摘要
通过对冠心病中医文献进行收集、整理与归纳、分析,结合现代医学对冠心病病理生理诊断治疗的新认识及课题组前期研究,提出冠心病"痰瘀滞虚"病机理论。认为痰、瘀、滞、虚4个证候要素紧密结合、互相转化、互为因果,是冠心病的核心病机,贯穿冠心病的整个病程。提出邪气是冠心病主要的致病因素,包括外邪和内邪。根据对冠心病"痰瘀滞虚"病机的认识,提出在冠心病的中医治疗中,除豁痰祛瘀,还应结合辨证注重温肾阳、补肾阴、固护真元、调畅情志。
By searching,collection,analysis of traditional Chinese medicine( TCM) literature on coronary heart disease( CHD),combining the new understanding of the pathophysiology diagnosis and treatment based on modern medicine,and the results of previous study on CHD for many years,the theory of phlegm-blood stasis-stagnationdeficiency was put forward,and it is believed that close combination,mutual transformation,and mutual causes and results of four syndrome elements of phlegm,stasis,stagnation and deficiency were the essential pathogenesis of CHD and ran through the whole course of CHD. It was also believed that pathogenic qi including exogenous and inner pathogen is the main pathogenic factor of CHD. Based on the understanding of pathogenesis'phlegm-blood stasis-stagnation-deficiency'of CHD,it is put forward that dispelling stasis and phlegm should be combined with warming kidney and activating yang,nourishing kidney yin,consolidating body resistance and regulating emotions.
作者
王阶
邢雁伟
姚魁武
李军
陈光
董艳
熊兴江
刘咏梅
李洪峥
张振鹏
WANG Jie;XING Yanwei;YAO Kuiwu;LI Jun;CHEN Guang;DONG Yan;XIONG Xingjiang;LIU Yong-mei;LI Hongzheng;ZHANG Zhenpeng(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053)
出处
《中医杂志》
CSCD
北大核心
2019年第4期280-284,共5页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81473561
81673847)
关键词
痰
血瘀
气滞
虚证
冠心病
phlegm
blood stasis
qi stagnation
deficiency
coronary heart disease
作者简介
通讯作者:王阶,wangjie0103@126.com,(010)88001229
