焦虑状态常与心血管系统疾病同时发生,对患者的生活质量与身心健康都造成了严重影响。本文通过对相关文献的综合分析,发现中医药在缓解心绞痛症状、改善焦虑状态及提高患者生活质量方面具有显著疗效,且具有不良反应少、综合调理等优势...焦虑状态常与心血管系统疾病同时发生,对患者的生活质量与身心健康都造成了严重影响。本文通过对相关文献的综合分析,发现中医药在缓解心绞痛症状、改善焦虑状态及提高患者生活质量方面具有显著疗效,且具有不良反应少、综合调理等优势。稳定型心绞痛伴焦虑状态的中医病因病机主要为心脉痹阻、气血亏虚、肝郁气滞、心肾不交。临床中医药治疗稳定型心绞痛伴焦虑状态的方法包括药物治疗和非药物治疗。药物包括单味中药、中药组方、中成药;非药物治疗包括针灸疗法、推拿按摩法、刮痧疗法、中药穴位敷贴及耳穴贴压法等。Anxiety state often occurs simultaneously with cardiovascular diseases, causing serious impacts on patients’ quality of life and physical and mental health. In this paper, through comprehensive analysis of relevant literature, it was found that traditional Chinese medicine has significant therapeutic effects in relieving angina symptoms, improving anxiety status, and enhancing patients’ quality of life. It also has advantages such as fewer adverse reactions and comprehensive regulation. The traditional Chinese medicine etiology and pathogenesis of stable angina pectoris with anxiety state mainly include obstruction of the heart meridian, deficiency of qi and blood, liver depression and qi stagnation, and heart-kidney dysfunction. The methods of clinical traditional Chinese medicine treatment for stable angina pectoris with anxiety state include drug therapy and non-drug therapy. Medicines include single Chinese medicine, Chinese medicine prescriptions and traditional Chinese patent medicines;non-drug treatment includes acupuncture and moxibustion therapy, massage, scraping therapy, traditional Chinese medicine point application and auricular point application.展开更多
慢性心力衰竭(Chronic heart failure, CHF)出现在心血管疾病发展的严重或晚期阶段,其发病率高、死亡率高、预后差,已成为公共卫生问题。目前药物的长期服用会出现不良反应,而中医基于疾病的不同证型给予不同的治疗方法,在CHF疗效上体...慢性心力衰竭(Chronic heart failure, CHF)出现在心血管疾病发展的严重或晚期阶段,其发病率高、死亡率高、预后差,已成为公共卫生问题。目前药物的长期服用会出现不良反应,而中医基于疾病的不同证型给予不同的治疗方法,在CHF疗效上体现出不可忽视的优势。因此,总结了近几年治疗CHF医家的学术思想,对病因病机、辩证分型以及治疗方法进行归纳,为其他医家治疗该疾病提供诊断思路,促进中医药在临床上的广泛应用。Chronic heart failure (CHF) occurs in the serious or late stage of the development of cardiovascular disease. Its high incidence rate, high mortality and poor prognosis have become a public health problem. At present, long term use of drugs can lead to adverse reactions, and traditional Chinese medicine provides different treatment methods based on the different types of diseases, which demonstrates an undeniable advantage in the efficacy of CHF. Therefore, this article summarizes the academic ideas of medical practitioners in the treatment of CHF in recent years, summarizes the etiology, pathogenesis, dialectical classification, and treatment methods, provides diagnostic ideas for other medical practitioners to treat this disease, and promotes the widespread application of traditional Chinese medicine in clinical practice.展开更多
动脉粥样硬化作为心血管疾病的主要病理基础,其发病机制复杂且多样,涉及脂质代谢异常、炎症反应、遗传及血管内皮损伤等多个方面。近年来,肠道菌群作为人体内部微生态系统的重要组成部分,其在动脉粥样硬化发生发展中的作用逐渐受到广泛...动脉粥样硬化作为心血管疾病的主要病理基础,其发病机制复杂且多样,涉及脂质代谢异常、炎症反应、遗传及血管内皮损伤等多个方面。近年来,肠道菌群作为人体内部微生态系统的重要组成部分,其在动脉粥样硬化发生发展中的作用逐渐受到广泛关注。中医药,作为传统医学的瑰宝,凭借其独特的理论体系和治疗手段,在调节肠道菌群、防治动脉粥样硬化方面展现出了显著的潜力与优势。本文旨在全面综述中医药对肠道菌群与动脉粥样硬化关系的研究进展及治疗现状,探讨其潜在机制与临床应用前景。