目的 通过对冠心病“热”相关证的临床研究文献中的四诊信息分析，总结冠心病热证临床表征，为构建临床冠心病热证诊断标准提供基础。方法 检索1980-2019年中国期刊全文数据库（CNKI）、万方数据知识服务平台（WANFANG）、中文科技期刊数据库（CQVIP）、中国生物医学文献数据库（CBM）发表的冠心病“热”相关证的临床研究文献，对冠心病热相关证诊断标准中的临床表征进行综合分析。结果 纳入冠心病热相关证临床研究文献40条，主要症状为胸痛（85.00%）、胸闷（80.00%）、烦躁（60.00%）、口干（55.00%）、心悸（55.00%）、口苦（45.00%）、大便秘结（45.00%）、气短（40.00%）；主要舌象为红舌(45.00%)、紫舌（35.00%）、舌生瘀斑（32.50%）为主；舌苔以黄苔（67.50%）、腻苔（42.50%）为主，脉象以数脉（47.50%）、滑脉（45.00%）、弦脉（30.00%）为主。结论 冠心病热证临床症状以胸痛、胸闷、烦躁、口干、心悸、口苦、大便秘结、气短为主；舌象以舌质红、苔黄腻为主；脉象以数脉、滑脉为主，这些临床表征可作为构建冠心病热证诊断标准的基础。
Objective：To summarize the clinical manifestations of coronary heart disease (CHD) heat syndrome by analyzing the four diagnostic information in the clinical research literature of CHD heat-related syndrome, so as to provide a basis for establishing the diagnostic criteria of CHD heat syndrome. Methods：Retrieving the clinical research literature of "heat" related syndromes of coronary heart disease published in CNKI, WANFANG, CQVIP and CBM from 1980 to 2019, and comprehensively analyze the clinical manifestations of the diagnostic criteria of heat-related syndrome of coronary heart disease. Results：Forty articles were included in the clinical research literature of coronary heart disease heat-related syndrome. The main symptoms were chest pain (85.00%), chest tightness (80.00%), irritability (60.00%), dry mouth (55.00%), palpitation (55.00%), bitter mouth (45.00%), constipation (45.00%) and shortness of breath (40.00%). The main tongue signs were red tongue (45.00%) and purple tongue (35.00%). The main types of tongue coating were yellow coating (67.50%) and greasy coating (42.50%). The main types of pulse were rapid pulse (47.50%), slippery pulse (45.00%) and taut pulse (30.00%). Conclusion：The main clinical symptoms of CHD heat syndrome are chest pain, chest tightness, irritability, dry mouth, palpitation, bitter mouth, constipation and shortness of breath; the tongue is red and greasy moss; and the pulse is mainly several and slippery arteries. These clinical manifestations can be used as the basis for the construction of diagnostic criteria for heat syndrome of coronary heart disease.
Keywords: coronary heart disease; heat syndrome; diagnostic criteria