刘永业治疗冠心病心绞痛经验
Experience of Liu Yongye in Treating Angina Pectoris
DOI:10.16368/j.issn.1674-8999.2020.02.072
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1.河南中医药大学第三附属医院,河南 郑州 450008
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范立华. 刘永业治疗冠心病心绞痛经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2020.02.072
FAN Lihua. Experience of Liu Yongye in Treating Angina Pectoris[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2020.02.072
范立华. 刘永业治疗冠心病心绞痛经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2020.02.072 DOI:
FAN Lihua. Experience of Liu Yongye in Treating Angina Pectoris[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2020.02.072 DOI:
冠状动脉粥样硬化性心脏病(简称冠心病)心绞痛属于“胸痹心痛病”范畴,病位在心,涉及肝、脾、肺、肾。与脾胃关系最为密切,为本虚标实之证。基本病机为气血阴阳亏损,痰瘀互结心脉。临证时重视痰瘀致病论,痰瘀日久,必会生郁化热。用药时刻固护脾胃,在辨证的基础上合用二陈汤、四君子汤、乌贝散等。倡导祛痰活血,喜用瓜蒌薤白半夏汤合丹参饮加味,并重用补气药物。巧用解郁清热药物,如檀香、郁金、黄芩、白花蛇舌草、虎杖等。重视风类药物,将风类药分为平肝熄风、活血祛风、养血熄风、辛散祛风4类,根据患者发病不同特点临证选用。
Coronary atherosclerotic heart disease (referred to as coronary heart disease) angina pectoris belongs to the category of heart pain due to chest Bi Syndrome, and the disease is located in the heart, involving the Liver, Spleen, Lung, and Kidney. It is the most closely related to the Spleen and Stomach, belonging to the syndrome of inner deficiency yet outer excessiveness. The basic pathogenesis is the deficiency of Qi and Blood of Five Zang and the deficiency of Yin and Yang, which leads to the Phlegm and stasis stagnating in Heart meridian. Professor Liu Yongye attaches great importance to the theory of Phlegm and Blood stasis during clinical trials and he thinks that Phlegm and Blood stasis would cause depression and Heat. Therefore, Spleen and Stomach should be protected, and prescriptions such as Erchen Decoction, Sijunzi Decoction, Wubei Powder can be used on the basis of syndrome differentiation. Besides, dispelling Phlegm and promoting blood circulation should be carried out, and prescriptions like Gualou Xiebai Banxia Decoction and modified Danshen Drink can be used, with drugs functioning in tonifying Qi being added in big dose. In addition, drugs functioning in dispelling melancholy and clearing Heat, such as Tanxiang (sandalwood), Yujin (turmeric), Huangqin (scutellaria), Baihuasheshecao (Hedyotis diffusa), Huzhang (Polygonum cuspidatum) and so on, should be used accordingly. Lastly, great importance should be attached to drugs functioning in dispeling Wind, which are categorized into the followings: Pinggan Xifeng, Huoxue Qufeng, Yangxue Qufeng, Xinsan Qufeng, which can be chosen in clinical practice according to the different characteristics of patients with clinical evidence.
冠心病心绞痛痰瘀致病郁热固护脾胃祛痰活血解郁清热刘永业
angina pectorisPhlegm and Blood stasis inducing diseasestagnation Heatprotecting Spleen and Stomachdispelling Phlegm and activating Blood circulationdispelling melancholy and clearing HeatLiu Yongye
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