Atherosclerosis, as the main pathological basis of cardiovascular disease, has a complex and diverse pathogenesis involving abnormal lipid metabolism, inflammatory response, genetics and endothelial damage. In recent years, the role of intestinal flora in the development of atherosclerosis, as an important part of the internal microecosystem of the human body, has received widespread attention. Traditional Chinese medicine (TCM), as a treasure of traditional medicine, has shown remarkable potential and advantages in regulating intestinal flora and preventing atherosclerosis by virtue of its unique theoretical system and therapeutic means. The aim of this paper is to comprehensively review the research progress and treatment status of TCM on the relationship between intestinal flora and atherosclerosis, and to explore its potential mechanism and clinical application prospect.展开更多
高血压前期是高血压发展的前期阶段,对其进行有效管理具有重要意义。中医药作为一种传统医学治疗手段,在高血压前期管理中展现出独特优势。中医药能够通过调理体质、改善生活习惯、个性化治疗等方式对高血压前期患者的血压变异性产生积...高血压前期是高血压发展的前期阶段,对其进行有效管理具有重要意义。中医药作为一种传统医学治疗手段,在高血压前期管理中展现出独特优势。中医药能够通过调理体质、改善生活习惯、个性化治疗等方式对高血压前期患者的血压变异性产生积极影响。个体化的中医药治疗方案可以有效调节患者的血压波动,降低心血管事件的风险。此外,中医药的综合疗效和辨证施治理念也为高血压前期管理提供了新的思路和方法。尽管中医药在高血压前期管理中的研究还处于起步阶段,但其在调节血压变异性方面的潜力不容忽视。未来的研究应进一步深入探讨中医药在高血压前期管理中的作用机制,为其临床应用提供更多科学依据,推动中医药在高血压前期管理中的发展。Prehypertension is the early stage of the development of hypertension, and its effective management is of great significance. As a traditional medical treatment, traditional Chinese medicine has shown its unique advantages in the management of prehypertension. Through the literature review, it is found that traditional Chinese medicine can positively influence the blood pressure variability of patients with prehypertension by regulating physique, improving living habits and personalized treatment. Individualized TCM treatment regimen can effectively regulate patients’ blood pressure fluctuations and reduce the risk of cardiovascular events. In addition, the comprehensive curative effect of traditional Chinese medicine and the concept of syndrome differentiation also provide new ideas and methods for the management of prehypertension. Although the research of Chinese medicine in the management of prehypertension is still in its infancy, its potential in regulating blood pressure variability cannot be ignored. Future studies should further explore the mechanism of Chinese medicine in the management of prehypertension, provide more scientific basis for its clinical application, and promote the development of Chinese medicine in the management of prehypertension.展开更多
心悸是中医一种疾病综合征的名称,病人往往表现为心脏节律不齐以及心跳加快等。心悸可以在心脏正常活动下产生,也可因罹患某些疾病而产生。诱发心悸的原因比较多,中医多认为心悸的发生与病人饮食不佳、体质偏弱、受外邪侵袭以及情志失...心悸是中医一种疾病综合征的名称,病人往往表现为心脏节律不齐以及心跳加快等。心悸可以在心脏正常活动下产生,也可因罹患某些疾病而产生。诱发心悸的原因比较多,中医多认为心悸的发生与病人饮食不佳、体质偏弱、受外邪侵袭以及情志失调等密切相关。而心脏主血脉,是人体重要的器官组织之一。如果任由疾病的发展,那么会给病人的身心带来巨大伤害。中医治疗心悸病人时根据其不同证型实施辨证治疗,且可避免常规西医的治疗弊端,积极改善心悸病人的转归与预后。本文将综述心悸病人的病因病机、辨证论治方法以及治疗效果等。Palpitation is the name of a disease syndrome in traditional Chinese medicine. Patients often present with irregular heart rhythms and rapid heartbeat. Palpitations can occur with the normal movement of the heart or from certain diseases. There are many causes of palpitations. Traditional Chinese medicine believes that the occurrence of palpitations is closely related to patients’ poor diet, weak constitution, invasion by external evil and emotional disorders. The heart’s main blood