摘要
“阳微阴弦”语出《金匮要略·胸痹心痛短气病脉证并治》篇，“阳虚”即是本虚，“阴弦”即是标实。这里的阳与阴，不能狭义地解释为“阳气”与“阴寒”，当理解为导致冠心病的正气与邪气。近代中医对冠心病的研究，主要立论于气虚血瘀病机，立法于益气活血为主，辅以调整阴阳、化痰理气之治则。“气虚血瘀论”可被视作对“阳微阴弦”的最新解释，应当作为冠心病证治轨范进行深入探索与研究。
“Insufficiency of Yang and endogenous excess of Yin pathogens”is originated from the Chapter——Differentiation of Abnormal Pulse and Treatment of Obstruction of Qi in the Chest,Precordial Pain with Shortness of Breath in Synopsis of Prescriptions of Golden Chamber.“Insufficiency of Yang”means deficiency in vital Qi;“Excess of Yin(阴弦)”refers to endogenous excess of Yin pathogens.Yang and Yin mentioned here should not be explained in a narrow sense as“Yang Qi”and “Coldness of Yin”,but as vital Qi and pathogenic factor which results in coronary heart disease.In the modern times the study of traditional Chinese medicine on coronary heart disease is mainly based on the theory of pathogenic mechanism of deficiency of Qi and blood stasis,the therapeutic principle is supplementing Qi and promoting blood circulation,combined with regulating Yin and Yang,resoving phlegm and regulating the flow of Qi.The theory of deficiency of Qi and blood stasis can be regarded as a new explanation to'insufficiency of Yang and endogenous excess of Yin pathogens,as well as a rule of differentiation and treatment of coronary heart disease,on which a further study should be made.
出处
《河南中医》
1997年第1期5-7,共3页
Henan Traditional Chinese Medicine
