syndromeofheartyindeficiencywitheffulgentfire[yanghyperactivity]心阴亏虚,虚热内扰,以心悸心烦,失眠多梦,潮热盗汗,口渴,颧红,舌红少津,脉细数等为常见症的证候。6.12心阴虚血瘀证 syndromeofheartyindeficiencywithbloodstasis心阴亏虚,瘀阻心脉,以心悸、心烦、胸闷心痛,或失眠多梦、头痛,舌暗红或有斑点,脉细数涩或结代等为常见症的证候。6.13心阴阳两虚证 syndromeofdualdeficiencyofheartyinandyang心阳心阴均不足,以心悸怔忡,畏冷肢凉,五心烦热,胸闷,头晕,舌暗红,脉结代或弱等为常见症的证候。6.14心血瘀阻证 syndromeofheartbloodstasisandobstruction血行不畅,瘀血阻滞心脉,以胸闷心悸,心痛如刺,痛引肩背内臂,唇舌紫暗,脉细涩或结代等为常见症的证候。同义词:心脉瘀[痹]阻证6.14.1心气滞血瘀证 syndromeofheartqistagnationwithbloodstasis气机郁滞,血行不畅,瘀阻心脉,以心悸,胸闷心痛,胸胁胀满,唇舌紫暗,脉涩等为常见症的证候。6.14.2心热血瘀证 syndromeofheartheatandbloodstasis51 GB/TXXXXX-XXXX热邪内扰,血行不畅,以发热,口渴,心烦面赤,心胸刺痛,悸动不宁,唇舌紫红,脉促或涩等为常见症的证候。6.15痰阻心脉证 syndromeofphlegmobstructingheartvessels痰浊阻痹心脉,血行不畅,以胸闷心痛,体胖多痰,身体困重,面色暗,舌淡紫,苔腻或滑,脉滑等为常见症的证候。6.16寒滞心脉证 syndromeofcoldstagnatingheartvessels胸阳不振,寒邪凝滞,心脉痹阻,以恶寒畏冷,心胸闷痛、遇寒痛增、得温痛减,苔白,脉沉迟或沉紧等为常见症的证候。6.17心脉气滞证 syndromeofheartvesselswithqistagnation心脉气机阻滞,以胸闷,心胸胀痛或窜痛,脉弦等为常见症的证候。同义词:气滞心脉证6.18饮停心包证 syndromeoffluidretentioninthepericardium饮邪停积心包,阻滞气血运行,以心悸怔忡,心胸满闷,气喘,倚息不能平卧,舌淡紫苔白滑,脉沉伏或弱等为常见症的证候。6.19心火炽[亢]盛证 syndromeofblazing[hyperactivity]ofheartfire火热炽盛,扰乱心神,以发热口渴,心烦失眠,甚或狂乱,便秘尿黄,面赤,舌红苔黄,脉滑数等为常见症的证候。6.20心火上炎证 syndromeofheartfireflamingupward心经火旺,上炎口舌,以发热口渴,心烦,口舌生疮、赤烂疼痛,面红,脉数等为常见症的证候。6.21心热阴虚证 syndromeofheartheatandyindeficiency心火炽盛,阴液亏虚,以心悸心烦,失眠多梦,潮热,口渴,面赤,舌红苔黄少津,脉数等为常见症的证候。6.22热闭心包[神]证 syndromeofheatblockingthepericardium[spirit]邪热炽盛而神闭,以发热口渴,神志昏迷,或谵语、狂乱,面赤气粗,舌红苔黄,脉滑数等为常见症的证候。同义词:热陷[入]心包证6.23热[火]扰心神证 syndromeofheat[fire]harassingheartspirit邪热炽盛,心神被扰,以心悸心烦,失眠多梦,甚或谵语,发热,口渴,面赤,舌红苔黄,脉滑数等为常见症的证候。6.24热入心营证 syndromeofheatenteringheart-nutrient邪热陷入心营,以身热,渴不多饮,心烦不寐,或神昏谵语,斑疹隐隐,舌绛少苔,脉细数等为常见症的证候。6.25血热扰神证 syndromeofblood-heatharassingspirit血分热盛,扰乱神明,以心悸心烦,躁扰不宁,或有谵语,身热夜甚,渴不多饮,斑疹显露,舌色深绛、少津少苔,脉细数等为常见症的证候。6.26暑热闭神证 syndromeofsummer-heatblockingspirit暑热炽盛,内闭心神,以壮热,烦渴,突然昏倒,神志不清,四肢厥逆,呼吸气粗,牙关紧闭,脉沉伏等为常见症的证候。同义词:暑入[闭]心包证6.27痰火[热]扰神[心]证 syndromeofphlegm-fire[heat]harassingspirit[heart]火热痰浊交结,闭扰心神,以发热口渴,面赤气粗,便秘尿黄,吐痰色黄,或喉间痰鸣,胸闷心悸,烦躁不寐,甚或发狂,或神昏谵语,舌红苔黄腻,脉滑数等为常见症的证候。6.28痰迷[蒙][阻][闭]心窍[神]证 syndromeofphlegmconfusing[clouding][obstructing][blocking]theheart[spirit]痰浊蒙闭心神,以神识痴呆,朦胧昏昧,或神情抑郁、举止失常,或昏不知人、喉中痰鸣,胸闷痰多,面色晦暗,苔腻,脉滑等为常见症的证候。6.29痰湿蒙闭心窍[神]证 syndromeofphlegm-dampnesscloudingandblockingtheheart[spirit]痰湿之邪蒙闭心神,以神识痴呆,朦胧昏昧,喉中痰鸣,胸闷痰多,头晕,身体困重,面色晦暗,苔腻,脉滑等为常见症的证候。51 GB/TXXXXX-XXXX6.30风痰闭神[窍]证 syndromeofwind-phlegmblockingspirit[orifice]肝风夹痰浊上犯,蒙闭心神,以素有头晕头痛,突然昏仆,神志昏迷,喉中痰鸣,苔腻脉滑等为常见症的证候。6.31浊毒闭神[窍]证 syndromeofturbidtoxinblockingspirit[orifice]秽浊邪毒蒙闭心神,以感秽浊之邪后,迅速神志昏迷,面色晦暗,脉沉伏等为常见症的证候。6.32气闭神厥证 syndromeofqiblockwithsyncope因情志刺激,神气郁闭,以突然昏倒,口不能言,或神识不清,或牙关紧闭,或四肢抽搐,脉弦或伏等为常见症的证候。同义词:气郁神闭证6.33心虚神怯证 syndromeofheartdeficiencywithtimidity心气亏虚,神气怯弱,以心悸心慌,胆怯易惊,失眠多梦,神疲健忘,脉弱或结等为常见症的证候。6.34瘀阻脑络[窍]证 syndromeofbloodstasisobstructingbraincollateral[orifice]瘀血犯头,阻滞脑络,以头晕,头痛如刺、痛处固定、经久不愈,或头部外伤后昏不知人,面色晦暗,舌紫暗或有斑点,脉细涩等为常见症的证候。6.35囊虫侵脑证 syndromeofbladderwormintrudingintothebrain囊虫蕴积于脑,以头痛固定,或发作性昏倒、口吐涎沫,或四肢抽搐等为常见症的证候。6.36惊恐伤神证 syndromeoffrightdamagingspirit因卒惊、大恐,损伤神气,以面色苍白或青紫,胸闷心悸,神识痴呆,甚或昏倒,脉伏或结或动等为常见症的证候。6.37忧伤神气证 syndromeofanxietydamagingspirit忧虑过度,损伤神气,以情志抑郁,表情淡漠,失眠多梦,头晕神疲,不欲饮食,脉弦等为常见症的证候。同义词:忧郁伤神证6.38心神不宁证 syndromeofdisquietedheartspirit泛指各种原因导致以心悸心慌,心烦,失眠多梦,胆怯易惊等为常见症的证候。7肺系证类 syndromesoflungsystem7.1肺气(亏)虚证 syndromeoflungqideficiency(depletion)肺气虚弱,以咳嗽无力,气短而喘,动则尤甚,吐痰清稀,声低,或有自汗,畏风,舌淡,脉弱等为常见症的证候。7.2肺气阴两虚证 syndromeofdualdeficiencyoflungqiandyin肺气虚弱,阴液亏虚,以干咳无力,气短而喘,声低或音哑,五心烦热,脉细无力等为常见症的证候。7.3肺阳虚证 syndromeoflungyangdeficiency阳气亏虚,肺失温煦,以咳嗽气喘,畏冷肢凉,吐稀白痰,胸闷,苔白滑,脉弱等为常见症的证候。同义词:肺虚寒证7.4肺阴(亏)虚证 syndromeoflungyindeficiency(depletion)肺阴亏虚,虚热内扰,以干咳少痰,或痰粘不易咯出,或痰中带血,口燥咽干,或音哑,潮热颧红,或有盗汗,舌红少津,脉细数等为常见症的证候。同义词:肺虚热证7.5肺卫气虚(不固)证 syndromeoflunganddefenseqideficiency(insecurity)肺气虚弱,卫表不固,以恶风自汗,时常感冒,气短乏力,舌淡脉弱等为常见症的证候。同义词:肺虚表疏证7.6肺虚邪恋证 syndromeoflungdeficiencywithlingeringpathogen肺气虚弱,外邪留恋,以恶风寒,低热不退,咳嗽气短,神疲食少,舌淡脉弱等为常见症的证候。7.7阴虚肺燥证 syndromeofyindeficiencywithlungdryness51 GB/TXXXXX-XXXX阴液亏虚,肺燥失润,以咽干口燥,干咳少痰,喉痒鼻燥,少苔少津,脉浮细数等为常见症的证候。同义词:肺燥津亏[阴虚]证7.8肺热炽[壅]盛证 syndromeofintense[congestion]exuberanceoflungheat火热炽盛,壅积于肺,以发热口渴,咳嗽,气粗而喘,或有胸痛、咽痛,鼻煽气灼,便秘尿黄,舌红苔黄,脉数等为常见症的证候。同义词:肺实热证;肺火证;邪热壅肺证7.9肺热阴虚[津伤]证 syndromeoflungheatwithyindeficiency[fluiddamage]肺热炽盛,阴液亏虚,以发热口渴,咳嗽痰少,气喘,便秘尿黄,舌红苔黄少津,脉数等为常见症的证候。同义词:阴虚肺热证7.10肺热移肠证 syndromeoflungheattransmittingintotheintestine肺热炽盛,肠失传导,以发热口渴,咳嗽气喘,腹胀便秘,舌红苔黄,脉数或实等为常见症的证候。7.11风热犯肺证 syndromeofwind-heatinvadingthelung风热侵袭肺卫,以发热微恶风寒,身痛或咽痛,咳嗽,气喘,舌尖红,苔薄黄,脉浮数等为常见症的证候。7.12风热闭肺证 syndromeofwind-heatblockingthelung风热外侵,肺气郁闭,以发热恶风,咳嗽,气粗而喘,胸闷胸痛,鼻煽,无汗,舌红,脉浮数等为常见症的证候。7.13肺经风热证 syndromeofwind-heatinthelungmeridian风热之邪侵袭肺经(系),以发热恶风,鼻塞流涕,咽喉肿痛,咳嗽气喘,脉浮数等为常见症的证候。7.14肺经郁火[热]证 syndromeoflungmeridianwithstagnantfire[heat]火热郁结肺经,以发热口渴,咽喉焮红灼痛,咳嗽,吐黄痰,鼻气灼热,舌红苔黄,脉数等为常见症的证候。7.15肺热血瘀[瘀滞]证 syndromeoflungheatwithbloodstasis[stasisandstagnation]肺热炽盛,络血瘀滞,以发热口渴,咳嗽,痰中夹血,或咯血色暗红,胸部刺痛,舌红苔黄,脉弦数等为常见症的证候。7.16邪郁[侵]肺卫证 syndromeofpathogenstagnatingin[intrudinginto]thelung-defense外邪侵袭肺卫,以恶寒发热,头身疼痛,咳嗽气喘,脉浮等为常见症的证候。7.17暑伤肺络证 syndromeofsummer-heatdamaginglungcollaterals暑热之邪损伤肺络,以发热口渴,咳嗽,咯血色鲜红,舌红苔黄,脉数无力等为常见症的证候。7.18痰热[火]壅[蕴]肺证 syndromeofphlegm-heat[fire]congesting[accumulating]inthelung痰热交结,壅积于肺,以发热口渴,咳嗽气喘,吐痰黄稠,胸闷,舌红苔黄腻,脉滑数等为常见症的证候。7.19痰热闭肺证 syndromeofphlegm-heatblockingthelung痰热内蕴,阻闭肺气,以发热口渴,胸闷胸痛,咳嗽,气粗而喘,或有哮鸣,鼻煽,舌红苔黄腻,脉滑数等为常见症的证候。7.20痰浊[湿]阻[蕴]肺证 syndromeofturbidphlegm[dampness]obstructing[accumulatingin]thelung痰湿蕴结,肺气阻滞,以胸闷,咳嗽气喘,吐白痰量多,苔白滑腻,脉弦滑等为常见症的证候。7.21痰瘀[瘀痰]阻肺证 syndromeofphlegm-stasis[stasis-phlegm]obstructingthelung瘀血痰浊蕴阻于肺,以咳嗽气喘,胸闷刺痛,吐痰多或痰中夹血,舌淡紫,苔腻,脉弦滑或弦涩等为常见症的证候。7.22风寒袭[束]肺证 syndromeofwind-coldassailing[fettering]thelung51 GB/TXXXXX-XXXX风寒侵袭,肺气失宣,以恶寒,无汗,咳嗽,胸闷气喘,吐白痰,苔白,脉浮紧等为常见症的证候。7.23风寒闭肺证 syndromeofwind-coldblockingthelung风寒外袭,肺气郁闭,以恶寒无汗,胸部紧闷,咳嗽气喘,或有哮鸣,苔白,脉浮紧等为常见症的证候。7.24寒饮停肺证 syndromeofcold-fluidretainedinthelung寒饮停聚于肺,肺失肃降,以咳嗽气喘,或哮鸣有声,胸部紧闷,不能平卧,吐稀白痰涎,苔白滑,脉弦等为常见症的证候。7.25肺郁水停证 syndromeoflungdepressionwithwaterretention肺气郁闭,宣降失常,水饮停聚,以咳嗽,吐清稀痰,胸部满闷,头面浮肿,小便不利,苔白滑等为常见症的证候。7.26肺热饮停证 syndromeoflungheatwithfluidretention邪热炽盛,水饮停肺,以发热口渴,咳嗽气喘,胸闷胸痛,或有哮鸣,舌红苔黄滑,脉弦数等为常见症的证候。同义词:热饮阻肺证7.27寒痰阻[停]肺证 syndromeofcoldphlegmobstructing[retainedin]thelung寒痰停聚于肺,以恶寒畏冷,咳嗽气喘,胸闷,吐白痰量多,苔白滑,脉弦紧等为常见症的证候。7.28表寒肺热证 syndromeofexteriorcoldwithlungheat寒邪外束,肺热内郁,以恶寒发热,口渴,无汗,烦躁,咳嗽气喘,胸闷,苔黄白,脉浮数等为常见症的证候。7.29燥邪犯[伤]肺证 syndromeofpathogenicdrynessattacking[damaging]thelung秋燥伤津,肺失宣降,以微有寒热,干咳无痰,或痰夹血丝,口渴,舌燥少津,脉浮等为常见症的证候。7.30凉燥袭肺证 syndromeofcooldrynessassailingthelung凉燥犯肺,肺失宣降,以恶寒无汗,干咳少痰,苔白少津,脉浮紧等为常见症的证候。同义词:燥寒犯肺证7.31温燥袭[伤]肺证 syndromeofwarm-drynessassailing[damaging]thelung燥热之邪侵袭,肺失宣降,以发热,口渴,咳嗽少痰,苔薄黄少津,脉浮数等为常见症的证候。7.32燥痰结[阻]肺证 syndromeofdryphlegmbinding[obstructing]thelung燥痰凝结,阻聚于肺,以咳嗽,痰粘成块、难以咯出,胸痛胸闷,舌苔少津,脉弦等为常见症的证候。7.33肺燥郁热证 syndromeoflungdrynesswithheatstagnation郁热内蕴,肺燥津伤,以发热口渴,咳嗽气喘,胸部灼热,痰少而粘,舌红苔黄少津,脉弦数等为常见症的证候。7.34肺燥肠热证 syndromeoflungdrynesswithintestinalheat肺燥津亏,肠热腑实,以发热,口渴,咳嗽气喘,大便秘结,腹胀满痛,舌红苔黄燥,脉沉实或弦数等为常见症的证候。7.35肺燥肠闭证 syndromeoflungdrynesswithintestinalblock肺燥津亏,腑气闭塞,以咳嗽,口渴,气喘,便秘不通,腹胀满痛,苔黄燥,脉沉实等为常见症的证候。7.36瘀阻肺络证 syndromeofstasisobstructinglungcollaterals瘀血内停,阻滞肺络,以胸部刺痛,咳嗽,咯血色暗红或成块,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:瘀血停[乘]肺证7.37热[火]毒闭肺证 syndromeofheat[fire]toxinblockingthelung火热毒邪炽盛,阻闭肺气,以发热,肢厥,口渴,咳嗽,气粗而喘,胸部紧闷,鼻煽气灼,舌红苔黄,脉数等为常见症的证候。7.38麻毒闭肺证 syndromeofmeaslestoxinblockingthelung51 GB/TXXXXX-XXXX麻毒内蕴,阻闭肺气,以发热,肢厥,咳嗽,胸闷气喘,鼻煽,舌红苔黄,脉沉数等为常见症的证候。7.39虫毒犯[侵]肺证 syndromeofwormtoxininvading[intrudinginto]thelung虫毒入侵,上袭于肺,以微有寒热,咳嗽,或咯痰带血丝等为常见症的证候。7.40气郁伤肺证 syndromeofqidepressiondamagingthelung气机郁滞,肺失宣降,以情志抑郁,胸闷咳嗽等为主症的证候。8脾系证类 syndromesofspleensystem8.1脾气(亏)虚证 syndromeofspleenqi[depletion]deficiency气虚脾失健运,以食少,腹胀,大便溏薄,神疲,肢体倦怠,舌淡,脉弱等为常见症的证候。8.2脾[中]气下陷证 syndromeofspleen[middle]qisinking脾气虚弱,中气下陷,以脘腹重坠作胀,食后益甚,或便意频数,肛门重坠,或脱肛、阴挺,或小便混浊,或久泄不止,或崩漏、胎漏,神疲乏力,食少,腹胀,便溏,眩晕,舌淡,脉弱等为常见症的证候。同义词:脾虚气陷证8.3脾气不固证 syndromeofspleenqiinsecurity脾气虚弱,肠道失固,以久泄不止,甚至滑泄失禁,气短气坠,食少,腹胀,舌淡,脉弱等为常见症的证候。