vessel is one of the important organs and tissues of the human body. If the disease is allowed to develop, then it will bring great harm to the patient’s body and mind. When treating patients with palpitation in traditional Chinese medicine, syndrome differentiation is treated according to their different syndrome types, which can avoid the disadvantages of conventional Western medicine treatment, and actively improve the outcome and prognosis of patients with palpitation. This paper will review the etiology and pathogenesis, dialectical treatment methods and treatment effect of palpitation patients.展开更多
探讨阐明上下交病、病证纷繁、盘根错结之证,当注重整体、探明病机,治疗慢性心力衰竭从阳虚水泛证,以叶天士《临证指南医案·吐血》中的“上下交病,治在中焦”理论,阐明上下交病的理论基础,以及治中焦在疾病治疗中的重要意义,探讨...探讨阐明上下交病、病证纷繁、盘根错结之证,当注重整体、探明病机,治疗慢性心力衰竭从阳虚水泛证,以叶天士《临证指南医案·吐血》中的“上下交病,治在中焦”理论,阐明上下交病的理论基础,以及治中焦在疾病治疗中的重要意义,探讨温阳利水方治疗阳虚水泛证慢性心力衰竭的临床疗效。中焦脾胃作为后天之本,治疗上当注意顾护脾胃,对于人体气血津液的运化有着重要作用。“上下交损,当治其中”上治心衰气虚及心阳虚之面浮神疲乏力,口唇发绀,下肾阳虚水泛之水湿泛滥而肢肿尿少,中治水饮内停之腹胀纳呆,血津外泄。深入探究益气升阳法对于慢性心力衰竭的治疗作用。This article explores and elucidates the syndrome of upper and lower junction disease, complex disease syndromes, and tangled roots. It is important to pay attention to the overall situation and explore the pathogenesis in the treatment of chronic heart failure from the perspective of Yang deficiency and water flooding syndrome. Using the theory of “upper and lower junction disease, treated in the middle jiao” in Ye Tianshi’s “Clinical Guidelines for Medical Cases: Vomiting Blood”, the theoretical basis of upper and lower junction disease is explained, as well as the important significance of treating the middle jiao in disease treatment. The clinical efficacy of Wenyang Lishui Formula in treating chronic heart failure with Yang deficiency and water flooding syndrome is discussed. As the foundation of postnatal development, the spleen and stomach in the middle burner should be taken care of during treatment, which plays an important role in the circulation of qi, blood, and body fluids in the human body. The upper and lower joints are damaged, and it should be treated accordingly. The upper part treats heart failure, qi deficiency, and heart yang deficiency, causing fatigue and weakness, cyanosis of the mouth and lips, and the lower part of the kidney yang deficiency with excessive water and dampness, resulting in swollen limbs and less urine. The middle part treats bloating and stagnation caused by stopping drinking water, leading to blood leakage to in-depth investigate the therapeutic effects of the qi and yang promotion method for chronic heart failure.展开更多
动脉粥样硬化是许多严重心血管疾病的基本病理状态,以脂代谢障碍为特征。铁死亡是一种新的程序性细胞死亡方式,主要由铁依赖性脂质过氧化物介导。铁死亡参与许多疾病的病理过程,包括癌症、创伤性脑损伤、神经退行性疾病以及多种心血管...动脉粥样硬化是许多严重心血管疾病的基本病理状态,以脂代谢障碍为特征。铁死亡是一种新的程序性细胞死亡方式,主要由铁依赖性脂质过氧化物介导。铁死亡参与许多疾病的病理过程,包括癌症、创伤性脑损伤、神经退行性疾病以及多种心血管疾病。近年来,大量的研究表明铁死亡是动脉粥样硬化病变进展的关键因素,本文论述了铁死亡的机制以及铁死亡在血管内皮功能障碍、巨噬细胞极化、泡沫细胞形成、血管平滑肌增殖迁移等动脉粥样硬化病理过程中的作用,并总结了多种可以抑制铁死亡治疗动脉粥样硬化的相关研究进展,意在为以铁死亡为靶点的动脉粥样硬化的防治提供思路。