摘要
介绍常红卫主任医师从益气化瘀治疗慢性心力衰竭临证经验。常主任从益气化瘀论治慢性心力衰竭的学术思想主要体现在临床中重视整体观念及辨证论治,坚持辨体-辨病-辨证相结合的诊疗思路。常主任指出慢性心力衰竭的病理性质有虚实两端,多表现为本虚标实、虚实夹杂。本虚以气虚为主,常兼有阴虚、阳虚;标实以血瘀为主,常兼痰、饮。本虚是心衰的基本要素,决定了心衰的发展趋势;标实是心衰的变动因素,影响着心衰的病情变化。本虚和标实的消长决定了心衰发展演变。在治疗中遵循益气化瘀的原则。临床运用膏方治疗慢性心力衰竭,效果良好,治疗中强调舌脉重要性,同时注重情志及饮食调摄,疗效显著。
This paper introduces the clinical experience of Chief physician Chang Hongwei in the treatment of chronic heart failure from tonifying qi and removing blood stasis.Director Chang’s academic thought on the treatment of chronic heart failure from Yiqi Huayu theory is mainly reflected in the clinical emphasis on the overall concept and syndrome differentiation,and adhere to the diagnosis and treatment idea of the combination of body differentiation and pathogen differentiation.Director Chang pointed out that the pathological nature of chronic heart failure has both ends of deficiency and excess,which is characterized by a mixture of deficiency and excess.This deficiency is dominated by qi deficiency,often with yin deficiency and yang deficiency;the standard reality is dominated by blood stasis,often with phlegm and drink.Deficiency is the basic element of heart failure,which determines the development trend of heart failure;standard reality is the changing factor of heart failure,which affects the change of heart failure.The growth and decline of deficiency and excess determines the development and evolution of heart failure.Follow the principle of replenishing qi and removing blood stasis in the treatment.The clinical application of plaster prescription in the treatment of chronic heart failure has a good effect,emphasizing the importance of tongue and pulse,and paying attention to emotion and diet regulation at the same time.
作者
洪斌
HONG bin(Ningxia traditional Chinese medicine hospital and Research Institute of traditional Chinese Medicine,Yinchuan 750021,China)
出处
《内蒙古中医药》
2023年第1期73-75,共3页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
慢性心力衰竭
益气化瘀
膏方
经验
Chronic heart failure
Yiqi Huayu
plaster prescription
Experience