8.4脾气郁结证 syndromeofspleenqidepression脾失健运,气机郁结,以食少,腹部胀痛,便溏不爽,脉弦等为常见症的证候。8.5脾不统[摄]血证 syndromeofthespleenfailingtocontrol[constrain]theblood脾气虚弱,不能统摄血行,以各种慢性出血,或紫癜,或妇女月经淋漓、量多、先期、崩漏,食少,腹胀,便溏,神疲乏力,舌淡,脉弱等为常见症的证候。8.6脾阳(亏)虚证 syndromeofspleenyang[depletion]deficiency脾阳虚衰,失于温运,以腹胀食少,腹痛喜温、喜按,畏冷肢凉,大便稀溏,或下肢水肿,或妇女带下量多,舌淡苔白润,脉沉迟无力等为常见症的证候。同义词:脾阳虚衰证;脾虚寒证8.7脾阴(亏)虚证 syndromeofspleenyin[depletion]deficiency阴液亏虚,脾失健运,以食欲不振,腹胀便结,体瘦倦怠,涎少唇干,低热,舌红少苔,脉细数等为常见症的证候。8.8脾虚营亏证 syndromeofspleendeficiencyandnutrientqidepletion脾失健运,营气亏虚,以食少腹胀,大便稀溏,形体消瘦,疲倦乏力,舌淡,脉弱等为常见症的证候。8.9脾虚血亏证 syndromeofspleendeficiencyandblooddepletion脾气虚弱,生血不足,以食少,腹胀,便溏,头晕,疲乏,妇女闭经、月经后期、量少,面白,舌淡,脉细无力等为常见症的证候。8.10脾虚血燥证 syndromeofspleendeficiencywithblooddryness脾气虚弱,血亏失濡,以食少,腹胀,大便干结,头晕,面白,舌淡,脉细无力等为常见症的证候。8.11脾(气)虚动风证 syndromeofspleen(qi)deficiencystirringwind脾气虚衰,虚风内动,以食少,腹胀,便溏,疲倦乏力,手足蠕动、瘈疭或抽搐,面白、舌淡、脉弱等为常见症的证候。8.12脾阳虚动风证 syndromeofspleenyangdeficiencystirringwind脾阳虚衰,虚风内动,以食少,腹胀,便溏,畏冷肢凉,手足蠕动、瘈疭或抽搐,面白,舌淡,脉沉迟无力等为常见症的证候。8.13脾虚气滞证 syndromeofspleendeficiencywithqistagnation脾气虚弱,气机阻滞,以食少,腹胀痛,便溏不爽,肠鸣矢气,神疲乏力,脉弦等为常见症的证候。8.14脾(气)虚水泛[停][湿]证 syndromeofspleen(qi)deficiencywithwaterflooding[retention][dampness]51 GB/TXXXXX-XXXX脾气虚弱,运化失职,水液内停,以食少,腹胀,便溏,面浮肢肿,或有腹水,神疲乏力,面白,舌淡胖,苔白滑,脉濡或弱等为常见症的证候。8.15脾阳虚水泛[停]证 syndromeofspleenyangdeficiencywithwaterflooding[retention]脾阳虚衰,温运失职,水液内停,以食少,腹胀,便溏,畏冷肢凉,面浮肢肿,或有腹水,面白,舌淡胖,苔白滑,脉濡或弱等为常见症的证候。8.16脾虚湿困[蕴][盛][泛]证 syndromeofspleendeficiencywithdampnessencumbrance[accumulation][exuberance][flooding]脾气虚弱,湿浊内停,以食少,腹胀,便溏,身体困重,或有微肿,舌淡胖,苔白润或腻,脉濡缓等为常见症的证候。8.17脾虚湿热证 syndromeofspleendeficiencywithdampness-heat脾气虚弱,温热内蕴,以食少,腹胀,便溏不爽,身热不扬,身体困重,舌红胖,苔黄腻,脉滑数等为常见症的证候。8.18脾虚痰湿证 syndromeofspleendeficiencywithphlegm-dampness脾气虚弱,痰湿内蕴,以食少,腹胀,便溏,体胖困重,疲乏嗜睡,舌淡胖,苔白腻,脉濡缓等为常见症的证候。8.19脾虚食积[夹食]证 syndromeofspleendeficiencywithfoodretention[foodcomplication]脾失健运,食积胃肠,以平素食少腹胀,经常腹泻,饮食稍有不慎则脘腹胀痛,嗳腐吐酸,腹泻不爽,大便腐臭,舌淡苔腻等为常见症的证候。8.20脾虚虫积证 syndromeofspleendeficiencywithwormaccumulation脾气虚弱,虫积肠道,以食少,腹胀,便溏,体瘦疲乏,腹部胀大,按之有条索状包块,或腹痛,大便排虫,舌淡苔白等为常见症的证候。8.21湿热蕴[困]脾证 syndromeofdampness-heataccumulatingin[encumbering]thespleen湿热内蕴,脾失健运,以腹胀,呕恶纳呆,肢体困重,便溏不爽,或面目发黄,或身热不扬,汗出热不解,渴不多饮,舌红苔黄腻,脉濡数等为常见症的证候。8.22痰热蕴脾证 syndromeofphlegm-heataccumulatinginthespleen痰热互结,蕴结于脾,以腹胀纳呆,便溏不爽,身体困重,发热,口腻,头重头晕,吐黄痰,舌红苔黄腻,脉滑数等为常见症的证候。8.23脾经风热证 syndromeofwind-heatinthespleenmeridian风热之邪侵袭脾经,以发热微恶风寒,口腔或口唇赤烂疼痛,或便泻夹有泡沫,口微渴,苔薄黄,脉浮数等为常见症的证候。8.24脾经热毒证 syndromeofheat-toxininthespleenmeridian火热毒邪蕴结脾经,以发热口渴,口腔或口唇赤烂疼痛,便秘尿黄,舌红苔黄,脉数等为常见症的证候。8.25寒湿困[蕴]脾证 syndromeofcold-dampnessencumbering[accumulating]inthespleen寒湿内盛,困阻脾阳,以脘腹胀闷,口腻纳呆,泛恶欲呕,口淡不渴,腹痛便溏,头身困重,或身目发黄而晦暗,或白带量多,体胖,舌淡胖,苔白腻,脉濡缓等为常见症的证候。同义词:湿困脾阳证;太阴寒湿证;寒湿中阻证8.26思伤脾气证 syndromeofanxietydamagingthespleen思虑太过,脾气郁滞,以神情呆滞,不思饮食,胸胁脘腹作胀,喜叹息,大便不爽,脉弦等为常见症的证候。同义词:思虑伤脾证8.27胃气(亏)虚证 syndromeofstomachqi[depletion]deficiency胃气虚弱,纳运失司,以胃脘痞闷、隐痛、喜按,食欲不振,或得食痛缓,疲乏,舌淡嫩,脉弱等为常见症的证候。8.28胃气阴两虚[亏]证 syndromeofdualdeficiency[depletion]ofstomachqiandyin51 GB/TXXXXX-XXXX胃气虚弱,胃阴亏虚,以胃脘痞闷、嘈杂、隐痛、喜按,饥不欲食,或干呕呃逆,口微渴,便结,脉弱等为常见症的证候。8.29胃气虚血瘀证 syndromeofstomachqideficiencywithbloodstasis胃气虚弱,瘀血阻滞于胃,以胃脘痞闷、刺痛、拒按,食欲不振,疲乏,舌淡或有瘀斑瘀点,脉细涩等为常见症的证候。8.30胃气上逆证 syndromeofstomachqicounterflow因寒、热、饮食、情志等刺激,使胃气失于和降而上逆,以呕吐或呃逆、嗳气等为主症的证候。8.30.1胃热[火]气逆证 syndromeofstomachheat[fire]withqicounterflow因火热之邪或辛辣之品等刺激,使胃失和降而上逆,以呕吐或呃逆、嗳气,胃脘灼痛,口渴,舌红苔黄,脉数等为常见症的证候。8.30.2胃寒气逆证 syndromeofstomachcoldwithqicounterflow因寒冷等刺激,使胃气失于和降而上逆,以呕吐或呃逆、嗳气,胃脘冷痛,苔白,脉弦紧等为常见症的证候。8.30.3胃滞气逆证 syndromeofstomachstagnationwithqicounterflow因情志等刺激,使胃气失于和降而上逆,以呕吐或呃逆、嗳气,情绪抑郁,喜叹息,脘腹痞胀,脉弦等为常见症的证候。8.31胃阳(亏)虚证 syndromeofstomachyang[depletion]deficiency阳气虚弱,胃失温煦,以胃痛绵绵、喜温喜按,食少脘痞,畏冷肢凉,舌淡苔白,脉沉迟无力等为常见症的证候。同义词:胃虚寒证8.31.1胃阳虚气滞证 syndromeofstomachyangdeficiencywithqistagnation阳气虚衰,气机阻滞,胃失温煦和降,以胃脘痞胀,冷痛喜温,呃逆嗳气,食少,便溏不爽,畏冷肢凉,舌淡苔白,脉沉迟无力等为常见症的证候。8.31.2胃阳虚血瘀证 syndromeofstomachyangdeficiencywithbloodstasis阳气虚衰,瘀血阻滞于胃,以胃脘刺痛、拒按,食少脘痞,畏冷肢凉,舌淡紫或有瘀斑瘀点,苔白,脉沉迟而涩等为常见症的证候。8.32胃气滞血瘀证 syndromeofstomachqistagnationwithbloodstasis气机不畅,瘀血阻滞于胃,以胃脘胀痛,刺痛拒按,呕恶呃逆,舌紫或有瘀斑瘀点,脉涩等为常见症的证候。8.33胃阴(亏)虚证 syndromeofstomachyin[depletion]deficiency阴液亏虚,胃失濡润、和降,以口燥咽干,饥不欲食,或胃脘嘈杂、痞胀,或胃脘隐隐灼痛,或干呕呃逆,便结,舌红少津,脉细数等为常见症的证候。8.34胃阴虚气滞证 syndromeofstomachyindeficiencywithqistagnation胃阴亏虚,气机阻滞,以口燥咽干,饥不欲食,胃脘嘈杂、痞闷、胀痛,或干呕呃逆,便结,舌红少津,脉弦细等为常见症的证候。8.35胃阴虚血瘀证 syndromeofstomachyindeficiencywithbloodstasis胃阴亏虚,瘀血阻滞于胃,以口燥咽干、饥不欲食,胃脘嘈杂、刺痛,便结,舌暗红或有瘀斑瘀点,脉细涩等为常见症的证候。8.36胃火[热](炽盛)证 syndromeof[intenseandexuberant]stomachfire[heat]火热炽盛,壅滞于胃,以胃脘灼痛、喜冷,发热口渴,或口臭、牙龈肿痛、齿衄,便结尿黄,舌红苔黄,脉数等为常见症的证候。8.37胃热气滞证 syndromeofstomachheatwithqistagnation胃热炽盛,气机阻滞,以胃脘痞满、胀痛或灼痛、拒按,嗳气,口臭,便结,舌红苔黄,脉弦数等为常见症的证候。8.38胃热津伤[亏]证 syndromeofstomachheatwithfluiddamage[depletion]胃热炽盛,津液亏损,以胃脘灼痛,口渴欲饮,或消谷善饥,大便干结,舌红苔黄少津,脉数等为常见症的证候。8.39胃热阴虚证 syndromeofstomachheatwithyindeficiency胃热炽盛,阴液亏损,以胃脘灼痛,口渴,五心烦热,便结,舌红少苔少津,脉细数等为常见症的证候。51 GB/TXXXXX-XXXX8.40胃燥津伤[亏]证 syndromeofstomachdrynesswithfluiddamage[depletion]津液耗损,胃失濡润,以胃脘嘈杂、痞闷,饥不欲食,口渴,便结,舌干少津等为常见症的证候。8.41寒邪犯胃证 syndromeofpathogeniccoldinvadingthestomach寒邪侵袭胃脘,胃失和降,以胃脘冷痛、痛势急剧、喜温,呕吐清水,恶寒肢冷,苔白,脉弦等为常见症的证候。同义词:寒滞胃脘证;胃实寒证;胃寒证8.42寒饮停胃证 syndromeofstomachretentionofcoldfluid寒性水饮停积于胃,以胃皖痞胀,胃中有振水声,呕吐清水稀涎,苔白滑,脉弦等为常见症的证候。8.43瘀阻胃络证 syndromeofstasisobstructingstomachcollateral瘀血阻滞胃络,以胃脘部刺痛、拒按,或胃脘部触及包块,或呕血色暗成块,舌有斑点,脉弦涩等为常见症的证候。8.44寒滞肠道证 syndromeofcoldstagnationintheintestine寒邪侵袭肠道,传化失常,以腹部冷痛、痛势急剧、喜温,腹泻清稀,恶寒肢冷,苔白,脉弦紧等为常见症的证候。8.45肠道[大肠]湿热证 syndromeofdampness-heatintheintestinaltract[largeintestine]湿热内蕴,阻滞肠道,以腹胀腹痛,暴注下泻,或下痢脓血,里急后重,或腹泻不爽、粪质粘稠腥臭,肛门灼热,身热口渴,尿短黄,舌红苔黄腻,脉滑数等为常见症的证候。8.46肠道实热证 syndromeofexcess-heatintheintestinaltract肠道热盛,腑气不通,以发热口渴,大便秘结,腹胀硬满作痛,舌红苔黄少津,脉沉数等为常见症的证候。8.46.1小肠实热证 syndromeofexcess-heatinthesmallintestine心火炽盛,下移小肠,或湿热火邪蕴蓄小肠,以发热口渴,心烦失眠,口舌生疮,小便短黄、灼热,涩痛,甚则尿血,舌红苔黄,脉数等为常见症的证候。8.46.2肠热阴虚证 syndromeofintestinalheatwithyindeficiency热侵肠道,阴津亏虚,传导失常,以烦热口渴,面赤潮红,大便干结难下,唇色、皮肤干燥,小便短黄,苔少而干,脉细数等为常见症的证候。8.46.3肠热气滞证 syndromeofintestinalheatwithqistagnation热侵肠道,气机阻滞,传化失常,以发热口渴,腹胀便结,或腹泻不爽,矢气频作,肛门坠胀,舌红苔黄,脉弦数等为常见症的证候。8.47大肠[肠道]热结[实热]证 syndromeofheatbinding[excess-heat]inthelargeintestine[intestinaltract]里热炽盛,腑气不通,以发热口渴,大便秘结,腹胀硬满、疼痛拒按,舌红苔黄少津,脉沉数等为常见症的证候。同义词:肠热腑实证;热结肠燥证8.48热毒蕴肠证 syndromeofheattoxinaccumulatingintheintestine毒邪蕴结肠道,以腹痛腹胀,便秘或腹泻,或便脓血腥臭等为常见症的证候。8.49肠道[燥]津亏证 syndromeofintestinaltract[dryness]withfluiddepletion津液亏损,肠失濡润,以大便干燥如羊屎,多日不便,腹胀作痛,少腹触及包块,口渴,舌干少津,脉弦涩等为常见症的证候。同义词:大肠津[液]亏证8.50血虚肠燥[结]证 syndromeofblooddeficiencywithintestinaldryness[binding]血液亏虚,肠失濡养,以大便干结、艰涩难下,多日一便,或有便血,面白,舌淡,脉细涩等为常见症的证候。8.51阴虚肠燥证 syndromeofyindeficiencywithintestinaldryness阴液亏虚,肠失濡润,以大便干结、艰涩难下,多日一便,状如羊屎,口鼻、咽喉、皮肤干燥,舌红少津,脉细数涩等为常见症的证候。8.52血热肠燥证 syndromeofblood-heatwithintestinaldryness51 GB/TXXXXX-XXXX血分热盛,耗伤阴液,肠道失濡,以发热口渴,大便干燥、秘结,甚或便血,舌红绛少津,脉细数等为常见症的证候。8.53湿阻[滞][蕴]肠道证 syndromeofdampnessobstructing[stagnating][accumulating]intheintestinaltract湿邪蕴阻肠道,传化失常,以腹胀隐痛,大便濡泻清稀,或便质粘垢而腥臭,苔白滑,脉濡缓等为常见症的证候。8.54肠道寒湿证 syndromeofcold-dampnessintheintestinaltract寒湿之邪蕴阻肠道,以腹胀冷痛、喜温,腹泻便质清稀,畏冷肢凉,苔白滑,脉弦紧或濡缓等为常见症的证候。8.55肠道[小肠]气滞证 syndromeofqistagnationintheintestinaltract[smallintestine]肠道气机阻滞,以腹部胀痛或窜痛,腹胀,肠鸣矢气、得之觉舒,脉弦等为常见症的证候。8.56虫积肠道[小肠]证 syndromeofwormaccumulationintheintestinaltract[smallintestine]蛔虫等寄生肠道,耗吸营养,阻滞气机,以腹部阵痛,痛时有块,贪食而瘦,或大便排虫,或鼻痒、睡中齘齿,或唇内有粟粒样小白点等为常见症的证候。8.57蛔结肠闭证 syndromeofintestinalblockwithroundwormbinding蛔虫搏结,阻闭肠道,以腹痛阵发,腹部触及条索状包块,腹胀,大便秘等为常见症的证候。同义词:虫积[阻]肠闭证8.58虫扰魄门证 syndromeofwormharassingtheanus蛲虫侵扰肛门,以肛门瘙痒,入夜尤甚,并发现细白针形虫体等为常见症的证候。8.59风伤肠络证 syndromeofwinddamagingintestinalcollaterals风邪伤及肠道络脉,以大便下血,大便中夹泡沫等为常见症的证候。同义词:肠风络伤证8.60肛门热毒证 syndromeofanalheattoxin热毒蕴聚肛门,以肛门红肿灼热疼痛,甚至化脓、溃烂、流脓血,或直肠翻出、紫暗糜烂,舌暗红,苔黄,脉数等为常见症的证候。8.61肛门湿热证 syndromeofanaldampness-heat湿热之邪蕴结肛门。以肛门起丘疹、瘙痒、湿烂,舌红苔黄,脉滑数等为常见症的证候。8.62气血瘀滞肛门证 syndromeofstasisandstagnationofqiandbloodintheanus肛门处气血瘀滞,以肛门发生痔核、肿块,或肿胀、紫暗、疼痛,脉弦涩等为常见症的证候。8.63脾胃气虚证 syndromeofspleenqiandstomachqideficiency脾胃气虚,中焦失运,以食欲不振,脘腹痞胀,食后尤甚,大便溏薄,神疲,肢体倦怠,舌淡脉弱等为常见症的证候。8.64脾胃[中焦]阴虚[虚热]证 syndromeofspleenandstomach[middleenergizer]yindeficiency[deficiency-heat]阴液亏虚,脾胃失润,以口燥咽干,饥不欲食,或胃脘嘈杂,或腹胀隐痛,或干呕呃逆,体瘦,大便干结,舌红少津,脉细数等为常见症的证候。