Atherosclerosis is the underlying pathological state of many serious cardiovascular diseases and is characterized by impaired lipid metabolism. Ferroptosis is a new mode of programmed cell death mediated primarily by iron-dependent lipid peroxidation. Ferroptosis residues the pathologic processes of many diseases, including cancer, traumatic brain injury, neurodegenerative diseases, and many cardiovascular diseases. In recent years, a large number of studies have shown that ferroptosis is a key factor in the progression of atherosclerotic lesions. This article discusses the mechanism of ferroptosis and the role of ferroptosis in atherosclerotic pathological processes, such as vascular endothelial dysfunction, macrophage polarization, foam cell formation, and proliferation and migration of vascular smooth muscle. We also summarize the progress of various studies that can inhibit ferroptosis in the treatment of atherosclerosis, with the intention of providing ideas for the prevention and treatment of atherosclerosis targeting ferroptosis.展开更多
文摘焦虑状态常与心血管系统疾病同时发生,对患者的生活质量与身心健康都造成了严重影响。本文通过对相关文献的综合分析,发现中医药在缓解心绞痛症状、改善焦虑状态及提高患者生活质量方面具有显著疗效,且具有不良反应少、综合调理等优势。稳定型心绞痛伴焦虑状态的中医病因病机主要为心脉痹阻、气血亏虚、肝郁气滞、心肾不交。临床中医药治疗稳定型心绞痛伴焦虑状态的方法包括药物治疗和非药物治疗。药物包括单味中药、中药组方、中成药;非药物治疗包括针灸疗法、推拿按摩法、刮痧疗法、中药穴位敷贴及耳穴贴压法等。Anxiety state often occurs simultaneously with cardiovascular diseases, causing serious impacts on patients’ quality of life and physical and mental health. In this paper, through comprehensive analysis of relevant literature, it was found that traditional Chinese medicine has significant therapeutic effects in relieving angina symptoms, improving anxiety status, and enhancing patients’ quality of life. It also has advantages such as fewer adverse reactions and comprehensive regulation. The traditional Chinese medicine etiology and pathogenesis of stable angina pectoris with anxiety state mainly include obstruction of the heart meridian, deficiency of qi and blood, liver depression and qi stagnation, and heart-kidney dysfunction. The methods of clinical traditional Chinese medicine treatment for stable angina pectoris with anxiety state include drug therapy and non-drug therapy. Medicines include single Chinese medicine, Chinese medicine prescriptions and traditional Chinese patent medicines;non-drug treatment includes acupuncture and moxibustion therapy, massage, scraping therapy, traditional Chinese medicine point application and auricular point application.
文摘慢性心力衰竭(Chronic heart failure, CHF)出现在心血管疾病发展的严重或晚期阶段,其发病率高、死亡率高、预后差,已成为公共卫生问题。目前药物的长期服用会出现不良反应,而中医基于疾病的不同证型给予不同的治疗方法,在CHF疗效上体现出不可忽视的优势。因此,总结了近几年治疗CHF医家的学术思想,对病因病机、辩证分型以及治疗方法进行归纳,为其他医家治疗该疾病提供诊断思路,促进中医药在临床上的广泛应用。Chronic heart failure (CHF) occurs in the serious or late stage of the development of cardiovascular disease. Its high incidence rate, high mortality and poor prognosis have become a public health problem. At present, long term use of drugs can lead to adverse reactions, and traditional Chinese medicine provides different treatment methods based on the different types of diseases, which demonstrates an undeniable advantage in the efficacy of CHF. Therefore, this article summarizes the academic ideas of medical practitioners in the treatment of CHF in recent years, summarizes the etiology, pathogenesis, dialectical classification, and treatment methods, provides diagnostic ideas for other medical practitioners to treat this disease, and promotes the widespread application of traditional Chinese medicine in clinical practice.
