摘要
基于中医“瘀毒”理论对冠心病经皮冠状动脉介入术后发生心绞痛的病因病机进行综述探讨,“瘀”“毒”不仅可作为冠心病介入术后心绞痛中单一致病因素,常互为因果、相互化生,久瘀则毒邪内陷、内损则正虚。而基于“瘀毒”理论,治当求本,血脉瘀阻是心痹的病机,以阳气虚衰为本,气滞血瘀为标,加味升陷汤在升陷汤益气升陷的基础上加用化瘀、行气、涤痰等功效药物,以通为补、通补结合,散瘀通络、行气养心,改善君火衰微、大气下陷。因此完善冠心病及心绞痛“瘀毒”体系,在升陷汤用药基础上针对性的加用配伍,改善因瘀致毒的病因病机,为临床防治冠心病介入术后心绞痛提供新方向具有重要意义。
Based on the theory of“blood stasis and toxin”in traditional Chinese medicine,this paper summarizes and discusses the etiology and pathogenesis of angina pectoris after percutaneous coronary intervention for coronary heart disease.“Blood stasis”and“toxin”can not only be used as a single pathogenic factor in angina pectoris after percutaneous coronary intervention for coronary heart disease,but also cause and affect each other,and they often metabolize each other.If there is blood stasis for a long time,the toxin and evil will subside,and the internal damage will be positive and deficiency.Based on the theory of“blood stasis and toxin”,the treatment should be based on the root cause.Blood stasis is the pathogenesis of heart blockage.Based on the deficiency of Yang Qi and the stagnation of Qi and blood stasis,Jiawei Shengxian Decoction(加味升陷汤),on the basis of Shengxian Decoction(升陷汤),adds drugs with the effects of removing blood stasis,promoting Qi circulation and eliminating phlegm.It takes dredging as the tonic method and the combination of dredging and tonifying,dispersing blood stasis and dredging collaterals,promoting Qi and nourishing heart,and improving the decline of monarch fire and pectoral qi collapse.Therefore,it is of great significance to improve the“blood stasis and toxin”system of coronary heart disease and angina pectoris,add targeted compatibility on the basis of Shengxian Decoction,improve the etiology and pathogenesis of toxin caused by blood stasis,and provide a new direction for clinical prevention and treatment of angina pectoris after coronary intervention.
作者
刘明旺
谢蓓莉
宋博策
别玉龙
赵福海
LIU Mingwang;XIE Beili;SONG Boce;BIE Yulong;ZHAO Fuhai(Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100091,China)
出处
《辽宁中医杂志》
CAS
2022年第12期66-69,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81973674)。
关键词
冠心病
心绞痛
经皮冠状动脉介入术
瘀
毒
加味升陷汤
coronary heart disease
angina pectoris
percutaneous coronary intervention
blood stasis
toxin
Jiawei Shengxian Decoction(加味升陷汤)