8.65脾胃[中焦]阳虚[虚寒]证 syndromeofspleenandstomach[middleenergizer]yangdeficiency[deficiency-cold]脾胃阳气虚衰,失于温运,以腹胀食少,脘腹冷痛喜温、喜按,畏冷肢凉,大便稀溏,舌淡苔白润,脉沉迟无力等为常见症的证候。8.66脾胃[中焦]阳虚[虚寒]气滞证 syndromeofspleenandstomach[middleenergizer]yangdeficiency[deficiency-cold]withqistagnation脾胃阳气虚衰,气机阻滞,以食少,脘腹痞胀、冷痛、喜温,嗳气肠鸣,畏冷肢凉,大便稀溏,舌淡苔白润,脉沉弦等为常见症的证候。8.67脾胃气阴两[亏]虚证 syndromeofdual[depletion]deficiencyofstomachqiandyin51 GB/TXXXXX-XXXX脾胃气虚,阴液亏损,以胃脘及腹部痞闷、隐痛,饥不欲食,或干呕呃逆,口微渴,便结,脉弱等为常见症的证候。8.68脾胃[中焦]实热[积热][热盛]证 syndromeofthespleenandstomach[middleenergizer]excess-heat[heataccumulation][heatexuberance]火热炽盛,壅滞脾胃,以胃脘灼痛、喜冷,发热口渴,腹胀作痛,便秘,或口臭、口腔赤烂疼痛、牙龈肿痛、齿衄,舌红苔黄,脉数等为常见症的证候。8.69脾胃[中焦]湿热证 syndromeofdampness-heatinthespleenandstomach[middleenergizer]湿热内蕴,脾胃失运,以脘腹痞胀,呕恶纳呆,肢体困重,便溏不爽,或面目发黄,或身热不扬,汗出热不解,渴不多饮,舌红苔黄腻,脉滑数等为常见症的证候。同义词:湿热中阻证8.70湿困脾胃证 syndromeofdampnessencumberingthespleenandstomach湿浊内盛,困阻中焦,以脘腹胀闷,口腻纳呆,泛恶欲呕,口淡不渴,腹痛便溏,头身困重,或身目发黄而晦暗,舌淡胖,苔白腻,脉濡缓等为常见症的证候。8.71胃热脾虚证 syndromeofstomachheatandspleendeficiency胃有郁热,脾气虚弱,以烦热口渴,食欲不振,胃脘嘈杂、灼痛,腹胀,便溏或结,消瘦疲乏等为常见症的证候。8.72脾胃[中焦]不和[气滞]证 syndromeofspleenandstomach[middleenergizer]disharmony[qistagnation]气机阻滞,脾胃失健,以脘腹痞胀,胃脘嘈杂,食欲不振,或食后腹胀,便溏不爽,嗳气肠鸣,脉弦等为常见症的证候。8.73胃肠湿热证 syndromeofdampness-heatinthestomachandintestine湿热内蕴,阻滞胃肠,以脘腹痞胀,呕恶纳呆,便溏不爽,或下痢脓血、里急后重,或呕吐、腹泻如注,发热口渴,舌红苔黄腻,脉滑数等为常见症的证候。8.74胃肠实[积]热证 syndromeofexcess-heat[accumulation]inthestomachandintestine火热炽盛,壅滞胃肠,以胃脘灼痛、喜冷,发热,口渴,口臭,腹胀作痛,大便秘结、腐臭,小便短黄,舌红苔黄,脉数等为常见症的证候。8.75食滞[积]胃肠证 syndromeoffoodstagnation[accumulation]inthestomachandintestine饮食停滞胃肠,以脘腹痞胀疼痛,厌食,嗳腐吞酸,或呕吐馊食,肠鸣矢气,泻下不爽,便臭如败卵,苔厚腻,脉滑或沉实等为常见症的证候。8.76食滞胃热证 syndromeoffoodretentionwithstomachheat食滞胃肠,胃热壅盛,以胃脘痞胀、灼痛,嗳腐吞酸,或呕酸馊苦水,腹泻不爽,便质腐臭如败卵,舌红苔厚腻,脉滑数等为常见症的证候。8.77胃肠气滞证 syndromeofstomachandintestineqistagnation胃肠气机阻滞,以胃脘或腹部痞胀、胀痛或窜痛,得嗳气、肠鸣、矢气而觉舒,脉弦等为常见症的证候。同义词:气滞胃肠证8.78瘀滞胃肠证 syndromeofstasisandstagnationinthestomachandintestine瘀血阻滞胃肠,以胃脘、腹部刺痛、拒按,或触及包块,或呕血、便血色暗成块,舌有瘀斑点,脉弦涩等为常见症的证候。同义词:肠胃瘀滞[血瘀]证8.79寒滞胃肠证 syndromeofcoldstagnationinthestomachandintestine寒邪侵袭胃肠,阻滞气机,以胃脘、腹部冷痛,痛势急剧、喜温,呕吐,腹泻清稀,恶寒肢冷,苔白,脉弦紧等为常见症的证候。8.80痰湿[浊][饮]中阻证 syndromeofphlegm-dampness[turbidity][retainedfluid]obstructioninthemiddleenergizer痰湿内蕴,阻滞胃肠,以口腻,纳呆,恶心欲呕,脘腹痞胀,胃肠水声漉漉,大便清稀,舌淡胖,苔白腻,脉濡缓等为常见症的证候。8.81肠道瘀滞证 syndromeofstasisandstagnationintheintestinaltract51 GB/TXXXXX-XXXX肠道瘀血内阻,气机郁滞,以腹部刺痛,胀满肠鸣,大便不爽,便血或色黑,脉涩或弦等为常见症的证候。9肝系证类 syndromesofliversystem9.1肝阴(亏)虚证 syndromeofliveryindeficiency[depletion]阴液亏虚,肝失濡养,以头晕眼花,两目干涩,视力减退,颧红,或胁肋灼痛,五心烦热,舌红少苔,脉细数等为常见症的证候。9.2肝血(亏)虚证 syndromeofliverblood[depletion]deficiency血液亏虚,肝失濡养,以头晕眼花,视力减退,或夜盲,或肢体麻木,妇女月经量少、色淡、经闭,面、睑、爪甲、舌色淡,脉细等为常见症的证候。9.3肝气(亏)虚证 syndromeofliverqi[depletion]deficiency气虚肝失疏泄,以两胁胀闷,情绪低沉,疲乏气短,头晕眼花,舌淡脉弱等为常见症的证候。9.4肝阳(亏)虚证 syndromeofliveryang[depletion]deficiency阳气虚弱,肝失条达,以两胁胀闷,畏冷肢凉,头晕眼花,苔白润,脉沉迟无力等为常见症的证候。同义词:肝虚寒证9.5肝阳上亢[上扰][亢盛]证 syndromeofliveryanghyperactivity[harassingtheupper][exuberance]肝阳亢扰于上,以眩晕耳鸣,头目胀痛,头重脚轻,面红耳赤,急躁易怒,失眠多梦,腰膝酸软,口苦,舌红,脉弦等为常见症的证候。9.6肝[风]阳暴亢证 syndromeofsuddenliver[wind]yanghyperactivity肝阳亢盛,迫扰于上,以阵发头胀剧痛,面红目赤,急躁易怒,眩晕欲仆,口苦口干,舌红苔黄,血压骤高,脉弦数等为常见症的证候。9.7肝阴虚阳亢证 syndromeofliveryindeficiencywithyanghyperactivity肝阴亏虚,肝阳偏亢,以头晕眼花,耳鸣腰痛,肢体麻木,五心烦热,颧红,性急易怒,口苦口干,舌红少苔,脉细数等为常见症的证候。同义词:阴虚肝旺证9.8肝郁(气滞)证 syndromeofliverdepression(qistagnation)肝失疏泄,气机郁滞,以情志抑郁,喜叹息,胸胁或少腹胀闷窜痛,妇女乳房胀痛,月经不调,脉弦等为常见症的证候。同义词:肝气郁结[滞]证9.9肝郁血虚证 syndromeofliverdepressionwithblooddeficiency血液亏虚,肝气郁滞,以头晕眼花,两胁作胀,情志抑郁,多梦健忘,面白,舌淡紫,脉弦细等为常见症的证候。同义词:血虚肝郁证9.10肝郁血瘀证 syndromeofliverdepressionwithbloodstasis肝气郁结,血瘀于肝,以两胁胀痛或刺痛,或胁下、少腹有肿块,情志抑郁,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:肝血瘀滞证;肝瘀气滞证9.11肝郁阴虚证 syndromeofliverdepressionandyindeficiency肝气郁结,肝阴亏虚,以两胁胀痛或灼痛,五心烦热,头晕眼花,口干口苦,情志抑郁,舌暗红少苔,脉弦细等为常见症的证候。同义词:阴虚肝郁证9.12肝瘀化热证 syndromeofliverstasistransformingintoheat肝气郁结,肝血瘀滞,郁久化热,以两胁灼热、刺痛,或胁下有痞块、拒按,口干口苦,舌紫暗或有斑点,苔黄,脉弦涩等为常见症的证候。9.13肝(血)瘀(阻)证 syndromeofliver(blood)stasis(obstruction)瘀血阻滞肝络,以胁肋固定刺痛、拒按,或胁下包块,舌紫暗或有斑点,脉弦涩等为常见症的证候。51 GB/TXXXXX-XXXX同义词:肝经血瘀证;瘀滞肝络证9.14肝虚血瘀证 syndromeofliverdeficiencywithbloodstasis血行瘀滞,肝血亏虚,以胁肋隐痛,偶有刺痛,头晕眼花,妇女经闭,面白,舌淡紫,脉细涩等为常见症的证候。同义词:血虚肝瘀证;肝瘀血虚证9.15肝阴虚血瘀证 syndromeofliveryindeficiencywithbloodstasis阴液亏虚,肝经瘀血,以五心烦热,两颧暗红,胁肋灼痛、刺痛,口干,便结,舌紫暗或有斑点,苔少,脉细数涩等为常见症的证候。9.16肝气虚血瘀证 syndromeofliverqideficiencywithbloodstasis肝气虚弱,血行瘀滞,以两胁作胀,偶有刺痛,或胁下有痞块,胸闷喜叹息,舌淡紫,脉弱而涩等为常见症的证候。9.17肝[气]郁化火证 syndromeofliver[qi]depressiontransformingintofire肝气郁滞,郁久化热化火,以两胁胀痛、灼痛,烦躁易怒,口苦舌干,小便黄赤,舌红苔黄,脉弦数等为常见症的证候。9.18肝郁血热证 syndromeofliverdepressionwithblood-heat肝气郁滞,血热内扰,以两胁胀痛、灼痛,烦躁易怒,失眠多梦,口苦口干,舌绛少苔,脉弦数等为常见症的证候。9.19肝郁痰火[热]证 syndromeofliverdepressionwithphlegmfire[heat]肝气郁滞,痰热内蕴,以两胁胀痛、灼痛,烦躁易怒,失眠多梦,眩晕头痛,吐黄痰,舌红苔黄腻,脉弦数等为常见症的证候。同义词:痰热郁肝证9.20肝瘀痰结[阻]证 syndromeofliverstasiswithphlegmbinding[obstruction]瘀痰蕴结于肝,以胁下痞块,胀痛或刺痛、拒按,舌紫或有斑点,苔腻,脉弦涩等为常见症的证候。9.21肝火炽[旺][亢]盛证 syndromeofintense[effulgent][hyperactive]liverfire火热炽盛,内扰于肝,以胁肋灼痛,口苦口干,或呕吐苦水,急躁易怒,失眠多梦,面红目赤,便秘尿黄,舌红苔黄,脉弦数等为常见症的证候。9.22肝火上炎证 syndromeofliverfireflamingupward肝火炽盛而上炎,以发热口渴,烦躁失眠,头痛,或目赤肿痛,或耳暴鸣暴聋,或吐血、衄血,面赤,舌红苔黄,脉弦数等为常见症的证候。9.23肝经火旺[盛]证 syndromeofeffulgent[exuberant]fireinthelivermeridian火热炽盛,壅滞肝经,以胁肋灼热,或头面烘热,或目赤灼痛,口苦口干,舌红苔黄,脉弦数等为常见症的证候。9.24肝经风热证 syndromeofwind-heatinthelivermeridian风热侵袭肝经,以发热微恶风寒,巅顶头痛,或目赤肿痛,苔薄黄,脉浮数等为常见症的证候。9.25肝经湿热证 syndromeofdampness-heatinthelivermeridian湿热蕴聚肝经,以胁肋胀痛,或阴部潮湿、瘙痒,阴器肿胀疼痛,或耳胀痛流脓水,舌红苔黄腻,脉滑数等为常见症的证候。9.26肝郁[滞]湿热证 syndromeofliverdepression[stagnation]withdampness-heat湿热内蕴,肝气郁滞,以两胁胀痛,胁下痞块,或身目发黄,口渴口苦,舌红苔黄腻,脉滑数等为常见症的证候。9.27热毒淤[瘀]肝证 syndromeofheattoxinstagnation[stasis]intheliver火热毒邪,淤滞于肝,以胁胀灼痛,或胁下有肿块,壮热,口渴,身目深黄,甚或神昏,面赤,舌红苔黄,脉弦数等为常见症的证候。9.28肝热气滞证 syndromeofliverheatwithqistagnation邪热内蕴,肝气郁滞,以两胁胀痛、灼热,口苦口干,舌红苔黄,脉弦数等为常见症的证候。9.29肝热血瘀证 syndromeofliverheatwithbloodstasis邪热内蕴,肝血瘀滞,以两胁刺痛、灼热,口苦口干,舌暗红苔黄,脉涩而数等为常见症的证候。51 GB/TXXXXX-XXXX9.30肝热阴虚证 syndromeofliverheatwithyindeficiency邪热内蕴,肝阴亏虚,以两胁隐痛、灼热,五心烦热,失眠多梦,烦躁易怒,口苦口干,舌红苔黄少,脉弦细数等为常见症的证候。9.31寒滞肝脉[经]证 syndromeofcoldstagnationinthelivervessel[meridian]寒邪侵袭,凝滞肝经,以少腹冷痛,或阴器收引疼痛,或巅顶疼痛,遇寒痛增,得温痛缓,恶寒肢冷,呕吐清涎,苔白,脉弦紧等为常见症的证候。同义词:肝经实寒证;肝寒证9.32肝风内动证 syndromeofliverwindstirringintheinterior泛指因风阳、火热、阴血亏虚等所致,以四肢抽搐、眩晕、震颤等为主症的证候。9.32.1肝阳化风证 syndromeofliveryangtransformingintowind肝阳上亢,肝风内动,以眩晕欲仆,头胀头痛,肢体麻木,耳鸣,急躁易怒,面赤,舌红,脉弦等为常见症的证候。9.32.2肝热动风证 syndromeofliverheatstirringwind邪热炽盛,热极动风,以高热口渴,神昏谵语,四肢抽搐,角弓反张,舌红苔黄,脉数等为常见症的证候。同义词:热动肝风证9.32.3肝阴虚动风证 syndromeofliveryindeficiencystirringwind肝阴亏损,虚风内动,以肢体抽搐或震颤,手足蠕动,潮热颧红,五心烦热,体瘦,口干,舌红少苔少津,脉细数等为常见症的证候。9.32.4肝血虚动风证 syndromeofliverblooddeficiencystirringwind肝血亏虚,虚风内动,以肢体震颤、麻木、瘙痒、拘急,头晕眼花,面白,舌淡,脉弱等为常见症的证候。9.33胆气(亏)虚证 syndromeofgallbladderqi[depletion]deficiency胆气亏虚,心神不宁,以胆怯易惊,恐惧,神志不宁,闷闷不乐,悲伤欲哭,失眠多梦,舌淡,脉弱等为常见症的证候。同义词:胆虚气怯证9.34胆郁痰扰证 syndromeofgallbladderdepressionwithphlegmharassment痰浊内扰,胆郁失宣,以烦躁不宁,胆怯易惊,失眠多梦,胸胁胀闷,善太息,眩晕,恶心欲呕,吐痰涎,苔白腻,脉弦缓等为常见症的证候。9.35胆热痰扰证 syndromeofgallbladderheatwithphlegmharassment痰热内扰,胆失疏泄,以烦躁不宁,胆怯易惊,失眠多梦,胸胁胀闷,眩晕,口苦,舌红苔黄腻,脉弦数等为常见症的证候。同义词:胆经痰火证9.36虫扰胆膈[腑]证 syndromeofwormharassingthegallbladderanddiaphragm[fu-organ]蛔虫内扰,上窜胆膈,以阵发性上腹部钻顶样剧痛,痛发时面白肢厥,呕吐苦水或吐蛔,脉弦等为常见症的证候。9.37肝胆湿热证 syndromeofdampness-heatintheliverandgallbladder湿热内蕴,肝胆疏泄失常,以身目发黄,发热,口苦,胁肋胀痛,或胁下有痞块,纳呆呕恶,厌油腻,尿黄,舌红苔黄腻,脉滑数等为常见症的证候。9.38肝胆火旺[郁热][实热][火热]证 syndromeofeffulgentfire[stagnantheat][excess-heat][fire-heat]intheliverandgallbladder火热炽盛,内扰肝胆,以胁肋灼痛、胀痛,急躁多怒,口干口苦,头目胀痛,失眠多梦,耳暴鸣暴聋,舌红苔黄,脉弦数等为常见症的证候。9.39胆经郁热证 syndromeofheatstagnationinthegallbladdermeridian火热内扰,郁于胆经,以烦躁易怒,胁胀口苦,或耳胀、耳痛、耳鸣,或半边头痛,失眠多梦,舌红苔黄,脉弦数等为常见症的证候。同义词:胆火[热]证9.40肝胆湿热气滞证 syndromeofdampness-heatandqistagnationintheliverandgallbladder51 GB/TXXXXX-XXXX湿热内蕴,肝胆气滞,以胁肋胀痛,或胁下有痞块,身目发黄,发热,口苦,纳呆呕恶,厌油腻,尿黄,舌红苔黄腻,脉滑数等为常见症的证候。9.41肝胆湿热瘀滞证 syndromeofdampness-heatandstasis-stagnationintheliverandgallbladder湿热内蕴,肝胆气滞血瘀,以胁肋胀痛或刺痛,或胁下有痞块、拒按,身目发黄,发热,口苦,纳呆呕恶,厌油腻,尿黄,舌红苔黄腻,脉弦涩而数等为常见症的证候。9.42肝胆瘀滞证 syndromeofliverandgallbladderstasisandstagnation肝胆气滞血瘀,以胁肋胀痛或刺痛、固定不移,或胁下有肿块、拒按,舌紫暗或有斑点,脉弦涩等为常见症的证候。9.43肝胆气滞证 syndromeofliverandgallbladderqistagnation肝胆气机郁滞,以胁肋、乳房、少腹胀痛,善太息,情绪抑郁,口苦,脉弦等为常见症的证候。