史载祥教授辨治介入术后心绞痛气陷血瘀证临床经验

张展林; 尹鑫; 郭力恒

doi:10.14148/j.issn.1672-0482.2019.0221

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史载祥教授辨治介入术后心绞痛气陷血瘀证临床经验

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史载祥教授辨治介入术后心绞痛气陷血瘀证临床经验
Professor Shi Zaixiang's Experience in Treating Angina Pectoris with Qi Sinking and Blood Stasis Syndrome After Percutaneous Coronary Intervention
1.广州中医药大学第二临床医学院，广东　广州　510403
2.广州中医药大学第二附属医院，广东　广州　510120
DOI：10.14148/j.issn.1672-0482.2019.0221

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张展林, 尹鑫, 郭力恒. 史载祥教授辨治介入术后心绞痛气陷血瘀证临床经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2019.0221

ZHANG Zhan-lin, YIN Xin, GUO Li-heng. Professor Shi Zaixiang's Experience in Treating Angina Pectoris with Qi Sinking and Blood Stasis Syndrome After Percutaneous Coronary Intervention[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2019.0221
张展林, 尹鑫, 郭力恒. 史载祥教授辨治介入术后心绞痛气陷血瘀证临床经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2019.0221 DOI：

ZHANG Zhan-lin, YIN Xin, GUO Li-heng. Professor Shi Zaixiang's Experience in Treating Angina Pectoris with Qi Sinking and Blood Stasis Syndrome After Percutaneous Coronary Intervention[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2019.0221 DOI：

摘要

介绍了史载祥教授辨治经皮冠状动脉介入术后心绞痛气陷血瘀证的临床经验，认为介入术后心绞痛气陷血瘀证的病机为大气下陷，血瘀阻络，辨证关键在于大气下陷，提出以升陷祛瘀法论治，但不可单一补气，更应与升举药同用，以使大气得升而充满胸中，气行血行，通则不痛。

Abstract

This paper introduces Professor Shi Zaixiang's clinical experience in treating angina pectoris after percutaneous coronary intervention (PCI) with qi sinking and blood stasis syndrome. It is believed that the pathogenesis of angina pectoris after PCI with qi sinking and blood stasis syndrome is pectoral qi sinking and blocking collaterals. The key to syndrome differentiation lies in pectoral qi sinking. It is suggested that the treatment should be based on raising the sunken and removing blood stasis. However, it should not only supplement qi, but also be used together with raising drugs, so that the pectoral qi can rise and fill the chest, and the qi can flow through the blood smoothly without pain.

关键词

介入术后心绞痛升陷祛瘀史载祥临床经验

Keywords

angina pectoris after PCIascending depression and removing blood stasisShi Zaixiangclinical experience

references

ALEXANDER KP, COWPER PA, KEMPF JA, et al. Profile of chronic and recurrent angina pectoris in a referral population [J]. Am J Cardiol, 2008, 102(10): 1301-1306.

褚福永. 不稳定型心绞痛冠脉介入期间证候动态演变及方证相应研究[D]. 北京: 中国中医科学院, 2010.

张仲景. 金匮要略[M]. 北京: 人民卫生出版社, 2005: 31.

张锡纯. 重订医学衷中参西录[M]. 北京: 人民卫生出版社, 2006: 119,319.

灵枢经[M]. 北京: 人民卫生出版社, 2012: 127.

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