摘要
本文基于虚、瘀、毒病机理论,结合现代病理学研究,探讨了心肌梗死后心衰的病理机制,提出心气亏虚为根本、瘀血痹阻是枢纽、毒伤心体是关键的病机特点。虚、瘀、毒三者,互为因果,恶性循环,导致病情繁杂,进展迅速。临证时,应做到未病先防,既病防变。心衰未成之时,采用益气活血、托毒生肌,化浊解毒、清心通脉等治法;心衰已成之时,运用温阳活血、利水解毒,滋阴益气、利水解毒等治法。充分发挥中医药独特优势,改善患者预后。
Based on the pathogenesis theory of "deficiency,blood stasis and toxin",combined with modern medical pathology research,this paper discusses the pathological mechanism of heart failure after myocardial infarction,and puts forward the pathogenesis characteristics of heart qi deficiency as the root,blood stasis and blockage as the hub,and poison and heartburn body as the key.The three factors including deficiency,blood stasis and toxin are mutually causal and vicious circle.To prevent disease from changing,we should use the methods of invigorating qi and activating blood circulation,supporting toxin and promoting muscle growth,etc.When the heart failure is achieved,we should use the methods of warming yang and activating blood circulation,promoting water and detoxification.Above therapies give full play to the unique advantages of traditional Chinese medicine to improve the prognosis of patients.
作者
任高灿
刘锦
高风
张宏伟
王亦菲
马晓昌
Ren Gaocan;Liu Jin;Gao Feng;Zhang Hongwei;Wang Yifei;Ma Xiaochang(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处
《中国中医急症》
2023年第11期1963-1966,1969,共5页
Journal of Emergency in Traditional Chinese Medicine
基金
国家重点研发计划项目(2018YFC1707404)
首都特色应用研究(Z181100001718128)。
关键词
心肌梗死
心衰
病机
虚
瘀
毒
Miocardial infarction
Heart failure
Pathogenesis
Deficiency
Blood stasis
Toxin