10肾系证类 syndromesofkidneysystem10.1肾气(亏)虚证 syndromeofkidneyqi[depletion]deficiency肾气虚弱,以耳鸣,腰酸,性欲衰减,头晕健忘,脉弱等为常见症的证候。10.2肾气[虚]不固证 syndromeofkidneyqi[deficiency]insecurity肾气亏虚,固摄无权,以小便频数而清,余溺不尽,遗尿,小便失禁,或大便失禁,男子遗精、早泄,女子月经淋漓,或胎动易滑,耳鸣,腰膝酸软,脉弱等为常见症的证候。10.3肾虚水泛[停]证 syndromeofkidneydeficiencywithwaterflooding[retention]肾之精气或阳气亏虚,气化无权,水液泛滥,以水肿下肢为甚,尿少,耳鸣,腰膝酸软,舌淡,苔白滑,脉弱等为常见症的证候。10.3.1肾气虚水泛[停]证 syndromeofkidneyqideficiencywithwaterflooding[retention]肾气亏虚,气化无权,水液泛滥,以水肿下肢为甚,尿少,腰膝酸软,舌淡胖,苔白滑,脉弱等为常见症的证候。10.3.2肾阳虚水泛[停]证 syndromeofkidneyyangdeficiencywithwaterflooding[retention]肾阳虚弱,气化无权,水液泛滥,以畏冷肢凉,水肿腰以下为甚,腹胀,腰酸冷,小便短少,舌淡胖,苔白滑,脉沉迟等为常见症的证候。10.4肾阳虚证 syndromeofkidneyyangdeficiency肾阳亏虚,机体失却温煦,以畏寒肢冷,腰膝以下尤甚,面色huang白或黧黑,小便清长,夜尿多,舌淡苔白,脉弱等为常见症的证候。10.5肾阴虚(热)证 syndromeofkidneyyindeficiency(heat)肾阴亏损,虚热内扰,以腰膝酸软而痛,男子遗精,女子经少或经闭,齿松发脱,眩晕耳鸣,五心烦热,潮热颧红,舌红少苔,脉细数等为常见症的证候。同义词:真[元]阴亏虚证;肾水亏虚证10.6肾阴虚火旺[内热]证 syndromeofkidneyyindeficiencywitheffulgentfire[interiorheat]肾阴亏虚,虚热内扰,以潮红,盗汗,颧红,五心烦热,梦遗,性欲亢盛,腰痛,耳鸣,尿黄,舌红苔黄少津,脉细数等为常见症的证候。同义词:相火偏旺证10.7肾精[气]亏虚证 syndromeofkidneyessence[qi]depletionanddeficiency肾精亏损,以小儿生长发育迟缓,成人生殖机能减退,早衰,耳鸣,发脱,牙齿松动,健忘等为常见症的证候。10.8肾虚髓亏证 syndromeofkidneydeficiencywithmarrowdepletion肾精亏虚,精髓不足,以生长发育迟缓,或骨折久不愈合,或腰酸骨痿,头晕,耳鸣,健忘,痴呆等为常见症的证候。10.9肾阴阳两虚证 syndromeofdualdeficiencyofkidneyyinandyang51 GB/TXXXXX-XXXX肾阴肾阳俱虚,以畏冷肢凉,五心烦热,眩晕耳鸣,腰膝酸软,遗精早泄,尺脉弱等为常见症的证候。10.10肾虚[经]寒湿证 syndromeofkidney[meridian]deficiencywithcold-dampness肾经阳气亏虚,寒湿浸渍,以腰膝沉重冷痛,活动受限,畏冷肢凉,苔白滑,脉濡缓等为常见症的证候。10.10.1肾虚寒凝证 syndromeofkidneydeficiencywithcoldcongealment肾阳亏虚,寒邪凝滞,以畏冷肢凉,下肢尤甚,腰膝冷痛,小便清长,夜尿多,苔白,脉沉迟等为常见症的证候。同义词:阳虚肾寒证10.10.2肾虚寒痰证 syndromeofkidneydeficiencywithcold-phlegm肾阳亏虚,寒痰凝滞,以畏冷肢凉,腰膝冷痛,或于深处触及柔韧肿块、不红不痛,或溃后流脓气腥,苔白腻,脉沉迟或弦滑等为常见症的证候。10.10.3肾虚血瘀证 syndromeofkidneydeficiencywithbloodstasis肾虚而瘀血阻滞于肾,以腰膝酸软,腰脊刺痛、拒按,耳鸣,舌淡紫,脉细涩等为常见症的证候。10.11湿热蕴肾证 syndromeofdampness-heataccumulatinginthekidney湿热之邪壅滞于肾,以腰部灼热胀痛,小便涩痛,血尿,或排脓尿,发热口渴,舌红苔黄腻,脉滑数等为常见症的证候。同义词:肾经湿热证10.12脓毒蕴肾证 syndromeofpurulenttoxinaccumulatinginthekidney脓毒蕴积于肾,以腰部胀痛,排脓尿,小便涩痛,苔腻,脉滑等为常见症的证候。同义词:肾经脓毒证10.13膀胱湿热证 syndromeofbladderdampness-heat湿热侵袭,蕴结膀胱,以小便频数、急迫、灼痛、涩痛,或浑浊,或有脓血、砂石,发热口渴,舌红苔黄腻,脉滑数等为常见症的证候。10.13.1膀胱湿热气滞证 syndromeofbladderdampness-heatwithqistagnation湿热蕴结膀胱,气机阻滞,以小便频急、灼涩、疼痛,小腹胀痛,舌红苔黄腻,脉弦数等为常见症的证候。10.13.2膀胱湿热血瘀证 syndromeofbladderdampness-heatwithbloodstasis湿热蕴结膀胱,瘀血阻滞,以小便频急、灼涩、疼痛,血尿,小腹刺痛,舌红有瘀斑点,苔黄腻,脉弦数等为常见症的证候。10.14膀胱蕴[实][积][蓄]热证 syndromeofbladderheataccumulation[excess][retention][amassment]邪热蕴结膀胱,以小腹胀,小便灼热疼痛,发热口渴,舌红苔黄,脉数有力等为常见症的证候。同义词:热积膀胱证10.15膀胱蓄水证 syndromeofwateramassmentinthebladder膀胱气化失司,水蓄膀胱,以小腹膨大、胀急作痛,小便不利等为常见症的证候。10.16膀胱蓄血证 syndromeofbloodamassmentinthebladder小腹受损,或邪热内侵,血蓄膀胱,以小腹作胀、刺痛,小便不畅、疼痛,舌紫或有斑点,脉弦涩等为常见症的证候。10.17膀胱虚寒证 syndromeofbladderdeficiency-cold肾阳亏虚,膀胱气化失司,以畏冷肢凉,小腹冷痛,小便失禁或不利,或夜尿多、尿清长,苔白滑等为常见症的证候。10.18寒凝[滞]胞宫证 syndromeofcoldcongealment[stagnation]intheuterus寒邪凝滞胞宫,以小腹冷痛,或痛经,喜温,或月经后期、色紫暗,或带下清稀色白,苔白,脉沉紧等为常见症的证候。同义词:胞宫寒滞证10.19痰凝[阻]胞宫证 syndromeofphlegmcongealment[obstruction]intheuterus痰湿阻滞胞宫,以带下色白量多,或闭经,或不孕,肥胖乏力,舌淡,苔白腻,脉滑或濡缓等为常见症的证候。同义词:痰湿凝结胞宫证51 GB/TXXXXX-XXXX10.20瘀阻胞宫证 syndromeofstasisobstructingtheuterus瘀血阻滞胞宫,以小腹固定刺痛、拒按,或有肿块,或月经后期、量少、色紫暗、夹块,或闭经、崩漏,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:瘀滞胞脉证10.21胞宫虚寒[阳虚]证 syndromeofuterinedeficiency-cold[yangdeficiency]阳气亏虚,胞宫失却温煦,以畏冷肢凉,小腹隐痛、喜温喜按,月经色淡、质稀,或带下清稀,或不孕,或流产,面色白,舌淡苔白等为常见症的证候。10.22胞宫湿热证 syndromeofdampness-heatintheuterus湿热侵袭,蕴结胞宫,以带下量多、色黄、粘稠秽臭,阴部瘙痒、糜烂,舌红苔黄腻,脉滑数等为常见症的证候。同义词:湿热蕴胞证10.23胞宫血[积]热证 syndromeofblood-heat[accumulation]intheuterus热邪蕴积胞宫,以小腹灼热、疼痛,月经提前、量多、色鲜红,或带下黄稠气臭,舌红苔黄,脉数等为常见症的证候。10.24冲任失[不]调证 syndromeofthoroughfarevesselandconceptionvesseldisharmony泛指冲、任二脉功能失调,以月经不调,小腹胀痛等为常见症的证候。10.25冲任不固证 syndromeofthoroughfarevesselandconceptionvesselinsecurity冲、任二脉功能不能固摄,以月经淋漓不尽,甚或崩漏,或滑胎小产等为常见症的证候。10.26冲任瘀阻证 syndromeofthoroughfarevesselandconceptionvesselstagnationandobstruction瘀血阻滞冲、任二脉,以少腹刺痛或胀痛、拒按,月经夹块或闭经,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:瘀阻[滞]冲任证10.27热入血室证 syndromeofheatenteringtheuterus邪热侵及血室,以少腹灼热疼痛、拒按,月经量多或经闭,发热,口渴,烦躁如狂,舌红绛,苔黄,脉数等为常见症的证候。10.28湿热阻滞精室证 syndromeofdampness-heatobstructingandstagnatingthechamberofsemen湿热侵袭,蕴结于精室,以会阴部灼热胀痛,遗精,或精中夹脓液,阴部瘙痒、糜烂,舌红苔黄腻,脉滑数等为常见症的证候。10.29痰湿阻滞[凝结]精室证 syndromeofphlegm-dampnessobstructingandstagnating[congealingandbindingin]thechamberofsemen痰湿之邪阻滞精室,以精稀,阳痿,性欲低下,肥胖乏力,舌淡,苔白腻,脉滑或濡缓等为常见症的证候。同义词:痰阻精室证10.30瘀(血)阻(滞)精室证 syndromeofstasis(blood)obstructing(stagnatingin)thechamberofsemen瘀血阻滞精室,以会阴部固定刺痛、拒按,或有肿块,或精少,或阳痿,或射精刺痛,或为血精,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:精室瘀阻证10.31瘀浊阻滞精室证 syndromeofturbidstasisobstructingandstagnatingthechamberofsemen瘀血痰浊等邪阻滞精室,以会阴部肿胀、刺痛、拒按,小便不畅甚至尿闭,或便后有脓血、白浊脂液经前阴流出等为常见症的证候。同义词:精室瘀浊证10.32惊恐伤肾证 syndromeoffeardamagingthekidney大惊大恐损伤肾气,以惊慌不定,阳痿,滑精,或二便失禁等为常见症的证候。同义词:恐伤肾气证11脏腑兼证类 syndromesofvisceralcomplications51 GB/TXXXXX-XXXX11.1心肾阴虚[虚热]证 syndromeofheartandkidneyyindeficiency[deficiency-heat]心与肾的阴液亏虚,以心悸心烦,失眠耳鸣,腰膝酸软,舌红少苔,脉细数无力等为常见症的证候。11.2心肾不交证 syndromeofheart-kidneynon-interaction多由肾阴亏损,阴精不能上承;心火偏亢,不能下交于肾,以心悸,心烦失眠,耳鸣,头晕,腰膝酸软,梦遗,便结尿黄,舌红少苔,脉细数等为常见症的证候。同义词:心肾阴虚阳亢[火旺]证11.3心肾阳虚[虚寒]证 syndromeofheartandkidneyyangdeficiency[deficiency-cold]心与肾的阳气亏虚,失却温运,以畏冷肢凉,心悸怔忡,小便不利,肢体浮肿,腰膝酸冷,舌淡紫,苔白滑,脉弱等为常见症的证候。11.4水气凌心证 syndromeofwaterqiintimidatingtheheart心肾阳气亏虚,水液泛滥,上凌于心,以畏冷肢凉,肢体浮肿,下肢尤甚,心悸,气喘不能平卧,咳嗽吐稀白痰,舌淡胖,苔白滑,脉弱等为常见症的证候。同义词:肾水凌心证;心肾阳虚水泛证11.5心肾气虚证 syndromeofheartandkidneyqideficiency心肾两脏气虚,以心悸,气短,腰膝酸软,夜尿多,小便不尽,舌淡,脉弱等为常见症的证候。11.6心肾气阴两虚证 syndromeofdualdeficiencyofheartandkidneyqiandyin心与肾的气阴亏虚,以心悸,心烦失眠,耳鸣,腰膝酸软,神疲乏力,头晕健忘,脉细无力等为常见症的证候。11.7心肾阴阳两虚[亏虚]证 syndromeofdualdeficiency[depletionanddeficiency]ofheartandkidneyyinandyang心与肾的阴液、阳气均虚,以畏冷肢凉,五心烦热,心悸失眠,耳鸣腰酸,脉弱等为常见症的证候。11.8心肺气虚证 syndromeofheartandlungqideficiency心肺两脏气虚,以心悸,咳嗽,气短而喘,胸闷,神疲乏力,舌淡脉弱等为常见症的证候。11.9心肺阴虚证 syndromeofheartandlungyindeficiency心与肺的阴液亏虚,以心悸,咳嗽,五心烦热,颧红,盗汗,舌红少苔,脉细数等为常见症的证候。11.10心肺气阴两虚证 syndromeofdualdeficiencyofheartandlungqiandyin心与肺的气阴亏虚,以心悸,咳嗽,气短而喘,五心烦热,自汗或盗汗,神疲乏力,脉弱等为常见症的证候。11.11心肺阴虚血瘀证 syndromeofheartandlungyindeficiencywithbloodstasis心与肺的阴液亏虚,瘀血内阻,以心悸,咳嗽,五心烦热,颧红,盗汗,胸部刺痛,或痰中带血,舌红少苔,脉细数涩等为常见症的证候。11.12心肺阳虚证 syndromeofheartandlungyangdeficiency心与肺的阳气亏虚,以心悸,咳嗽,畏冷肢凉,胸闷,吐稀白痰,舌淡紫,脉弱等为常见症的证候。11.13心肺热盛[实热][火旺]证 syndromeofheat-exuberance[excess-heat][fire-effulgence]intheheartandlung火热炽盛,内扰心肺,以咳嗽气喘,吐痰黄稠,心烦失眠,甚则神昏谵语,舌红苔黄,脉数有力等为常见症的证候。同义词:热炽心肺证11.14心肾火热证 syndromeoffire-heatintheheartandkidney火热炽盛,内扰心肾,以发热口渴,心烦失眠,甚或神昏谵语,尿黄灼热,腰痛,舌红苔黄,脉数等为常见症的证候。11.15心脾两虚证 syndromeofdualdeficiencyoftheheartandspleen泛指心脾阳气、阴血亏虚,以心悸,神疲,食少,腹胀,便溏,舌淡,脉弱等为常见症的证候。51 GB/TXXXXX-XXXX11.16心脾气虚证 syndromeofheartandspleenqideficiency心脾两脏气虚,以心悸,神疲,头晕,健忘,食少,腹胀,便溏,舌淡,脉弱等为常见症的证候。11.17心脾阳虚[虚寒]证 syndromeofheartandspleenyangdeficiency[deficiency-cold]心脾阳气亏虚,失却温运,以畏冷肢凉,心悸,神疲,食少,腹胀,便溏,舌淡紫,苔白滑,脉弱等为常见症的证候。11.18心脾气血两虚证 syndromeofdualdeficiencyoftheheartandspleenqiandblood心、脾两脏气血亏虚,以心悸,神疲,头晕,健忘,食少,腹胀,便溏,面色萎黄,舌淡,脉弱等为常见症的证候。11.19心脾积[实]热证 syndromeofheataccumulation[excess]intheheartandspleen邪热壅滞心脾,以发热口渴,口舌生疮、溃烂、疼痛,舌红苔黄,脉数有力等为常见症的证候。11.20心肝火旺[实热][热盛]证 syndromeofeffulgentfire[excess-heat][exuberantheat]intheheartandliver邪热炽盛,心肝火旺,以发热口渴,烦躁易怒,面红目赤,胁痛,口苦,失眠多梦,舌红苔黄,脉数有力等为常见症的证候。11.21心肝血瘀证 syndromeofbloodstasisintheheartandliver瘀血阻滞心肝,以胸胁或头部刺痛,心悸,或闭经,舌紫或有斑点,脉弦涩等为常见症的证候。11.22心肝血虚证 syndromeofheartandliverblooddeficiency血液亏虚,心肝失养,以心悸心慌,多梦健忘,头晕眼花,两胁隐痛,妇女月经量少,面、舌、爪甲色淡白,脉细等为常见症的证候。11.23心肝阴虚证 syndromeofheartandliveryindeficiency心肝阴液亏虚,虚热内扰,以心悸失眠,五心烦热,低热颧红,头晕眼花,舌红少苔,脉细数等为常见症的证候。11.24心肝血虚挟瘀证 syndromeofheartandliverblooddeficiencywithstasiscomplication心肝血虚挟瘀而失养,以心悸心慌,多梦健忘,头晕眼花,两胁隐痛,或胸胁刺痛,妇女经少或经闭,舌淡或有瘀斑点,脉细涩等为常见症的证候。11.25心肝气血两虚[亏虚]证 syndromeofdualdeficiency[depletionanddeficiency]ofheartandliverqiandblood心肝气血亏虚而失养,以心悸心慌,多梦健忘,头晕眼花,视物模糊,两胁隐痛,妇女月经量少,面、舌、爪甲色淡白,脉细无力等为常见症的证候。11.26心肝气虚血瘀证 syndromeofheartandliverqideficiencyandbloodstasis心肝两脏气虚,瘀血内阻,以心悸神疲,多梦健忘,头晕眼花,胸胁或头部刺痛,脉细涩等为常见症的证候。11.27心胆气虚(不宁)证 syndromeofheartandgallbladderqideficiency[disquietedness]心气亏虚,胆气不宁,以心悸失眠,胆怯易惊,头晕胸闷,舌淡等为常见症的证候。