摘要
文章深入剖析"营卫理论"内涵和"损其心者,调和营卫"的独特治法。营卫和调是"心主血脉"和"心主神志"的前提,该理论一方面强调营卫之气充盛方可布散渗灌气血,濡养心脉心体,另一方面强调营卫之气必须维持亢害承制的动态平衡关系,以达到阴平阳秘的状态。因此,在当今心血管疾病难点的治疗中,除滋阴养营、温阳补气外,还应调和营卫以纠正营卫失和的病理状态,以使阴阳自和,恢复机体稳态平衡。笔者首次通过临床和动物实验,证明了具有调和营卫作用的桂枝汤可有效防治心脏自主神经重构和冠脉微血管疾病。因此,笔者认为对此进行深入研究和推广应用可发挥中医药在解决心血管疾病治疗难点中的重大作用,是对中医营卫理论的传承和创新。
This article explored and discussed the connotation of ‘yingfen and weifen theory＇ and the unique treatment of ‘harmonizing yingfen and weifen for heart deficiency＇. ‘Harmony between yingfen and weifen＇ is the precondition of ‘heart governing the blood and vessels＇ and ‘heart governing spirits＇. On the one hand, the theory emphasizes that sufficient yingfen and weifen can promote qi-blood circulation and nourish the heart and vessels. On the other hand, it emphasizes that yingfen and weifen must keep dynamic balance in the process of restraining excessiveness to acquire harmony, which can achieve the statement of yin and yang in equilibrium. Therefore, in order to rectify the yingfen and weifen disharmony and recover the yinyang balance in body, harmonizing yingfen and weifen should be considered as another important method for the treatment of heart diseases besides warming yang and nourishing yin. This study firstly demonstrated Guizhi Decoction, which possesses the effects of harmonizing yingfen and weifen, was effective on the prevention and treatment of cardiac autonomic nerve remodeling and coronary microvascular diseases. Carrying out in-depth research and promoting the application about it can play a significant role in TCM solving the difficulties of cardiovascular disease treatment, which is the inheritance and innovation of the theory of traditional Chinese medicine.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2018年第3期824-828,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81072962,No.81673970)
山东省一流学科资助项目(中医学,No.220306)
关键词
心系疾病
心血管疾病
营卫和调
桂枝汤
Disease and syndromes of heart
Cardiovascular diseases
Harmonizing yingfen and weifen
GuizhiDecoction
作者简介
通讯作者：李晓，山东中医药大学附属医院心病科，邮编：250014，电话：0531-68616009，E-mail：lixim.617@163.com
