摘要
冠心病是危害人类健康的常见病、多发病,近年来,我国人群的冠心病发病率及病死率呈明显上升趋势。中医理论中虽无冠心病病名的记载,但根据其表现可将其归属于"胸痹""心痛"等范畴。胸痹的致病原因如寒邪内侵、饮食失调、劳倦内伤、年迈体虚等,这些致病因素多易沉积血脉之中,而血液瘀阻,运行不畅,现代医学也认为,如吸烟、高脂血症、高血压病、糖尿病等冠心病的危险因素使血液受到影响,而失其正常的循行规律,使血液运行不畅,血脉运行瘀滞是冠心病的主要病理特点。活血法作为最基本最广泛的治法在冠心病的治疗中贯穿始终,按照血瘀的病机形成可分为气虚血瘀、气滞血瘀、寒凝血瘀、阳虚血瘀、痰凝血瘀、热壅血瘀等。根据不同病机可分为补气活血、行气活血、散寒活血、温阳活血、化痰活血、清热活血等方法治疗冠心病。通过论述多种活血法治疗冠心病,以期为活血法治疗冠心病提供参考。
Coronary heart disease (CHD) is a common and frequently-occurring disease which is harmful to human health. In recent years,the incidence and mortality of CHD in China has a significant upward trend. Although there is no record of the name of " coronary heart disease" in traditional Chinese medicine,it can be classified into " chest arthralgia" and "heartache" according to its performance. The pathogenic causes of chest arthralgia,such as cold pathogen invasion,eating disorders,fatigue internal injuries,aging and body deficiency,are easy to accumulate in the blood,leading to blood stasis and poor circulation. Inthe modern medicine,smoking,hyperlipidemia,hypertension,diabetesand other risk factors affecting the blood are also considered to be the causes andso that the blood does not run smoothly. Blood stasis is the main pathological feature of coronary heart disease. As the most basic and extensive treatment,activating blood circulation runs through the treatment of coronary heart disease. According to the pathogenesis of blood stasis,it can be divided into Qi deficiency and blood stasis,Qi stagnation and blood stasis,cold coagulation and blood stasis,phlegm coagulation and blood stasis,heat obstructing blood stasis and so on. According to different pathogenesis,it can be divided into invigorating Qi and activating blood circulation,activating Qi and activating blood circulation,dispelling cold and activating blood circulation,warming Yang and activating blood circulation,resolving phlegm and activating blood circulation,clearing heat and activating blood circulation and so on. This paper discussed a variety of blood-activating methods in the treatment of coronary heart diseasein order to provide reference for the treatment of coronary heart disease.
作者
王美环
张明雪
WANG Meihuan;ZHANG Mingxue(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《实用中医内科杂志》
2020年第12期14-16,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家自然科学基金面上项目(81273698)
国家重点研发计划(2017YFC1700401)
辽宁省特聘教授滚动支持项目(辽教函[2018]35)。
关键词
冠心病
病因病机
活血法
补气
行气
散寒
温阳
化痰
清热
临床疗效
coronary heart disease
etiology and pathogenesis
activating blood circulation
supplemnting Qi
invigorating Qi
dispelling cold
warming Yang
resolving phlegm
clearing heat
clinical effect
