摘要
冠心病的中医治疗历史上经历了温阳散寒、行气化痰、活血化瘀的变化趋势,其时空发展符合复杂系统理论。针对现代冠心病人群,创新性提出痰瘀滞虚理论,以指导临床提高疗效。理论方面,瘀滞是冠心病的疾病基本病机,贯穿冠心病病程的始终;痰这一要素随社会的发展已经并且仍在深刻地改变冠心病患者人群的证候特点;从冠心病虚的病理基础入手进行补养,可以延缓衰老过程,推迟疾病发生,延缓疾病进展,是中医区别于现代医学,发挥自身优势,解决冠心病难题的核心要旨。基于此,临证方面,冠心病的治疗应以活血化瘀通滞为疾病的基本治法,冠心2号方、血府逐瘀汤、栀子豉汤、当归拈痛汤可供冠心病不同阶段使用;通过药物的补养,调整身体的状态,从而预防冠心病发生以及延缓冠心病进展,如党参、黄芪、六味地黄丸、左归饮、右归饮均为补益佳品;香类药物既可化痰通脉止痛,又可宁心安神,消除冠心病患者紧张情绪,如沉香、檀香、麝香在冠心病治疗中均可得以妙用。
There exits a trend of treatment for coronary heart disease(CHD) in terms of Chinese medicine(CM) in history, from warming Yang and dispelling cold, moving Qi and dissolving phlegm to invigorating blood and dissolving stasis,whose time-space development accords to the theory of complex system.Targeting the contemporary population of CHD, phlegm-blood stasis-stagnation-deficiency theory is proposed to direct clinical application to further improve effectiveness. From the perspective of theory,blood stasis-stagnation is the basic pathogenesis of CHD that runs through the whole period in the advance of CHD,while phlegm has been changing the feature of CM Zheng of CHD population with the development of the society,and nourishing the body according to the type of deficiency might delay the process of growing older,postpone the occur of disease and hinder the advance of disease,which genuinely differs from modern medicine to render the superiority of CM to work out the challenges of CHD. As for the clinical application,the treatment options could consider invigorating blood,dissolving stasis and removing stagnation as the basic method,such as CHD formula 2,Xuefu Zhuyutang,Zhizi Chitang and Danggui Niantongtang could be used in varied period of CHD. Moreover,boosting the body by herbal medicine could regulate the routine of body,then to prevent CHD and fear down the advance of CHD,for instance,Codonopsis Radix,Astragali Radix,Liuwei Dihuang pills,Zuoguiyin and Youguiyin. Furthermore,balmiest herbs could not only dissolve phlegm,unblock the meridian and relieve pain,but also calm the mind and eliminate the anxiety. For example,Aquilariae Lignum Resinatum,Santali Albi Lignum and Moschus could be used handily in the treatment of CHD.
作者
王阶
陈光
WANG Jie;CHEN Guang(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Belting 100029,China)
出处
《中国实验方剂学杂志》
CAS
CSCD
北大核心
2019年第1期11-15,共5页
Chinese Journal of Experimental Traditional Medical Formulae
基金
国家自然科学基金面上项目(81473561,81673847)
关键词
痰瘀滞虚
冠心病
复杂系统
创新理论
临床应用
活血化瘀
补益调养
phlegm-blood stasis-stagnation-deficiency
coronary heart disease
complex system
innovation theory
clinical application
promoting blood circulation to remove blood stasis
nourishing and conditioning
