目的：分析心血管疾病中中医心系疾病临床证候的特征，为临床诊疗提供一定的依据。方法：用中医心系问诊量表采集临床问诊信息，参考相应的证候辨证标准，对量表进行判读，分析证候分布特征。结果：共采集有效中医心系病例3021例，本虚证素心气虚1677例，占55.51%，心阳虚603例，占19.96%，心阴虚699例，占23.14%；标实证素痰浊1121，占37.11%，血瘀1624例，占53.76%。其中本虚标实兼见者有2057例，占68.10%；仅见体虚者517例，占17.11%；仅见标实者447例，占14.80%。在脏腑兼证中，与肾、脾相兼多见。结论：心血管疾病中中医心系疾病证候以本虚标实多见，其中本虚以气虚、阳虚、阴虚多见；标实以痰浊、瘀血、气滞多见。

This work aimed to study the clinical distribution of TCM syndrome for cardiovascular diseases to provide a foundation for clinical diagnosis and treatment. We collected cases of cardiovascular diseases based on the unified scale, made diagnoses according to the syndrome differentiation criteria, and consequently analyzed the distribution of TCM syndrome for cardiovascular diseases. A total of 3021 cases of cardiovascular diseases were collected, including heart-qi deficiency 1677 cases (55.51%), heart-yang deficiency 603 cases (19.96%), heart-yin deficiency 699 cases (23.14%), phlegm 1121 cases (37.11%), stagnation of blood 1624 cases (53.76%), the syndrome of mixed deficiency and excess 2057 cases (68.10%), 517 cases with only deficiency (17.11%) and 447(14.80 %) cases with only excess. The results show that the clinical distribution of TCM syndrome for cardiovascular diseases is mostly mixed deficiency and excess, of which, heart-qi deficiency, heart-yang deficiency, heart-yin deficiency and plegm, stagnation of blood, and qi stagnation are the common syndrome.

科学技术部“十一五”国家科技支撑计划子项目（2006BAI08B01-04）：中医四诊信息的规范化采集及融合方法研究，负责人：王忆勤；中国博士后科学基金资助项目（20080430678）：基于隐结构法的中医心系问诊诊断模型的研究，负责人：许朝霞；上海市高校第三期重点学科（S30302）经费资助项目，负责人：王忆勤。