11.28肝肾(精血)亏虚[损]证 syndromeofliverandkidney[essenceandblood]deficiency[detriment]泛指肝肾精血阴液亏虚,以头晕眼花,耳鸣,两胁隐痛,腰膝酸软,月经量少等为常见症的证候。11.29肝肾阴虚[虚火]证 syndromeofliverandkidneyyindeficiency[deficiency-fire]肝肾阴分亏虚,虚热内扰,以眩晕耳鸣,五心烦热,低热颧红,胁痛,腰膝酸软,舌红少苔,脉细数等为常见症的证候。11.30肝肾阴虚阳亢[虚阳偏亢]证 syndromeofliverandkidneyyindeficiencyandyanghyperactivity[hyperactivityofdeficiencyyang]肝肾阴分亏虚,虚阳偏亢,以眩晕耳鸣,急躁易怒,头重脚轻,腰膝酸软,多梦遗精,舌红少苔,脉弦细数等为常见症的证候。同义词:水不涵木证;肾虚肝旺[亢]证51 GB/TXXXXX-XXXX11.31肝脾两虚证 syndromeofdualdeficiencyoftheliverandspleen泛指肝脾两脏虚证,以胁胀隐痛,头晕眼花,食少,腹胀,便溏等为常见症的证候。11.32肝脾气血两虚证 syndromeofdualdeficiencyofliverandspleenqiandblood肝脾两脏气血均亏,以头晕眼花,视物模糊,肢体麻木,月经量少,食少,腹胀,便溏,面色萎黄,舌淡,脉弱等为常见症的证候。11.33肝脾气阴两虚证 syndromeofdualdeficiencyofliverandspleenqiandyin肝脾两脏气阴亏虚,以头晕眼花,胁胀隐痛,气短乏力,食少腹胀,五心烦热,自汗或盗汗,脉弱等为常见症的证候。11.34肝郁[滞]脾虚证 syndromeofliverdepression[stagnation]andspleendeficiency肝失疏泄,脾失健运,以胁胀作痛,腹胀食少,情绪抑郁,便溏不爽,或腹痛欲便、泻后痛减,脉弦缓等为常见症的证候。同义词:肝脾不调证11.35肝旺脾虚证 syndromeoflivereffulgenceandspleendeficiency肝气横逆,脾虚失运,以胁胀胁痛,情绪抑郁,纳呆食少,腹胀欲泻,大便稀溏,脉弦缓等为常见症的证候。同义词:肝木侮土证;脾虚肝旺证11.36肝脾[中焦]湿热证 syndromeofdampness-heatintheliverandspleen[middleenergizer]湿热中阻,肝失疏泄,脾失健运,以胁胀,腹胀,恶心厌油,或见黄疸,大便不爽,舌红苔黄腻,脉弦滑数等为常见症的证候。11.37肝脾气滞证 syndromeofliverandspleenqistagnation肝脾气机阻滞,以胁胀胁痛,腹胀肠鸣,便泻不爽,脉弦等为常见症的证候。11.38肝脾血瘀[瘀滞]证 syndromeofliverandspleenbloodstasis[stagnation]瘀血阻滞肝脾,以胁下肿块,或刺痛拒按,舌暗或有斑点,脉弦涩等为常见症的证候。11.39肝热脾虚证 syndromeofliverheatandspleendeficiency肝经热盛,脾气亏虚,以胁肋灼热胀痛,头晕,急躁,口苦口干,腹胀,食少,便溏,脉弦数等为常见症的证候。11.40肝胃不和[调]证 syndromeofliver-stomachdisharmony肝气郁滞,横逆犯胃,胃失和降,以胃脘、胁肋胀满疼痛,嗳气、呃逆、吞酸,情绪抑郁,不欲食,苔薄黄,脉弦等为常见症的证候。同义词:肝气犯胃证11.41肝胃热盛[积热]证 syndromeofexuberantheat[heataccumulation]intheliverandstomach肝胃火热炽盛,以发热口渴,急躁易怒,胁痛,口苦,胃脘灼痛,舌红苔黄,脉数有力等为常见症的证候。11.42肝火犯胃证 syndromeofliverfireinvadingthestomach肝火炽盛犯胃,胃失和降,以胁肋、胃脘灼热作痛,口苦口干,呕吐苦水,便结尿黄,舌红苔黄,脉弦数等为常见症的证候。11.43肝胃气滞证 syndromeofliverandstomachqistagnation肝胃气机阻滞,以胁肋、胃脘胀痛或窜痛,嗳气呃逆,吞酸吐苦,脉弦等为常见症的证候。11.44肝胃气滞血瘀证 syndromeofliverandstomachqistagnationandbloodstasis肝胃气滞,瘀血内阻,以胁肋、脘腹刺痛及胀痛,或于上腹或胁下触及肿块、拒按,嗳气,脉弦涩等为常见症的证候。同义词:肝胃瘀滞证11.45肝胃气虚血瘀证 syndromeofliverandstomachqideficiencyandbloodstasis肝胃气虚,瘀血阻滞,以神疲乏力,食少,胸肋、脘腹刺痛,或触及肿块,舌淡紫或有斑点,脉涩无力等为常见症的证候。11.46肝胃气滞阴虚[阴虚气滞]证 syndromeofliverandstomachqistagnationandyindeficiency[yindeficiencyandqistagnation]51 GB/TXXXXX-XXXX肝胃阴液亏虚,气机阻滞,以胁肋、脘腹胀痛或窜痛,口苦口干,潮热,便结尿黄,脉弦细等为常见症的证候。11.47肝胃阴虚证 syndromeofliverandstomachyindeficiency肝胃阴液亏虚,以口苦口干,胁肋、脘腹隐隐灼痛,便结尿黄,舌红少津,脉弦细数等为常见症的证候。11.48肝胃阴虚血瘀证 syndromeofliverandstomachyindeficiencyandbloodstasis肝胃阴液亏虚,瘀血阻滞,以胁肋、脘腹刺痛、或触及肿块,口干,便结,尿黄,舌红少苔、或有瘀斑点,脉弦细涩等为常见症的证候。11.49肝胃虚寒证 syndromeofliverandstomachdeficiency-cold阳气亏虚,肝胃不和,以胁胀脘痞,脘腹冷痛、喜按,食少,舌淡,脉沉迟等为常见症的证候。11.50肝火犯肺证 syndromeofliverfireinvadingthelung肝火炽盛,上逆犯肺,肺失肃降,以胸胁灼痛,急躁易怒,口苦口干,咳嗽阵作,甚至咳血,舌红苔薄黄,脉弦数等为常见症的证候。同义词:木火刑金证11.51肝肺风热证 syndromeofwind-heatintheliverandlung风热之邪,侵袭肝肺,以发热口渴,咳嗽,目赤肿痛,舌红苔薄黄,脉弦数等为常见症的证候。11.52肝肺热盛[实热][实火]证 syndromeofexuberantheat[excess-heat][excess-fire]intheliverandlung邪热炽盛,肝肺火旺,以发热口渴,咳嗽气喘,胁胀灼痛,舌红苔黄,脉弦数等为常见症的证候。11.53肝肾气逆证 syndromeofliverandkidneyqicunterflow肝肾气机阻滞、逆乱,以两胁连及少腹胀痛,阵发气从少腹上冲胸咽,脉弦等为常见症的证候。11.54肝郁肾虚证 syndromeofliverdepressionandkidneydeficiency肝气郁滞,肾气亏虚,以胁胀作痛,情绪抑郁,耳鸣,腰膝酸软等为常见症的证候。11.55脾肺两虚[气虚]证 syndromeofdualdeficiency[qideficiency]ofthespleenandlung脾肺两脏气虚,以咳嗽声低,气短而喘,吐痰清稀,食少,腹胀,便溏,舌淡苔白滑,脉弱等为常见症的证候。同义词:土不生金证11.56脾肺气阴两虚证 syndromeofdualdeficiencyofspleenandlungqiandyin肺与脾的气阴亏虚,以咳嗽气短,乏力,食少,腹胀,口干,五心烦热,自汗或盗汗,脉弱等为常见症的证候。11.57脾肾阳虚[虚寒]证 syndromeofspleenandkidneyyangdeficiency[deficiency-cold]脾肾阳气亏虚,虚寒内生,以畏冷肢凉,面色huang白,腰酸,腹部冷痛,久泄久痢,或完谷不化,或浮肿少尿,舌淡胖,苔白滑,脉沉迟无力等为常见症的证候。11.58脾肾气虚证 syndromeofspleenandkidneyqideficiency脾肾两脏气虚,以神疲气短,食少,腹胀,便溏或久泄,腰酸,腰痛,耳鸣,舌淡,脉弱等为常见症的证候。11.59脾肾两虚[亏虚]证 syndromeofdualdeficiency[depletionanddeficiency]ofthespleenandkidney泛指脾肾两脏亏虚,以食少,腹胀,便溏,腰酸,腰痛,耳鸣等为常见症的证候。11.59.1脾肾气虚水停证 syndromeofspleenandkidneyqideficiencywithwaterretention脾肾两脏气虚,水液内停,以神疲气短,食少腹胀,腰膝酸软,小便不利,肢体浮肿,舌淡苔白,脉弱等为常见症的证候。11.59.2脾肾阳虚水停证 syndromeofspleenandkidneyyangdeficiencywithwaterretention51 GB/TXXXXX-XXXX脾肾阳气亏虚,气化失常,水液内停,以形寒肢冷,腰膝腹部冷痛,小便不利,肢体浮肿,下肢尤甚,面色huang白,舌淡胖,苔白滑,脉沉迟无力等为常见症的证候。11.60脾肾(气虚)不固证 syndromeofspleenandkidney(qideficiency)insecurity脾肾气虚,清气下陷,下元不固,以小便混浊,或大便失禁,气短气坠,舌淡,脉弱等为常见症的证候。同义词:脾肾气(虚下)陷证11.61肺肾阴虚证 syndromeoflungandkidneyyindeficiency肺肾阴液亏虚,虚热内扰,以咳嗽痰少,或痰中带血,咽干或声嘶,腰膝酸软,体瘦,骨蒸潮热,盗汗,颧红,舌红少苔,脉细数等为常见症的证候。11.62肺肾气虚证 syndromeoflungandkidneyqideficiency肺肾气虚,摄纳无权,以呼多吸少,咳嗽无力,动则尤甚,吐痰清稀,声低自汗,或尿随咳出,舌淡紫,脉弱等为常见症的证候。同义词:肾不纳气证;肾失摄纳证11.63肺肾阳虚证 syndromeoflungandkidneyyangdeficiency肾阳虚衰,水液泛滥,上射于肺,以畏冷肢凉,咳嗽气喘,咯吐多量清稀痰,下肢水肿,尿少,舌淡胖,苔白滑,脉弱等为常见症的证候。同义词:水寒射肺证11.64暑伤肺胃证 syndromeofsummer-heatdamagingthelungandstomach暑热之邪耗伤肺胃津气,以发热,口渴,神疲乏力,气短,自汗,脉弱等为常见症的证候。同义词:暑耗肺胃津气[气阴]证11.65肺胃风热证 syndromeofwind-heatinthelungandstomach风热之邪侵袭肺胃,以发热,口渴,咳嗽,出疹,舌红苔薄黄,脉浮数等为常见症的证候。11.66肺胃火热[热盛]证 syndromeoffire-heat[exuberantheat]inthelungandstomach邪热炽盛,侵及肺胃,以发热,口渴,汗多,咳嗽气喘,脘腹灼痛,便秘尿黄,舌红苔黄,脉滑数等为常见症的证候。11.67肺胃阴虚[津亏]证 syndromeoflungandstomachyindeficiency[fluiddepletion]肺胃阴液亏虚,以口渴喜饮,干咳少痰,胃脘嘈杂,或善食易饥,舌红少津,脉细数等为常见症的证候。11.68毒陷心肝证 syndromeoftoxinsinkingintotheheartandliver邪毒内陷心肝,以发热,神昏谵语,肢体抽搐,面色紫暗,舌暗红,脉沉细数等为常见症的证候。11.69肺虚肠脱证 syndromeoflungdeficiencywithrectalprolapse肺气亏虚,后阴不固,以咳嗽,气短而喘,大便失禁,或久泄不止,或粪随咳出,或脱肛,舌淡,脉弱等为常见症的证候。11.70脾虚肠脱证 syndromeofspleendeficiencywithrectalprolapse脾气亏虚,中气下陷,后阴不固,以食少腹胀,气短而喘,大便失禁,或久泄不止,或脱肛,舌淡,脉弱等为常见症的证候。11.71肾虚肠脱证 syndromeofkidneydeficiencywithrectalprolapse肾气亏虚,后阴不固,以腰膝酸痛,气短而喘,大便失禁,或久泄不止,或粪随矢气出,或脱肛,舌淡脉弱等为常见症的证候。11.72肝肠气滞证 syndromeofqistagnationintheliverandintestine肝气不舒,肠道气滞,以胁肋、腹部胀痛,肠鸣矢气,腹痛作泻,肛门气坠,脉弦等为常见症的证候。12卫表肌肤证类 syndromesofthedefense-exteriorandskin12.1邪袭卫表证 syndromeofpathogenassailingthedefense-exterior泛指风热等邪侵袭卫表,以新起发热,恶风寒,头身疼痛,脉浮,苔薄等为常见症的证候。51 GB/TXXXXX-XXXX同义词:卫表证12.2风袭表疏证 syndromeofwindassailingandexteriorweakness风邪侵袭肤表,腠理不固,以发热,恶风,头痛,自汗出,或鼻鸣干呕,舌淡红,苔薄白,脉浮缓等为常见症的证候。12.3风寒[寒邪]束表证 syndromeofwind-cold[pathogeniccold]fetteringtheexterior风寒之邪侵袭肤表,腠理闭塞,以恶寒甚,或有发热,无汗,头身疼痛,或鼻塞流清涕,气喘,苔薄白,脉浮紧等为常见症的证候。同义词:风寒表证12.4风热犯表[卫]证 syndromeofwind-heatinvadingtheexterior[defense]风热之邪侵袭肤表,以发热,微恶风寒,少汗,全身不适,头痛,口微渴,或有咽痛,舌边尖红,苔薄黄,脉浮数等为常见症的证候。同义词:风热表证12.5风湿袭表证 syndromeofwind-dampnessassailingtheexterior风湿之邪侵袭肌表,阻遏卫气,以全身酸胀困重,头晕且重,恶寒发热,有汗而热不解,胸闷,口不渴,苔白滑,脉濡缓等为常见症的证候。同义词:卫分[表]风湿证;风湿表证12.6暑湿袭表证 syndromeofsummer-dampnessassailngtheexterior暑湿之邪侵袭肤表,卫气失调,以发热,微恶风寒,身重困倦,无汗或有汗,口渴,舌红苔黄,脉濡数等为常见症的证候。12.7外[风]燥袭表证 syndromeofexterior[wind]drynessassailingtheexterior风燥外邪侵袭肤表,卫气失调,以微有发热,恶风寒,头痛,无汗,咽干鼻燥,口渴,脉浮等为常见症的证候。12.8风毒犯表证 syndromeofwind-toxininvadingtheexterior风毒之邪侵袭肤表,以突起皮肤瘙痒,起丘疹或风团肿块,脉浮等为常见症的证候。12.9温毒袭表证 syndromeofwarm-toxinassailingtheexterior火热毒邪侵袭卫表,以发热微恶寒,身痛如杖,头痛如劈,舌红苔黄白,脉浮数等为常见症的证候。12.10风湿蕴肤证 syndromeofwind-dampnessaccumulatingintheskin风湿之邪蕴结皮肤,以皮肤瘙痒、溃烂、出疹或流水等为常见症的证候。12.11风毒蕴肤证 syndromeofwind-toxinaccumulatingintheskin风毒蕴结皮肤,以皮肤焮红、瘙痒、疼痛,出疹或为肿块,甚至赤烂脱皮等为常见症的证候。12.12湿毒蕴结肌肤证 syndromeofdampness-toxinaccumulatingandbindingintheskin湿浊毒邪蕴结肌肤,以皮肉生疮,或湿疹、瘙痒、糜烂、流水等为常见症的证候。同义词:肌肤湿毒证12.13热[火]毒蕴结肌肤证 syndromeofheat[fire]toxinaccumulatingandbindingintheskin火热毒邪蕴结皮肤肌肉,以皮肉生疮疖痈疡,红肿灼痛,溃烂流脓,或皮肤焮红、灼热、糜烂,口渴,便秘,舌红苔黄,脉数等为常见症的证候。同义词:肌肤热毒证12.14虫毒蕴[袭]肤证 syndromeofwormtoxinaccumulatingin[assailing]theskin虫毒蕴结皮肤,以皮肤出疹、瘙痒、糜烂、疼痛等为常见症的证候。12.15寒湿蕴肤证 syndromeofcold-dampnessaccumulatingintheskin寒湿之邪蕴结皮肤,以皮肤麻木、僵硬、肿胀、感觉不灵,触之冷等为常见症的证候。12.16湿热蕴结肌肤证 syndromeofdampness-heataccumulatingandbindingintheskin湿热之邪蕴结肌肤,以皮肤起水疱,或皮肤潮红,肌肤肿胀、糜烂、流水、结痂、浸淫成片,瘙痒,舌苔黄腻等为常见症的证候。同义词:肌肤湿热证12.17湿痰蕴结肌肤证 syndromeofdampness-phlegmaccumulatingandbindingintheskin51 GB/TXXXXX-XXXX痰湿之邪蕴结肌肤,以皮肉间起柔韧肿块、圆滑、无压痛,或肌肤肿硬,感觉不灵,或身体肥胖、沉重,或肌肤漫肿疼痛、溃后流稀水,舌淡胖、苔白滑等为常见症的证候。同义词:肌肤痰湿证12.18风热郁滞肌肤证 syndromeofwind-heatstagnationintheskin风热之邪外袭,蕴结肌肤,以突起风团、丘疹、瘙痒、灼热,舌红苔黄、脉数等为常见症的证候。同义词:风热蕴肤证;肌肤风热证12.19虫毒侵袭肌肤证 syndromeofworm-toxinintrudingandassailingtheskin虫毒侵袭,蕴结肌肤,以皮肤出疹、瘙痒、肌肤溃烂、疼痛等为常见症的证候。同义词:肌肤虫毒证12.20虫毒风热结肤证 syndromeofwormtoxinandwind-heataccumulatingintheskin风热之邪与虫毒侵袭,蕴结皮肤,以皮肤焮红灼热、出疹、瘙痒,或生疮疖溃烂、疼痛等为常见症的证候。