文摘动脉粥样硬化作为心血管疾病的主要病理基础,其发病机制复杂且多样,涉及脂质代谢异常、炎症反应、遗传及血管内皮损伤等多个方面。近年来,肠道菌群作为人体内部微生态系统的重要组成部分,其在动脉粥样硬化发生发展中的作用逐渐受到广泛关注。中医药,作为传统医学的瑰宝,凭借其独特的理论体系和治疗手段,在调节肠道菌群、防治动脉粥样硬化方面展现出了显著的潜力与优势。本文旨在全面综述中医药对肠道菌群与动脉粥样硬化关系的研究进展及治疗现状,探讨其潜在机制与临床应用前景。Atherosclerosis, as the main pathological basis of cardiovascular disease, has a complex and diverse pathogenesis involving abnormal lipid metabolism, inflammatory response, genetics and endothelial damage. In recent years, the role of intestinal flora in the development of atherosclerosis, as an important part of the internal microecosystem of the human body, has received widespread attention. Traditional Chinese medicine (TCM), as a treasure of traditional medicine, has shown remarkable potential and advantages in regulating intestinal flora and preventing atherosclerosis by virtue of its unique theoretical system and therapeutic means. The aim of this paper is to comprehensively review the research progress and treatment status of TCM on the relationship between intestinal flora and atherosclerosis, and to explore its potential mechanism and clinical application prospect.
文摘高血压前期是高血压发展的前期阶段,对其进行有效管理具有重要意义。中医药作为一种传统医学治疗手段,在高血压前期管理中展现出独特优势。中医药能够通过调理体质、改善生活习惯、个性化治疗等方式对高血压前期患者的血压变异性产生积极影响。个体化的中医药治疗方案可以有效调节患者的血压波动,降低心血管事件的风险。此外,中医药的综合疗效和辨证施治理念也为高血压前期管理提供了新的思路和方法。尽管中医药在高血压前期管理中的研究还处于起步阶段,但其在调节血压变异性方面的潜力不容忽视。未来的研究应进一步深入探讨中医药在高血压前期管理中的作用机制,为其临床应用提供更多科学依据,推动中医药在高血压前期管理中的发展。Prehypertension is the early stage of the development of hypertension, and its effective management is of great significance. As a traditional medical treatment, traditional Chinese medicine has shown its unique advantages in the management of prehypertension. Through the literature review, it is found that traditional Chinese medicine can positively influence the blood pressure variability of patients with prehypertension by regulating physique, improving living habits and personalized treatment. Individualized TCM treatment regimen can effectively regulate patients’ blood pressure fluctuations and reduce the risk of cardiovascular events. In addition, the comprehensive curative effect of traditional Chinese medicine and the concept of syndrome differentiation also provide new ideas and methods for the management of prehypertension. Although the research of Chinese medicine in the management of prehypertension is still in its infancy, its potential in regulating blood pressure variability cannot be ignored. Future studies should further explore the mechanism of Chinese medicine in the management of prehypertension, provide more scientific basis for its clinical application, and promote the development of Chinese medicine in the management of prehypertension.
文摘心悸是中医一种疾病综合征的名称,病人往往表现为心脏节律不齐以及心跳加快等。心悸可以在心脏正常活动下产生,也可因罹患某些疾病而产生。诱发心悸的原因比较多,中医多认为心悸的发生与病人饮食不佳、体质偏弱、受外邪侵袭以及情志失调等密切相关。而心脏主血脉,是人体重要的器官组织之一。如果任由疾病的发展,那么会给病人的身心带来巨大伤害。中医治疗心悸病人时根据其不同证型实施辨证治疗,且可避免常规西医的治疗弊端,积极改善心悸病人的转归与预后。本文将综述心悸病人的病因病机、辨证论治方法以及治疗效果等。Palpitation is the name of a disease syndrome in traditional Chinese medicine. Patients often present with irregular heart rhythms and rapid heartbeat. Palpitations can occur with the normal movement of the heart or from certain diseases. There are many causes of palpitations. Traditional Chinese medicine believes that the occurrence of palpitations is closely related to patients’ poor diet, weak constitution, invasion by external evil and emotional disorders. The heart’s main blood vessel is one of the important organs and tissues of the human body. If the disease is allowed to develop, then it will bring great harm to the patient’s body and mind. When treating patients with palpitation in traditional Chinese medicine, syndrome differentiation is treated according to their different syndrome types, which can avoid the disadvantages of conventional Western medicine treatment, and actively improve the outcome and prognosis of patients with palpitation. This paper will review the etiology and pathogenesis, dialectical treatment methods and treatment effect of palpitation patients.
