摘要
冠心病心绞痛属于中医“胸痹、心痛”范畴,其基本病机为“阳微阴弦”,即各种原因导致胸中阳气虚衰,不能温煦、推动血液,同时寒、痰、饮等阴邪趁虚侵袭,痹阻心脉的本虚标实之证。李军教授在心绞痛的治疗上强调要顾护阳气、通利血脉,并应遵循“急则治标、缓则治本”的原则。若患者处于心绞痛的发作期,表现为邪实偏盛,血脉不通之标实证,当以祛邪疏通为要,针对性地采用行气活血、化痰祛湿、散寒通脉、通腑降浊等治疗,在患者心绞痛得到缓解的阶段,则以益气、温阳、滋阴等治本之法为主。
Angina pectoris of coronary heart disease belongs to the category of chest dostruction and heartache in Chinese medicine.Its basic pathogenesis is“weak pulse at Yang but stringy pulse at Yin”.That is various reasons lead to the Yang deficiency in the chest,which can′t warm and promote the blood flow,at the same time,cold,retention of phlegm and fluid or other pathogen of Yin nature invade the body during the deficiency so as to the heart vessel blocked.In the treatment of angina pectoris,professor Li emphasized on protecting Yang and promoting blood circulation.Meanwhile,it should be treated with dispersing cold,regulating Qi,resolving phlegm and clearing heat according to the patient′s disease causes and clinical manifestations.In this paper,professor Li′s clinical experience in treatment of angina pectoris are summarized as replenishing Qi and activating blood,warming Yang and activating blood,promoting Qi to activate blood,dispersing cold and promoting blood circulation,promoting blood and eliminating sputum,heat-clearing and detoxicating,nourishing Yin and promoting blood circulation.
作者
田盼盼
吴晓博
赵薇
李军
TIAN Pan-pan;WU Xiao-bo;ZHAO Wei;LI Jun(Beijing University of Chinese Medicine,Beijing 100029;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 10053)
出处
《世界中西医结合杂志》
2021年第2期270-273,共4页
World Journal of Integrated Traditional and Western Medicine
基金
国家自然科学基金(81973836)
首都卫生发展科研专项重点攻关项目(2020-1-4151)。
关键词
冠心病
心绞痛
胸痹
临床经验
Coronary Heart Disease
Angina Pectoris
Chest Obstruction
Clinical Experience