12.21虫毒湿热结肤证 syndromeofworm-toxinanddampness-heataccumulatingintheskin虫毒与湿热之邪侵袭,蕴结皮肤,以皮肤出疹或焮红漫肿、瘙痒、赤烂、流水、结痂,疼痛等为常见症的证候。12.22风水(相搏)证 syndromeofwindandwater(struggle)外感风邪,肺卫失宣,水湿浸淫肌肤,以突起眼睑、头面、四肢水肿,或起风团肿块,微恶风寒,小便短少,脉浮等为常见症的证候。同义词:风袭水泛[停]证12.23表闭水停证 syndromeofexteriorblockandwaterretention外邪束表,肤表闭塞,水道不利,水湿内停,以恶风寒,头身酸痛,无汗,小便不利,肢体浮肿,头面尤甚,脉浮等为常见症的证候。12.24瘀滞肌肤证 syndromeofstasisandstagnationintheskin瘀血阻滞肌肤,以皮肤干燥、粗糙,或为血丝红缕,或为紫暗斑块,痒痛不适,或见肌肤甲错,或肌肤顽麻不仁,脉浮细涩等为常见症的证候。同义词:肌肤瘀滞证12.25寒凝血涩肌肤证 syndromeofcoldcongealmentwithinhibitedbloodintheskin寒邪凝滞,气血瘀结于肌肤,以肢端厥冷,甚至冷痛,肤色紫暗,或为皲裂、冻疮,舌淡紫,脉沉细等为常见症的证候。12.26肌肤失养证 syndromeofskinmalnutrition因血液及阴精亏少,肌肤失养,以皮肤干燥粗糙、瘙痒或麻木、脱屑、开裂,甚至肌肤甲错,舌淡,脉细等为常见症的证候。13头面官窍证类 syndromesofthehead,faceandorifices13.1实邪犯头证 syndromeofexcess-pathogeninvadingthehead泛指风寒、湿热、疫毒、痰浊、瘀血等侵犯头部的证候。其症除头痛、头晕等之外,因不同的实邪而各具特征。13.1.1风寒犯头证 syndromeofwind-coldinvadingthehead风寒之邪侵犯头部,以头痛连及项背,恶寒遇风则痛增,苔薄白,脉浮紧等为常见症的证候。13.1.2风热犯头证 syndromeofwind-heatinvadingthehead风热之邪侵犯头部,以头痛而胀,发热或恶风,汗出,口渴,面红,舌尖边红,苔薄黄,脉浮数等为常见症的证候。13.1.3风热痰毒犯头证 syndromeofwind-heatandphlegm-toxininvadingthehead外感风热之邪,又有痰浊毒气为犯,以头痛如裂,或昏重闷痛,面赤焮肿,发热,口渴,舌红苔黄腻,脉滑数等为常见症的证候。13.1.4风湿犯头证 syndromeofwind-dampnessinvadingthehead51 GB/TXXXXX-XXXX风湿之邪侵犯头部,以头痛如蒙,微恶风寒,肢体困重,胸闷纳呆,苔白滑,脉濡等为常见症的证候。13.1.5风痰上扰[攻]证 syndromeofwind-phlegmharassing[attacking]theupper肝风挟痰上扰于头,以头部胀痛,或阵发剧痛,头晕目眩,面赤,口苦,舌红苔黄腻,脉弦滑等为常见症的证候。13.1.6痰浊[湿]犯头证 syndromeofturbidphlegm[dampness]invadingthehead痰浊上蒙清窍,以头痛昏蒙,耳鸣失聪,视物模糊,胸脘痞闷,呕痰涎,苔白腻,脉滑或弦滑等为常见症的证候。13.1.7风[肝]阳上扰证 syndromeofwind[liver]yangharassingtheupper肝阳有余,上扰头面清窍,以头目胀痛,头晕耳鸣,急躁多怒,面红,口苦,失眠多梦,舌红,脉弦等为常见症的证候。13.1.8瘀血犯头证 syndromeofstagnantbloodinvadingthehead因外伤等,瘀血阻于头部脉络,以头痛经久不愈、固定不移、痛如锥刺,头晕健忘,面色暗,舌紫或有斑点,脉弦涩等为常见症的证候。13.1.9瘀热犯头[上蒙]证 syndromeofstagnantheatinvading[cloudingtheupper]thehead热邪与瘀血上犯头部,以发热,头痛如刺,甚或神昏谵语,面色暗红,舌绛紫,脉数而涩等为常见症的证候。13.1.10热毒壅聚头面证 syndromeofheattoxincongestingandaggregatingintheheadandface火热疫毒壅结头面部及其官窍,以头面红肿灼痛,或颜面生疔疖,烦热口渴,便结尿黄,舌红脉数,甚则壮热、谵语、神昏等为常见症的证候。13.1.11肝火犯头证 syndromeofliverfireinvadingthehead肝火上炎,侵扰头部,以头部剧痛,面红目赤,急躁口苦,舌红,脉弦数等为常见症的证候。13.2实邪犯目证 syndromeofexcess-pathogeninvadingtheeyes泛指风热、痰湿、瘀血等侵犯于目的证候。除有目痛等症之外,并因不同的实邪而各具特征。13.2.1风热[火]犯[攻]目证 syndromeofwind-heat[fire]invading[attacking]theeyes风热之邪上犯于目,以发热恶风,两目红赤疼痛、眵多、流泪,脉浮数等为常见症的证候。13.2.2风湿凌目证 syndromeofwind-dampnessintimidatingtheeyes风湿之邪上犯于目,以胞睑肿胀、色赤、瘙痒,流泪等为主要表现的证候。13.2.3外伤目络证 syndromeoftraumaticinjurydamagingeyecollaterals因外力损伤目络,以胞睑肿痛色紫暗,或白睛色赤或紫暗,或眼底出血,目痛等为主要表现的证候。13.2.4虫积化疳证 syndromeofwormaccumulationtransformingintomalnutrition因蛔虫耗损营气,气血亏虚,目失所养,以视力下降,眼球干涩无光泽等为主要表现的证候。13.3气轮证 syndromeofqiwheel泛指风热、湿热、瘀血、热毒等侵犯气轮,或正虚气轮失养所见证候。13.3.1气轮风热证 syndromeofwind-heatintheqiwheel风热之邪外袭白睛,以白睛红赤、灼热、多眵等为主要表现的证候。同义词:风热外袭白睛证13.3.2气轮湿热证 syndromeofdampness-heatintheqiwheel湿热之邪侵及白睛,以白睛红赤、微肿、眵白粘稠或白睛发黄等为主要表现的证候。同义词:湿热郁结白睛证13.3.3气轮[白睛]血瘀证 syndromeofbloodstasisintheqiwheel[thewhitepartoftheeyes]因郁热、外伤,瘀血阻滞气轮脉络,以白睛赤脉紫胀、结节隆起,疼痛拒按,白睛积血等为主要表现的证候。13.3.4气轮热毒证 syndromeofheat-toxinintheqiwheel51 GB/TXXXXX-XXXX火热疫毒炽盛,损伤气轮脉络,以白睛焮红、肿胀,或出血,畏光等为主要表现的证候。13.3.5气轮阴虚证 syndromeofyindeficiencyintheqiwheel燥热伤阴,或肺失肃降,津液不能上布,以白睛干燥失泽、干涩,目红等为主要表现的证候。13.4血轮证 syndromeofthebloodwheel泛指实热、虚火等侵犯血轮所见证候。13.4.1血轮实热证 syndromeofexcess-heatinthebloodwheel心火上炎,以内眦部红肿疼痛、赤脉粗大,头痛,心烦,口干,尿黄,舌红苔黄,脉数等为常见症的证候。13.4.2血轮虚热证 syndromeofdeficiency-heatinthebloodwheel心阴不足,虚火上炎,以两眦部赤脉微红、痒痛,或小眦赤脉显露,心烦失眠,口咽干燥,舌红少苔,脉细数等为常见症的证候。13.5肉轮证 syndromeofthefleshwheel泛指风热、湿热、瘀血、热毒、痰湿等侵犯肉轮,或正虚肉轮失养所见证候。13.5.1肉轮血瘀证 syndromeofbloodstasisinthefleshwheel外伤胞睑,或邪热阻络,胞睑气血瘀滞,以胞睑肿胀青紫,睑硬疼痛,或胞睑内面赤脉紫胀,椒粒增生,或生红肉等为常见症的证候。13.5.2肉轮风热证 syndromeofwind-heatinthefleshwheel风热之邪侵袭胞睑,以胞睑肿胀、红晕、丘疹、刺痒疼痛等为常见症的证候。同义词:胞睑风热外袭证13.5.3肉轮热毒证 syndromeofheattoxininthefleshwheel火热毒邪蕴结于胞睑脉络,以胞睑红赤如涂丹,灼热疼痛,肉腐化脓等为常见症的证候。13.5.4肉轮湿热证 syndromeofdampness-heatinthefleshwheel湿热蕴结胞睑,以胞睑红肿、焮热疼痛、赤烂浸淫等为常见症的证候。同义词:胞睑湿热侵淫证13.5.5肉轮痰湿证 syndromeofphlegm-dampnessinthefleshwheel痰湿阻于胞睑脉络,以胞睑有肿块,或觉重垂不适等为常见症的证候。13.5.6肉轮气虚证 syndromeofqideficiencyinthefleshwheel脾虚气弱,运化失司,水湿上泛,以上睑下垂,或胞睑虚肿等为常见症的证候。13.5.7肉轮血虚证 syndromeofblooddeficiencyinthefleshwheel血虚胞睑失养,风胜化燥,以胞睑皮肤干燥皲裂、脱屑、瘙痒等为常见症的证候。13.6风轮证 syndromeofthewindwheel泛指风热、热毒、湿热等侵犯风轮,或正虚风轮失养所见证候。13.6.1风轮风热证 syndromeofwind-heatinthewindwheel风热外邪侵袭风轮,以黑睛起星翳,目赤疼痛,畏光流泪,鼻塞头痛等为常见症的证候。13.6.2风轮湿热证 syndromeofdampness-heatinthewindwheel湿热侵目,或肝胆湿热上攻,以抱轮红赤,黑睛混浊、色红或白,或凝脂色白、表面粗糙,缠绵不愈,口苦咽干,苔黄腻,脉弦数等为常见症的证候。13.6.3风轮热毒证 syndromeofheat-toxininthewindwheel热毒结聚,灼伤风轮,以黑睛生翳陷下,黄液上冲,目赤痛,苔黄,脉弦数等为常见症的证候。13.6.4风轮阴虚证 syndromeofyindeficiencyinthewindwheel邪热伤阴,或肝肾阴亏,风轮失于滋养,以黑睛失却光泽,起细小星翳,干涩不爽,畏光眨眼,舌红苔少,脉细数等为常见症的证候。13.7水轮证 syndromeofthewaterwheel泛指实热、痰火、痰湿、瘀血、热毒等侵犯水轮,或正虚水轮失养所见证候。13.7.1水轮实热证 syndromeofexcess-heatinthewaterwheel火热上炎水轮,以眼前有似云雾飘动,日渐加重,影响视力,舌红苔黄,脉数等为常见症的证候。13.7.2水轮痰火证 syndromeofphlegm-fireinthewaterwheel51 GB/TXXXXX-XXXX痰火与风邪相搏于目,以头目胀痛,瞳孔散大,眼压升高,抱轮红赤,甚则恶心呕吐,舌红苔黄腻,脉滑数等为常见症的证候。13.7.3水轮痰湿证 syndromeofphlegm-dampnessinthewaterwheel痰湿上凌目窍,内阻水轮,以眼前有黑影遮挡,视物变形,舌淡苔腻,脉濡缓等为常见症的证候。13.7.4水轮阴亏证 syndromeofyindeficiencyinthewaterwheel阴液亏损,不能上荣水轮,以两目干涩昏花,视力下降,腰膝酸软,舌红少苔,脉细数等为常见症的证候。13.7.5水轮气虚证 syndromeofqideficiencyinthewaterwheel气虚不升,不能上荣目窍,以视瞻昏渺,视物易色,视物不能持久,舌淡苔薄白,脉弱等为常见症的证候。13.7.6水轮气虚血亏证 syndromeofqideficiencyandblooddepletioninthewaterwheel气血亏虚,不能濡养水轮,以视力下降,视觉异常,视物若有振动之感,或视物颠倒错乱,舌淡,脉弱等为常见症的证候。13.7.7水轮气虚血瘀证 syndromeofqideficiencyandbloodstasisinthewaterwheel气虚推动无力,瘀血阻滞水轮,以视物模糊,视物变形,或突然目盲不见,舌紫暗,脉细涩等为常见症的证候。13.7.8水轮气滞血瘀证 syndromeofqistagnationandbloodstasisinthewaterwheel因气滞而血行不畅,瘀阻水轮,以视力下降,甚则暴盲,舌暗红,脉弦涩等为常见症的证候。13.7.9水轮水湿停聚证 syndromeofwater-dampnessretentionandaggregationinthewaterwheel阳气亏虚,水液上泛,内停水轮,以视物变形,视大为小,或眼前有小片暗影遮挡,舌淡胖,苔白滑,脉濡缓等为常见症的证候。13.7.10水轮痰瘀互结证 syndromeofphlegmandstasisbindinginthewaterwheel湿痰与瘀血蕴结于水轮,以视力减退,视物变形,反复发作,舌暗红,苔腻,脉弦涩等为常见症的证候。13.7.11水轮火邪伤络证 syndromeoffirepathogeninthewaterwheeldamagingcollaterals火热上炎,灼伤脉络,迫血溢于水轮,以云雾移睛,视力下降,舌红苔黄,脉数等为常见症的证候。13.7.12水轮血脉痹阻证 syndromeofbloodvesselimpedimentandobstructioninthewaterwheel水轮血脉阻塞不通,以视力下降,或视野缩小,或视物变形,或暴盲,舌暗红,脉弦涩等为常见症的证候。13.7.13水轮络痹精亏证 syndromeofcollateralimpedimentandessencedepletioninthewaterwheel水轮脉络痹阻,精血亏虚,不能升运于目,以视力下降,视野缩小,眼底色晦暗、脉络细窄等为常见症的证候。13.8耳窍证 earsyndrome泛指肝火、风热、湿热、瘀血、热毒等侵犯耳窍,或正虚耳窍失养所见证候。13.8.1肝火燔耳证 syndromeofliverfirescorchingtheears肝火内炽,上燔耳窍,以耳窍疼痛,耳内胀闷,耳鸣,头晕口苦,面红目赤,心烦易怒,鼓膜充血或穿孔,或耳道流脓、流血,舌红苔黄,脉弦数等为常见症的证候。13.8.2毒火犯耳证 syndromeofvirulentfireinvadingtheears邪毒外袭,火毒上攻耳窍,以耳部剧痛,鼓膜充血或穿孔流脓,或外道生疮疖,舌红苔黄,脉数有力等为主症的证候。同义词:热毒犯耳证13.8.3风热犯耳证 syndromeofwind-heatinvadingtheears风热之邪外犯,壅滞耳窍,以耳内胀闷、堵塞不适,耳鸣,自听力增强,发热微恶风寒,头痛,鼓膜充血或内陷,苔薄黄,脉浮数等为常见症的证候。51 GB/TXXXXX-XXXX13.8.4湿热犯耳证 syndromeofdampness-heatinvadingtheears湿热之邪侵袭耳窍,以耳道或耳廓红肿疼痛、糜烂、渗液、结痂,或耳内流脓黄稠,或耳胀耳鸣,苔黄腻,脉滑数等为常见症的证候。13.8.5痰湿泛耳证 syndromeofphlegm-dampnessfloodingintheears痰湿内停,上泛耳窍,以耳内胀闷,或眩晕耳鸣,头重恶心,或耳内流脓量多,听力减退,透过鼓膜见有液平面,或耳廓局部肿胀、皮色不变,苔滑腻,脉弦滑等为常见症的证候。13.8.6邪恋耳窍证 syndromeofpathogenlingeringintheears正气不足,邪毒留恋于耳,以耳内微痛或胀闷不适,或有耳鸣、听力减退,鼓膜混浊内陷或有穿孔,耳道流脓,经久不愈等为主要表现的证候。13.8.7气滞耳窍证 syndromeofqistagnationintheears肝气郁结,气机不利,气滞耳窍,以卒然耳窍失聪,或耳内堵塞、耳鸣,眩晕,胸胁胀闷,情绪抑郁,脉弦等为常见症的证候。13.8.8血瘀耳窍证 syndromeofbloodstasisintheears血行受阻,瘀滞耳窍,以听力渐减,或突然失聪、耳鸣,或耳内生赘生物,舌紫暗或有斑点,脉涩等为常见症的证候。13.8.9阴虚耳窍失濡证 syndromeofyindeficiencyfailingtomoistentheears阴液亏虚,耳窍失濡,以听力逐渐减退,耳鸣,头晕目眩,或鼓膜穿孔,耳内流脓,口燥咽干,潮热颧红,脉细数等为常见症的证候。13.8.10阳虚耳窍失煦证 syndromeofyangdeficiencyfailingtowarmtheears阳气亏虚,耳窍失于温煦,以头晕耳鸣,听力障碍,或中耳积液,或鼓膜穿孔、流脓清稀,畏冷肢凉,面白舌淡,脉沉细等为常见症的证候。13.8.11气虚耳窍失充证 syndromeofqideficiencyfailingtoenrichtheears正气亏虚,耳窍失于充养,以头晕乏力,气短懒言,耳鸣如蝉,听力减退,或鼓膜穿孔,脓液清稀,舌淡,脉弱等为常见症的证候。13.8.12血虚耳窍失养证 syndromeofblooddeficiencyfailingtonourishtheears血液亏少,耳窍失养,以听力渐减,听音不真,心悸耳鸣,头晕目眩,失眠多梦,面白,舌淡,脉细等为常见症的证候。13.8.13血虚耳燥证 syndromeofblooddeficiencywitheardryness血虚风燥,耳廓肌肤失养,以耳道、耳廓及周围皮肤增厚、粗糙、皲裂、脱屑,面色萎黄,舌淡,脉细等为常见症的证候。13.9鼻窍证 nosesyndrome泛指风寒、风热、痰湿、湿热、燥火、瘀血、热毒等侵犯鼻窍,或正虚鼻窍失养所见证候。13.9.1风寒袭鼻证 syndromeofwind-coldassailingthenose风寒之邪侵袭鼻窍,以鼻塞、流清涕,或鼻痒、喷嚏,鼻甲肿大、黏膜色淡,分泌物清稀,恶风寒,苔薄白,脉浮紧等为常见症的证候。13.9.2风热犯鼻证 syndromeofwind-heatinvadingthenose风热之邪侵袭鼻窍,以鼻塞,流涕,发热微恶风寒,口微渴,鼻甲肿大,黏膜充血,分泌物粘稠,嗅觉减退,苔薄黄,脉浮数等为常见症的证候。