文摘探讨阐明上下交病、病证纷繁、盘根错结之证,当注重整体、探明病机,治疗慢性心力衰竭从阳虚水泛证,以叶天士《临证指南医案·吐血》中的“上下交病,治在中焦”理论,阐明上下交病的理论基础,以及治中焦在疾病治疗中的重要意义,探讨温阳利水方治疗阳虚水泛证慢性心力衰竭的临床疗效。中焦脾胃作为后天之本,治疗上当注意顾护脾胃,对于人体气血津液的运化有着重要作用。“上下交损,当治其中”上治心衰气虚及心阳虚之面浮神疲乏力,口唇发绀,下肾阳虚水泛之水湿泛滥而肢肿尿少,中治水饮内停之腹胀纳呆,血津外泄。深入探究益气升阳法对于慢性心力衰竭的治疗作用。This article explores and elucidates the syndrome of upper and lower junction disease, complex disease syndromes, and tangled roots. It is important to pay attention to the overall situation and explore the pathogenesis in the treatment of chronic heart failure from the perspective of Yang deficiency and water flooding syndrome. Using the theory of “upper and lower junction disease, treated in the middle jiao” in Ye Tianshi’s “Clinical Guidelines for Medical Cases: Vomiting Blood”, the theoretical basis of upper and lower junction disease is explained, as well as the important significance of treating the middle jiao in disease treatment. The clinical efficacy of Wenyang Lishui Formula in treating chronic heart failure with Yang deficiency and water flooding syndrome is discussed. As the foundation of postnatal development, the spleen and stomach in the middle burner should be taken care of during treatment, which plays an important role in the circulation of qi, blood, and body fluids in the human body. The upper and lower joints are damaged, and it should be treated accordingly. The upper part treats heart failure, qi deficiency, and heart yang deficiency, causing fatigue and weakness, cyanosis of the mouth and lips, and the lower part of the kidney yang deficiency with excessive water and dampness, resulting in swollen limbs and less urine. The middle part treats bloating and stagnation caused by stopping drinking water, leading to blood leakage to in-depth investigate the therapeutic effects of the qi and yang promotion method for chronic heart failure.
文摘动脉粥样硬化是许多严重心血管疾病的基本病理状态,以脂代谢障碍为特征。铁死亡是一种新的程序性细胞死亡方式,主要由铁依赖性脂质过氧化物介导。铁死亡参与许多疾病的病理过程,包括癌症、创伤性脑损伤、神经退行性疾病以及多种心血管疾病。近年来,大量的研究表明铁死亡是动脉粥样硬化病变进展的关键因素,本文论述了铁死亡的机制以及铁死亡在血管内皮功能障碍、巨噬细胞极化、泡沫细胞形成、血管平滑肌增殖迁移等动脉粥样硬化病理过程中的作用,并总结了多种可以抑制铁死亡治疗动脉粥样硬化的相关研究进展,意在为以铁死亡为靶点的动脉粥样硬化的防治提供思路。Atherosclerosis is the underlying pathological state of many serious cardiovascular diseases and is characterized by impaired lipid metabolism. Ferroptosis is a new mode of programmed cell death mediated primarily by iron-dependent lipid peroxidation. Ferroptosis residues the pathologic processes of many diseases, including cancer, traumatic brain injury, neurodegenerative diseases, and many cardiovascular diseases. In recent years, a large number of studies have shown that ferroptosis is a key factor in the progression of atherosclerotic lesions. This article discusses the mechanism of ferroptosis and the role of ferroptosis in atherosclerotic pathological processes, such as vascular endothelial dysfunction, macrophage polarization, foam cell formation, and proliferation and migration of vascular smooth muscle. We also summarize the progress of various studies that can inhibit ferroptosis in the treatment of atherosclerosis, with the intention of providing ideas for the prevention and treatment of atherosclerosis targeting ferroptosis.