13.9.3湿壅鼻窍证 syndromeofdampnesscongestingthenose湿浊壅塞鼻窍,以鼻塞,鼻涕量多,头晕头重,鼻甲肿胀,不嗅香臭,苔白腻,脉濡或滑等为常见症的证候。13.9.4痰聚鼻窍证 syndromeofphlegmaggregatinginthenose痰浊停聚,凝滞鼻窍,以鼻塞,浊涕量多,不嗅香臭,头额晕痛,或鼻窍生息肉,鼻甲肿胀,苔腻,脉滑等为常见症的证候。13.9.5痰热犯鼻证 syndromeofphlegm-heatinvadingthenose火热与痰浊搏结,阻遏鼻窦,以鼻流腥臭浊涕、量多色黄,鼻塞,不嗅香臭,鼻黏膜红肿,头晕头痛,舌红苔黄腻,脉滑数等为常见症的证候。13.9.6湿热蒸鼻证 syndromeofdampness-heatsteamingthenose51 GB/TXXXXX-XXXX湿热内蕴,熏蒸鼻窍,以外鼻、鼻前庭及鼻窍肌肤潮红、糜烂,或黄水浸淫、渗液,或鼻甲充血肿大,鼻涕浓稠量多,舌红苔黄腻,脉滑数等为常见症的证候。13.9.7燥伤鼻窍证 syndromeofdrynessdamagingthenose气候干燥,耗伤津液,鼻失濡润,鼻窍不利,以鼻孔干痛,鼻内黏膜干燥少津,或鼻涕胶结而成痂皮,或鼻窍皮肤皲裂、衄血等为常见症的证候。13.9.8火毒犯鼻证 syndromeoffiretoxininvadingthenose火热毒邪侵袭鼻窍,以外鼻及鼻前庭红肿疼痛,或生疔疖、溃烂,或鼻衄量多势剧,发热口渴,舌红苔黄,脉数等为常见症的证候。13.9.9肺热熏鼻证 syndromeoflungheatfumigatingthenose肺热炽盛,上薰鼻窍,以鼻前孔红肿灼痛,鼻干涕稠,鼻黏膜充血肿大,或李氏区充血糜烂,发热口渴,舌红苔黄,脉数等为常见症的证候。13.9.10气血瘀滞鼻窍证 syndromeofqiandbloodstasisandstagnationinthenose气血瘀滞,阻痹鼻络,以鼻塞难通,鼻甲肥大、色暗红、表面凹凸不平呈桑椹状,或生赘生物,嗅觉减退,舌有斑点,脉弦涩等为常见症的证候。13.9.11气虚鼻窍失充证 syndromeofqideficiencyfailingtoenrichthenose正气亏虚,鼻窍失于充养,以头晕乏力,气短懒言,鼻塞,清涕自流,喷嚏时作,自汗恶风,嗅觉减退,鼻甲肿胀、色淡白,舌淡脉弱等为常见症的证候。13.9.12血虚鼻窍失养证 syndromeofblooddeficiencyfailingtonourishthenose血虚不能上荣于鼻,鼻窍失养,以鼻干,嗅觉减退,鼻内黏膜萎缩、鼻甲缩小、鼻腔宽大,面色无华,头晕目眩,舌淡,脉细等为常见症的证候。13.9.13阴虚鼻窍失濡证 syndromeofyindeficiencyfailingtomoistenthenose阴液亏虚,鼻窍失濡,以鼻腔宽大、灼热不适,鼻黏膜干燥,鼻甲萎缩,涕少结痂或带血,或时有鼻衄,口燥咽干,潮热颧红,舌干苔燥,脉细数等为常见症的证候。13.9.14阳虚鼻窍失煦证 syndromeofyangdeficiencyfailingtowarmthenose阳气亏虚,鼻窍失于温煦,以鼻塞难通,遇冷尤甚,流清涕,喷嚏时作,鼻黏膜肿胀、色淡,畏冷肢凉,面白,舌淡,脉弱等为常见症的证候。13.10咽喉证 throatsyndrome泛指风寒、风热、痰湿、湿热、火毒、瘀血等侵犯咽喉,或正虚咽喉失养所见证候。13.10.1风寒袭咽[喉]证 syndromeofwind-coldassailingthepharynx[larynx]风寒之邪侵袭咽喉,以咽喉疼痛不适,恶寒微发热,无汗,苔薄白,脉浮紧等为常见症的证候。13.10.2风热侵咽[喉]证 syndromeofwind-heatintrudingthepharynx[larynx]风热之邪侵袭咽喉,以咽喉红肿疼痛,或喉核充血肿大,或声音不利、声嘶,发热微恶风寒,口微渴,苔薄黄,脉浮数等为常见症的证候。13.10.3痰湿凝阻咽喉证 syndromeofphlegm-dampnessobstructingthethroat痰浊湿邪内蕴,凝滞咽喉,以咽喉肿胀,异物感,声音不扬或声嘶,或声带肿胀、生息肉,呼吸不利,痰涎增多,舌苔腻,脉濡等为常见症的证候。13.10.4气滞痰凝咽喉证 syndromeofphlegmstagnationandqicongealmentinthethroat气机阻滞,痰浊凝聚咽喉,以情志抑郁,咽部不适、异物感,咽部黏膜肿胀,苔腻,脉弦滑等为常见症的证候。13.10.5痰毒壅喉证 syndromeofphlegmtoxincongestingthethroat痰火邪毒壅塞咽喉,以喉部痰涎壅盛,痰鸣如拽锯,呼吸不利,或局部充血肿胀,舌红苔腻,脉滑数等为常见症的证候。13.10.6湿热蒸喉证 syndromeofdampness-heatsteamingthelarynx湿热蕴结,熏蒸咽喉,以咽喉红肿疼痛,声音不扬或嘶哑,咽喉充血肿胀,痰黄不易咯出,舌红苔黄腻,脉滑数等为常见症的证候。13.10.7热[火]毒攻喉证 syndromeofheat[fire]toxinattackingthelarynx热毒上攻咽喉,以咽喉红肿疼痛,吞咽困难,甚至溃烂、化脓,口气臭秽,壮热口渴,舌红苔黄,脉数有力等为常见症的证候。13.10.8气滞声带证 syndromeofqistagnationinthevocalfold51 GB/TXXXXX-XXXX气机郁滞,声带不利,以声音不扬、声嘶或低微,说话费力,声带振动乏力,喉部不适,胸闷胁胀,脉弦等为常见症的证候。13.10.9瘀(血痹)阻声带证 syndromeofstasis(bloodimpediment)obstructingthevocalfold瘀血阻滞声带,以声音嘶哑,说话困难,声带暗红、边缘增厚,或有小结、息肉,舌有斑点,脉弦涩等为常见症的证候。13.10.10瘀(血痹)阻咽喉证 syndromeofstasis(bloodimpediment)obstructingthethroat瘀血阻滞咽喉,以咽喉部刺痛、异物感,吞咽不利,咽喉黏膜暗红,或有赘生物,舌有斑点,脉弦涩等为常见症的证候。13.10.11气虚咽喉失充证 syndromeofqideficiencyfailingtoenrichthethroat正气亏虚,咽喉失于充养,以气短乏力,声音低微,咽喉不适,或有异物感,咽喉黏膜色淡,声带振动乏力、闭合欠佳,自汗恶风,舌淡,脉弱等为常见症的证候。13.10.12阴虚咽喉失濡证 syndromeofyindeficiencyfailingtomoistenthethroat阴液亏虚,咽喉失养,以咽喉灼热微痛、干痒不适,声音嘶哑,或有异物感,咽干,咽喉微红或潮红,或局部糜烂,舌红少津,脉细数等为常见症的证候。13.11齿龈证 gumsyndrome泛指风火、湿热、瘀血等侵犯齿龈,或正虚齿龈失养所见证候。13.11.1风火[热]犯齿证 syndromeofwind-fire[heat]invadingtheteeth风火热毒侵犯牙齿,以患牙剧痛,齿龈红肿,张口不便,咀嚼痛甚,饮冷痛减,舌红苔薄黄,脉浮数等为常见症的证候。13.11.2胃火燔龈证 syndromeofstomachfirescorchingthegum胃火内炽,上灼牙龈,以龈肉红肿疼痛,齿缝间渗血渗脓,口渴口臭,便秘,舌红苔黄,脉数等为常见症的证候。13.11.3胃火燔齿证 syndromeofstomachfireblazingtheteeth胃火内炽,上灼牙体,以牙痛甚剧,齿缝间渗血渗脓,口渴口臭,便秘,舌红苔黄,脉数等为常见症的证候。13.11.4湿热蒸齿证 syndromeofdampness-heatsteamingtheteeth湿热内蕴,上蒸牙齿,以牙痛,或牙齿被蚀成洞,每遇热、甜、酸则痛甚,或齿龈红肿,口气臭秽,舌红苔黄腻,脉滑数等为常见症的证候。13.11.5火毒犯齿证 syndromeoffiretoxininvadingtheteeth火毒炽盛,燔灼牙齿,以患牙跳痛,咀嚼、遇热痛甚,发热口渴,舌红苔黄,脉数等为常见症的证候。13.11.6火毒犯龈证 syndromeoffiretoxininvadingthegum火毒炽盛,燔灼齿龈,以龈肉红肿疼痛,遇热痛甚,发热口渴,舌红苔黄,脉数等为常见症的证候。13.11.7血瘀齿龈证 syndromeofbloodstasisinthegum瘀血内阻,齿龈瘀滞,以牙龈刺痛,龈肉紫暗或有赘生物,或龈肉腐溃流出污黑血水,舌暗,脉涩等为常见症的证候。13.11.8阴虚齿龈证 syndromeofyindeficiencyinthegum阴液亏虚,牙齿失于濡养,以牙齿干燥枯槁,隐痛时作,牙齿疏豁松动,咀嚼无力,潮热颧红,舌红少津,脉细数等为常见症的证候。13.11.9虚火灼龈证 syndromeofdeficiency-firescorchingthegum阴液亏虚,龈肉失濡,虚火灼龈,以龈肉干燥萎缩、潮红,齿根宣露,齿牙枯槁、疏豁松动、隐痛,五心烦热,颧红,舌红少津,脉细数等为常见症的证候。13.11.10血虚龈肉失养证 syndromeofblooddeficiencyfailingtonourishthegum血液亏虚,龈肉失于濡养,以龈肉淡白或萎缩,齿根宣露,齿牙松动,咀嚼无力,面色萎黄,舌淡,脉细等为常见症的证候。13.11.11血虚齿槽失养证 syndromeofblooddeficiencyfailingtonourishthealveolus血液亏虚,齿槽失于濡养,以齿槽骨腐溃,齿牙松动,咀嚼无力,面色萎黄,舌淡,脉细等为常见症的证候。13.11.12气虚齿动证 syndromeofqideficiencywithodontoseisis51 GB/TXXXXX-XXXX正气亏虚,齿龈失充,以牙齿浮动,咀嚼乏力,气短懒言,脉弱等为常见症的证候。13.12口唇证 syndromeofmouthandlips泛指风热、火毒、湿热等侵犯口唇,或正虚口唇失养所见证候。13.12.1风邪犯唇[口]证 syndromeofpathogenicwindinvadingthelips[mouth]风邪侵袭口唇或口腔,以口唇潮红肿起、麻痒,或口腔微红痒痛,恶风发热,苔薄黄,脉浮数等为常见症的证候。13.12.2毒火攻唇[口]证 syndromeofvirulentfireattackingthelips[mouth]火毒炽盛,燔灼口唇,以口唇红肿剧痛,或局部溃烂、臭秽流脓,壮热口渴,舌红苔黄,脉数等为常见症的证候。13.12.3湿热蒸口[唇]证 syndromeofdampness-heatsteamingthemouth[lips]湿热内蕴,上蒸口唇,以口腔黏膜红肿疼痛,或肌膜腐溃,溢脓臭秽,或口唇红肿糜烂、黄水浸淫,口角红赤皲裂,舌红苔黄腻,脉濡数等为常见症的证候。13.12.4虚火灼口[唇]证 syndromeofdeficiencyfirescorchingthemouth[lips]虚火上炎,熏灼口腔或口唇,以口腔干燥,黏膜潮红少津,或局部腐溃久不愈合,或口唇潮红干燥、皲裂、脱屑,颧红,舌红少苔,脉细数等为常见症的证候。13.12.5血虚唇[口]燥证 syndromeofblooddeficiencywithlip[mouth]dryness血液亏虚,口唇失养,以口唇肌膜干燥少津、皲裂、瘙痒、脱屑,或口唇黏膜有黄白色小溃疡,反复发作,面色萎黄,唇舌淡白,脉细等为常见症的证候。13.12.6湿热蒸舌证 syndromeofdampness-heatsteamingthetongue湿热内蕴,熏蒸舌体,以舌体红肿疼痛,或局部溃烂流脓,苔黄腻,脉濡数等为常见症的证候。13.12.7热[火]毒攻舌证 syndromeofheat[fire]toxinattackingthetongue火热邪毒炽盛,攻犯舌体,以舌体红肿疼痛,或舌体局部红肿高突、疼痛,舌体活动不灵,发热口渴,脉数有力等为常见症的证候。13.12.8血瘀舌下证 syndromeofbloodstasisbelowthetongue瘀血阻于舌下,以舌下赘生紫暗色肿物,舌体颜色紫暗或有斑点、运动不灵等为常见症的证候。13.13邪犯清窍证 syndromeofpathogeninvadingtheupperorifices泛指燥热、痰湿、瘀血等侵犯清窍所见的证候。13.13.1燥干清窍证 syndromeofdrynessaffectingtheupperorifices气候干燥,津液耗损,清窍失濡,以口鼻干燥,两眼干涩、少泪、少涕,少津,甚至衄血,舌燥少津等为常见症的证候。13.13.2瘀阻清窍证 syndromeofstasisobstructingtheupperorifices泛指瘀血阻滞头面清窍,以头痛,或五官痛,或五官溢血,舌暗红,脉弦涩等为常见症的证候。13.13.3湿蒙清窍证 syndromeofdampnesscloudingtheupperorifices湿邪上蒙头面清窍,以头重、昏蒙、疼痛,视物不清,听音不真,鼻塞不闻香臭,苔白滑,脉濡缓等为常见症的证候。同义词:湿浊蒙窍证13.13.4痰蒙清窍证 syndromeofphlegmcloudingtheupperorifices痰浊蒙蔽清窍,以头胀昏痛、头重如蒙,五官感觉不灵,嗜睡困乏,舌苔腻,脉滑等为常见症的证候。同义词:痰浊上蒙[扰]证;痰湿蒙窍证14经脉筋骨证类 syndromesofmeridians,collaterals,tendonsandbones14.1风中经络证 syndromeofwindinvadingmeridiansandcollaterals风邪侵袭经络筋脉,以肌肤麻木、瘙痒,或突起口眼喎斜等为常见症的证候。同义词:风邪袭络证14.1.1风痰入[阻]络证 syndromeofwind-phlegmentering[obstructing]collaterals51 GB/TXXXXX-XXXX肝风挟痰阻闭经络,以肢体麻木不仁,甚至瘫痪不遂,或肌肤麻木瘙痒,眩晕,口角流涎,舌苔腻等为常见症的证候。14.1.2风热中[阻]络证 syndromeofwind-heatattacking[obstructing]collaterals风热之邪中于经络,以患处麻木、灼痛、瘙痒、色赤等为常见症的证候。14.1.3寒滞经络证 syndromeofcoldstagnationinmeridiansandcollaterals寒邪凝滞经络,血行不畅,以恶寒,肢体冷痛、拘急或麻木,肤色紫暗或苍白,舌苔白,脉弦紧等为常见症的证候。14.1.4风毒入络[脉]证 syndromeofwindtoxinenteringcollaterals[meridians]风毒之邪窜入脉络,以肢体迅速出现条状麻木、疼痛、斑点,或见出血症状等为常见症的证候。14.1.5火[热]毒窜[入]络证 syndromeoffire[heat]toxinscurryingin[entering]collaterals火热邪毒窜入经络,以发热口渴,肢体患处麻木、灼痛、疼痛,或色赤瘙痒等为常见症的证候。14.1.6湿热阻络证 syndromeofdampness-heatobstructingcollaterals湿热之邪阻滞经脉,以发热口不甚渴,肢体重痛、麻木,患处糜烂、瘙痒,舌苔黄腻,脉滑数等为常见症的证候。14.1.7寒湿阻[入]络证 syndromeofcold-dampnessobstructing[entering]collaterals寒湿之邪阻滞经络,以肢体或患处沉重冷痛、顽麻,或肿胀,畏冷肢凉,舌苔白滑等为常见症的证候。14.1.8痰湿阻络[痹]证 syndromeofphlegm-dampnessobstructing[impeding]collaterals痰浊湿邪阻痹经络,以肢体或关节等处顽麻、肿胀,或皮肤肿硬、麻木、瘙痒,舌苔白腻等为常见症的证候。14.1.9瘀热入络证 syndromeofstagnantheatenteringcollaterals邪热与瘀血阻结于脉络,以低热,患处灼热疼痛、色赤,舌绛或紫,脉细涩数等为常见症的证候。同义词:血热伤络证;热蕴络瘀证14.1.10瘀血阻络证 syndromeofbloodstasisobstructingcollaterals瘀血阻于经络,以患处固定刺痛,或见紫斑、肿块,或见出血色暗,舌紫或有斑点,脉涩等为常见症的证候。同义词:瘀阻脉络证14.1.11虫湿壅络证 syndromeofworm-toxinanddampnesscongestingincollaterals虫毒湿邪蕴结经络,以患处肢体或肌肤肿胀、瘙痒或疼痛,起丘疹或流水,或有柔韧结节等为常见症的证候。14.2经气不利证 syndromeofinhibitedmeridianqi泛指风寒、湿热、痰瘀等邪阻滞,使经气流行不利,或正虚经络失养而经气不利,以肢体麻木,活动不利,感觉异常等为常见症的证候。14.2.1风胜行痹证 syndromeofwind-prevailingmigratoryarthralgia风寒湿邪阻滞筋骨关节肌肤,痹证之以风邪为主者,以肢体关节等处游走疼痛为主症的证候。14.2.2寒胜痛痹证 syndromeofofcold-prevailingagonizingarthralgia风寒湿邪阻滞筋骨关节肌肤,痹证之以寒邪为主者,以肢体关节等处固定冷痛为主症的证候。14.2.3湿胜着痹证 syndromeofdampness-prevailingfixedarthralgia风寒湿邪阻滞筋骨关节肌肤,痹证之以湿邪为主者,以肢体关节等处沉重酸痛、肿胀等为主症的证候。14.2.4热邪阻痹证 syndromeofarthralgiawithpathogenicheatobstruction风湿热邪阻滞筋骨关节而以热邪为主者,以肢体关节等处肿胀、灼热、疼痛等为主症的证候。14.2.5湿热阻痹证 syndromeofarthralgiawithdampness-heatobstruction51 GB/TXXXXX-XXXX湿热蕴阻于筋骨关节,以身热,肢体关节肿胀沉重,灼热疼痛,舌红苔黄腻,脉滑数等为常见症的证候。14.2.6风寒湿凝滞筋骨证 syndromeofwind-cold-dampnesscongealmentandstagnationinthesinewsandbones风寒湿邪阻滞筋骨关节,以肢体关节游走性疼痛,或沉重疼痛等为常见症的证候。同义词:风寒湿阻筋骨证14.2.7寒湿犯腰证 syndromeofcold-dampnessinvadingthewaist寒湿之邪侵及腰部,以腰脊冷痛、酸胀,遇寒痛甚为主症的证候。14.2.8痰湿犯腰证 syndromeofphlegm-dampnessinvadingthewaist痰浊湿邪侵及腰部,以腰脊顽麻、疼痛、酸胀,转侧不利,舌苔白腻等为主症的证候。14.2.9湿热犯腰证 syndromeofdampness-heatinvadingthewaist湿热之邪侵及腰部,以腰脊酸胀、沉重、疼痛,发热口渴,苔黄腻,脉滑数等为常见症的证候。14.2.10瘀血犯腰证 syndromeofbloodstasisinvadingthewaist瘀血阻滞于腰部,以腰脊固定刺痛、拒按等为常见症的证候。14.2.11伤损筋骨证 syndromeofdamageanddetrimentofsinewsandbones因外伤导致筋骨损伤,以患处肿胀、疼痛、活动障碍等为主症的证候。14.2.12瘀滞筋骨证 syndromeofstasisandstagnationinthesinewsandbones因外伤或病久,瘀血阻滞筋骨,以筋骨固定刺痛、拒按,活动障碍,或关节局部肿硬变形、皮色紫暗等为主症的证候。14.2.13络伤出血证 syndromeofcollateraldamagewithbleeding因外伤而损伤脉络,以患处出血,或局部紫暗斑块、疼痛等为主症的证候。同义词:外伤络损证14.2.14外伤瘀滞证 syndromeofexteriorinjurywithstasisandstagnation因外伤导致气血瘀滞,以患处出现紫暗斑块、疼痛拒按等为主症的证候。14.2.15痰湿流注(经脉筋骨)证 syndromeofphlegm-dampnessspreadingandpouring(inmeridians,vessels,sinewsandbones)痰浊湿邪流窜于经脉、筋骨等处,以肢体深处触及柔韧肿块、隐痛,或抽及脓液,舌苔腻,脉滑等为常见症的证候。15其他证类 othersyndromes15.1邪扰胸膈证 syndromeofpathogenharassingthechestanddiaphragm泛指邪气阻扰胸膈,以胸膈胀闷等为常见症的证候。15.1.1热扰胸膈证 syndromeofheatharassingthechestanddiaphragm邪热扰于胸膈,以胸中烦热、懊憹,躁扰不宁,口渴,咳嗽吐黄痰,舌红苔黄,脉数等为常见症的证候。15.1.2热实结胸证 syndromeofexcess-heatbindinginthechest热邪阻结胸膈,以胸中烦热、懊憹,发热口渴,咳嗽气喘,便秘尿黄,舌红苔黄,脉数等为常见症的证候。15.1.3寒实结胸证 syndromeofexcess-coldbindinginthechest寒痰阻结胸膈,以恶寒,咳嗽,胸膈痞闷,吐稀白痰,苔白脉弦紧等为常见症的证候。15.1.4痰热结胸证 syndromeofphlegm-heatbindinginthechest痰浊热邪结于胸膈,以胸中烦热、痞闷胀痛,咳嗽吐黄痰,或心胸闷痛,或脘部硬满、按之则痛,舌红苔黄腻,脉滑数等为常见症的证候。15.1.5痰气阻膈证 syndromeofphlegmandqiobstrucingthediaphragm痰浊结于胸膈,气机阻滞,以胸膈满闷,进食梗塞,呃逆,呕吐痰涎,嗳气觉舒,苔腻或滑,脉弦等为常见症的证候。15.1.6痰瘀阻膈证 syndromeofphlegmandstasisobstructingthediaphragm瘀血与痰浊阻于胸膈,以胸膈痞闷刺痛,进食梗塞,呕吐痰涎,舌紫或有斑点,苔腻脉涩等为常见症的证候。15.1.7饮停胸胁证 syndromeoffluidretentioninthechestandhypochondrium51 GB/TXXXXX-XXXX水饮停积胸腔,以胸廓饱满,胸部胀闷或痛,咳嗽气喘,苔白滑,脉弦滑等为常见症的证候。15.1.8瘀阻[滞]胸胁证 syndromeofstasisobstructing[stagnating]thechestandhypochondrium瘀血阻于胸胁脉络,以胸胁部固定疼痛、拒按,或胸闷心痛,唇紫,舌暗或有斑点,脉弦涩等为常见症的证候。15.1.9瘀血阻膈证 syndromeofbloodstasisobstructingthediaphragm瘀血阻于胸膈,以胸膈或上脘部固定刺痛,或进食梗塞,舌紫或有斑点,脉弦涩等为常见症的证候。同义词:膈下瘀阻证15.2湿热弥漫三焦证 syndromeofdampness-heatpermeatingthroughthetripleenergizer湿热弥漫,累及上中下三焦,以全身不畅,身热不扬,渴不多饮,咳嗽胸闷,腹胀呕恶,便溏不爽,小便短涩,舌红苔黄腻,脉濡数或滑数等为常见症的证候。同义词:三焦湿热证15.3上焦湿热证 syndromeofdampness-heatintheupperenergizer湿热侵袭,上焦证候明显,以发热恶寒,头身困重,咳嗽胸闷,无汗,苔黄白,脉濡缓等为常见症的证候。15.4中焦湿热证 syndromeofdampness-heatinthemiddleenergizer湿热侵犯中焦脾胃,多见湿热为患的中期阶段,以身热不扬,午后热甚,脘腹痞胀,呕恶不食,渴不多饮,尿黄便溏等为常见症的证候。15.4.1中焦实热证 syndromeofexcess-heatinthemiddleenergizer中焦邪热炽盛,燥实内结,以发热口渴,脘腹胀痛,大便秘结,尿短黄,舌红苔黄燥,脉数有力等为常见症的证候。15.4.2中寒虫扰证 syndromeofmiddlecoldwithwormharassment中焦虚寒,蛔虫不得安宁,而向上窜扰,以腹部冷痛,大便稀溏,脘部阵发疼痛,烦热口渴等为常见症的证候。15.5下焦湿热证 syndromeofdampness-heatinthelowerenergizer湿热侵及下焦大肠或膀胱等处,以小便淋漓,灼痛或癃闭,大便腥臭稀溏或秘结,小腹胀痛,或带下黄白而腥臭,身热口渴,舌红苔黄腻,脉滑数等为常见症的证候。15.5.1湿热下注证 syndromeofdampness-heatpouringdownwards湿热之邪向下侵及肠道、膀胱、子宫、阴部、下肢等处,以小便频急淋漓涩痛,或大便腥臭溏烂,或带下黄臭,或阴部湿疹、瘙痒,或下肢生疮、溃烂流水等为常见症的证候。15.5.2瘟毒下注证 syndromeofpestilenttoxinpouringdownwards泛指温热毒邪向下流窜,如痄腮而见睾丸肿痛,或疔疽等走窜而见下部脓肿,或下肢溃烂灼痛等为常见表现的证候。15.5.3瘀阻下焦证 syndromeofstasisobstructingthelowerenergizer泛指瘀血阻滞于肠道、膀胱、子宫等处,以小腹刺痛或胀痛、拒按,或可触及包块,或二便疼痛带血,舌紫暗或有斑点,脉弦涩等为常见症的证候。同义词:下焦瘀滞证15.6邪犯少腹证 syndromeofpathogeninvadingthelateralsidesofthelowerabdomen泛指湿热、瘀血、热毒等邪侵入少腹,以少腹疼痛等为常见症的证候。15.6.1少腹血瘀证 syndromeofbloodstasisinthelateralsidesofthelowerabdomen瘀血阻滞于少腹,以少腹刺痛或胀痛、拒按,或可触及包块,或伴二便不调,舌紫暗或有斑点,脉弦涩等为常见症的证候。15.6.2少腹气滞证 syndromeofqistagnationinthelateralsidesofthelowerabdomen邪阻少腹,气机不畅,以少腹胀痛,月经不调,或经闭不行,或有痞块聚散无常,脉弦等为常见症的证候。15.6.3少腹热滞证 syndromeofheatstagnationinthelateralsidesofthelowerabdomen热邪壅滞少腹,以少腹灼热胀痛,经期提前,经量多,血色鲜红,口渴,舌红苔黄,脉弦数等为常见症的证候。51 GB/TXXXXX-XXXX15.6.4少腹湿热阻滞证 syndromeofdampness-heatobstructionandstagnationinthelateralsidesofthelowerabdomen湿热蕴结,阻滞于少腹,以少腹灼热胀痛,带下色黄腥臭,大便臭秽不爽,月经不调,舌红苔黄腻,脉滑数等为常见症的证候。15.6.5少腹瘀滞证 syndromeofstasisandstagnationinthelateralsidesofthelowerabdomen瘀血阻于少腹,气机不利,以少腹胀痛拒按,或触及质硬包块,月经不调或经闭、痛经,血色紫暗夹块,脉弦涩等为常见症的证候。15.6.6少腹瘀热证 syndromeofheatstagnationinthelateralsidesofthelowerabdomen瘀血与热邪互结于少腹,以发热口渴,少腹满硬刺痛、灼热拒按,或触及包块,月经不调或经闭,痛经,舌暗红,苔黄等为常见症的证候。15.7邪入少阳证 syndromeofpathogenenteringshaoyang外邪侵袭,由表入里的过渡阶段,郁阻少阳胆腑,以寒热往来,胸胁胀满,口苦咽干,目眩等为常见症的证候。15.8邪伏膜原证 syndromeofpathogenincubatinginthemembranesource感受疫疠之邪,邪伏于半表半里膜原之处,以寒热定时发作,头痛如劈,身痛如被杖,胸胁胀闷,呕吐痰涎,苔白如积粉等为常见症的证候。15.9胎毒蕴热证 syndromeoffetaltoxinwithheataccumulation婴儿因在母体时染受热毒所致,以皮肤赤烂、脱皮,或口疮、目赤烂,或大便腥臭夹脓血等为常见症的证候。15.10营卫不和证 syndromeofnutrientqianddefenseqidisharmony卫弱营强,或卫强营弱,以身微热或微恶风寒,时有汗出,脉缓等为常见症的证候。15.11术后遗毒证 syndromeofremnanttoxinafteroperation手术之后,邪毒未尽,以低热不退,局部疼痛,创口久不收敛等为常见症的证候。15.12表寒里热证 syndromeofexteriorcoldandinteriorheat寒邪外束,郁热于内,以恶寒,发热,身痛无汗,烦闷气喘,口渴,舌红苔黄白,脉浮数等为常见症的证候。15.13表热里寒证 syndromeofexteriorheatandinteriorcold泛指内有阳气不足,而外感风热之邪,以发热微恶风寒,头身疼痛,口和尿清,大便稀溏,舌淡胖,苔薄黄,脉浮等为常见症的证候。15.14表里俱[实]寒证 syndromeofdual[excess]coldintheinteriorandexterior泛指寒邪外侵,表里同时受邪,以恶寒肢冷,头身疼痛,无汗,或咳喘吐白痰,或脘腹冷痛、吐泻清稀等为常见症的证候。15.15表里俱[实]热证 syndromeofdual[excess]heatintheinteriorandexterior风热、瘟毒等邪侵袭,表里俱热,以发热微恶风寒,头身疼痛,心烦,气喘,口渴,便秘,尿黄,舌红苔薄黄,脉浮数等为常见症的证候。15.16上盛下虚证 syndromeofupperexcessandlowerdeficiency泛指肝肾亏虚,气血痰热等上壅所致证候。15.17上热下寒证 syndromeofupperheatandlowercold泛指上部有热,下部有寒的证候。15.18上寒下热证 syndromeofuppercoldandlowerheat泛指上部有寒,下部有热的证候。16六经证类 syndromesofthesixmeridians16.1六经病证 syndromeofsixmeridians泛指伤寒六经病变中的证候。16.1.1太阳病证 syndromeoftaiyangdisease风寒之邪侵犯人体肤表,正邪抗争于肤表浅层所表现的证候。16.1.1.1太阳经证 syndromeoftaiyangmeridian51 GB/TXXXXX-XXXX风寒之邪侵犯人体肤表,正邪抗争,营卫失和,以恶寒、发热、头项强痛、脉浮为主要表现的证候。16.1.1.1.1太阳中风证 syndromeoftaiyangwindstroke以风邪为主的风寒之邪侵犯太阳经脉,卫强营弱,以发热、恶风、汗出、脉浮缓等为常见症的证候。16.1.1.1.2太阳伤寒证 syndromeoftaiyangcolddamage以寒邪为主的风寒之邪侵犯太阳经脉,卫阳被遏,肌表闭伏,以恶寒、发热、无汗、头身疼痛、脉浮紧等为常见症的证候。16.1.1.2太阳腑证 syndromeoftaiyangfu-organ太阳经证不解,病邪由太阳之表内传其腑膀胱所表现的证候。16.1.1.2.1太阳蓄水证 syndromeoftaiyangwateramassment太阳经证不解,邪与水结,膀胱气化不利,水液停蓄,以发热恶寒,小便不利,少腹满,消渴,水入即吐,脉浮或浮数等为常见症的证候。16.1.1.2.2太阳蓄血证 syndromeoftaiyangbloodamassment太阳经证不解,邪热内传,与瘀血相结于少腹,以少腹急结或硬满,小便自利,如狂或发狂,善忘,大便色黑,脉沉涩或沉结等为常见症的证候。16.1.2阳明病证 syndromeofyangmingdisease伤寒病发展过程中,阳热亢盛,胃肠燥热所表现的证候。16.1.2.1阳明经证 syndromeofyangmingmeridian邪热亢盛,充斥阳明之经,弥漫全身,肠中尚无燥屎内结,以身大热、汗大出、口大渴、脉洪大等为常见症的证候。16.1.2.2阳明腑证 syndromeofyangmingfu-organ邪热内盛,与肠中糟粕相搏,燥尿内结,以日晡潮热,手足汗出,脐腹胀满疼痛,大便秘结,脉沉实等为常见症的证候。16.1.3少阳病证 syndromeofshaoyangdisease邪犯少阳胆腑,枢机不运,经气不利,以寒热往来,口苦、咽干、目眩等为常见症的证侯。16.1.4太阴病证 syndromeoftaiyindisease脾阳虚衰,寒湿内生,以腹满而吐,食不下,自利,口不渴,时腹自痛,脉沉缓或弱等为常见症的证侯。16.1.5少阴病证 syndromeofshaoyindisease伤寒病发展的后期阶段,全身性阴阳衰惫所表现的证候。16.1.5.1少阴寒化证 syndromeofshaoyincoldtransformation少阴阳气虚衰,病邪入内从阴化寒,阴寒独盛,以无热恶寒,脉微细,但欲寐,肢厥,下利等为常见症的证候。16.1.5.2少阴热化证 syndromeofshaoyinheattransformation少阴阴虚阳亢,邪从阳化热,以心烦不得眠,口燥咽干,舌尖红,脉细数等为常见症的证候。16.1.6厥阴病证 syndromeofjueyindisease伤寒病发展传变的较后阶段,阴阳对峙,寒热交错,厥热胜复,以消渴,气上撞心,心中疼热,饥而不欲食,食则吐蛔等为常见症的证候。17期、度证类 stagesandgrades17.1分期 staging根据疾病发展过程中不同时相阶段的分类。17.1.1初[一]期 initialstage[firststage]泛指疾病开始阶段,一般病情较轻。17.1.2中[二]期 intermediatestage[secondstage]泛指疾病中间阶段,一般病情较重。17.1.3后[三]期 latestage[thirdstage]泛指疾病后期阶段,一般病情沉重。51 GB/TXXXXX-XXXX17.1.4晚期 advancedstage泛指疾病最后阶段,一般病情严重,常危及生命。17.1.5疹前期 stagebeforeeruption泛指出疹性疾病的开始阶段,一般病情较轻,疹点尚未显露,多有发热恶风,轻微咳嗽等症。17.1.6见形期 stageofinitialeruption泛指出疹性疾病疹点开始显露的阶段,一般有发热、烦躁、口渴等症,病情处于盛期。17.1.7出疹期 stageoffulleruption泛指出疹性疾病的出疹阶段,一般病情较重,疹点显露,有顺证与逆证的不同。17.1.8收没期 latestageoferuptivedisease泛指出疹性疾病的后期阶段,一般病情减轻,疹点出齐后收没阶段,或有脱屑、色素斑。17.1.9成痈期 stageofcarbuncleformation泛指痈病类疾病的初起阶段,气血壅聚,邪正剧争,常见发热或恶寒,患处红肿、灼热、疼痛等症。17.1.10酿脓期 stageofpusbrewage泛指痈病类疾病的盛期酿脓阶段,邪正交争剧烈,一般有壮热,口渴,舌红苔黄,脉洪数等症,患处红肿高突、剧痛。17.1.11成脓期 stageofsuppuration泛指痈病类疾病脓液已成,一般见疮痈有黄白色脓头,中间按之柔软等症。17.1.12溃脓期 stageofdiabrosis泛指痈病类疾病脓成,疮口溃破,常见脓液流出而疼痛、发热等症减轻。17.1.13溃后期 stageafterdiabrosis泛指痈病类疾病脓液已尽,有的疮面很快愈合,有的则久不收口,或形成瘘管。17.1.14未破损期 stagewithoutruptureanddamage泛指损伤类或疮疡类疾病,无疮口或无皮肉破损的阶段。17.1.15破损期 stageofruptureanddamage泛指损伤类或疮疡类疾病,疮口已溃破,或有皮肉破损,甚至脏器或骨端外露的阶段。17.1.16发作期 stageofattack指疟疾、哮病、痫病、胸痹心痛等病,正处于发作的阶段。17.1.17缓解期 stageofremission指疟疾、哮病、痫病、胸痹心痛等病,已控制发作,病情进入缓解的阶段。17.2分度 grades根据疾病的轻重程度而进行的分类。17.2.1一度 gradeⅠ指阴挺、水火烫伤等病,病情较轻。17.2.2二度 gradeⅡ指阴挺、水火烫伤等病,病情较重。17.2.3三度 gradeiii指阴挺、水火烫伤等病,病情严重。51

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