郭维琴治疗慢性心力衰竭经验新思路——肝脾论治
GUO Weiqin's New Experience in Treatment of Chronic Heart Failure-Treatment Liver and Spleen
DOI:10.13192/j.issn.1000-1719.2021.08.015
扫 描 看 全 文
1.中国中医科学院广安门医院,北京 100053
2.北京中医药大学东直门医院心血管内科,北京 100700
扫 描 看 全 文
张心爱, 赵勇, 郭维琴, 等. 郭维琴治疗慢性心力衰竭经验新思路——肝脾论治[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.08.015
ZHANG Xinai, ZHAO Yong, GUO Weiqin, et al. GUO Weiqin's New Experience in Treatment of Chronic Heart Failure-Treatment Liver and Spleen[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.08.015
张心爱, 赵勇, 郭维琴, 等. 郭维琴治疗慢性心力衰竭经验新思路——肝脾论治[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.08.015 DOI:
ZHANG Xinai, ZHAO Yong, GUO Weiqin, et al. GUO Weiqin's New Experience in Treatment of Chronic Heart Failure-Treatment Liver and Spleen[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.08.015 DOI:
慢性心力衰竭(chronic heart failure,CHF)是指心脏的收缩及舒张功能下降,引起心脏收缩射血和或充盈能力受损,心脏泵血不能满足组织代谢需要的严重疾病,是各种心血管疾病发生发展的终末期阶段,此类患者生存质量差,预后不良,[,1,1,-,2,2,1-2,],。中医药对心衰病有着非常显著的效果,可明显改善心衰病患者的胸闷、憋气、水肿的症状,[,3,3,],。从中医理论角度分析,心衰病其病位在心,涉及肝脾肺肾。郭维琴教授认为当代人饮食不节、嗜食肥甘厚味损伤脾胃,或者工作压力大、情志焦虑抑郁致情志郁结,二者共同致病,导致心衰病,总属本虚标实、寒热错杂之症。此类患者生存质量低,预后差,因此在治疗过程中郭维琴教授针对该病复杂病因病机,主张在治疗心力衰竭应当在益气活血利水的基础上,从肝脾论治,以疏肝健脾、益气活血、温阳利水为治疗大法,临床每获良效。
Chronic heart failure (CHF) refers to a severe disease in which the systolic and diastolic functions of the heart decline, resulting in impaired cardiac systolic ejection and/or filling capacity, and the heart cannot pump blood to meet the needs of tissue metabolism. It is the terminal stage of the occurrence and development of various cardiovascular diseases. Such patients have poor quality of life and poor prognosis. Traditional Chinese medicine has a very significant effect on heart failure, and can significantly improve the symptoms of chest tightness, suffocation and edema in patients with heart failure. From the perspective of traditional Chinese medicine theory, heart failure is located in the heart, involving the liver, spleen, lungs and kidneys. Professor GUO Weiqin believes that contemporary people's improper diet, eating fat and sweet taste damage the spleen and stomach, or work pressure, emotional anxiety and depression lead to emotional depression. All can cause heart failure, which is always a disease of deficiency origin and excess standard and mixed cold and heat. The quality of life of such patients is low, and the prognosis is poor. Therefore, in the treatment process, Professor GUO Weiqin, aiming at the complex etiology and pathogenesis of the disease, advocates that in the treatment of heart failure, we should treat it from liver and spleen on the basis of supplementing Qi, activating blood circulation and promoting diuresis, and take soothing liver and strengthening spleen, supplementing Qi, activating blood circulation and warming Yang and promoting urination as the main treatment methods, with good clinical results.
心力衰竭经验总结郭维琴肝脾论治
heart failureexperience summaryGUO Weiqintreatment from liver and spleen
MURPHY S P, IBRAHIM N E, JrJANUZZI J L. Heart Failure With Reduced Ejection Fraction: A Review[J]. JAMA, 2020, 324(5): 488-504.
OGAWA A, SHIMIZU K, NAKAGAMIT , et al. Physical Function and Cardio-Ankle Vascular Index in Elderly Heart Failure Patients[J]. Int Heart J, 2020, 61(4): 769-775.
赵勇, 周笑允, 常佩芬. 郭维琴教授辨病论治冠心病心力衰竭临床经验介绍[J]. 现代中医临床, 2016, 23(5): 11-13.
解琳莉, 赵勇, 张为, 等. 从气、血、水关系探析心水之病机与治疗[J]. 中华中医药杂志, 2012, 27(8): 2113-2115.
王锦, 陈秀琴. 浅述肝胆与脾胃的关系及肝脾同治[J]. 陕西中医, 2012, 33(2): 203-204.
李戈媛, 陈亚娇, 刘丽芳, 等. 从肝脾论治肺心病心衰浅探[J]. 科学技术创新, 2017(24): 92-93.
张明雪, 刘硕, 常艳鹏. 冠心病合并心衰证候演变规律[J]. 中国老年学杂志, 2015, 35(6): 1457-1458.
肖珉, 刘玉庆, 郝锦红, 等. 中医治疗心力衰竭认识及验案分析[J]. 世界中医药, 201, 6(6): 495-496.
唐虹. 吴新欲主任医师调理肝脾治疗冠心病经验[J]. 中医研究, 2010, 23(12): 54-55.
冯勇, 张蕴慧. 浅谈从肝脾论治冠心病心绞痛[J]. 云南中医中药杂志, 2015, 36(3): 104-105.
欧莉君, 张忠, 李根, 等. 从肝脾论治冠心病血脂异常32例临床观察[J]. 湖南中医药大学学报, 2016, 40(A02): 972-972.
何美娟, 刘中勇. 从肝脾论治冠心病[J]. 中西医结合心血管病电子杂志, 2018, 6(27): 159, 162.
林莉娟, 张金付. 从肝脾论治诸湿肿满的临证分析[J]. 中国中医药现代远程教育, 2019, 17(11): 31-32+52.
朱林平, 李侠, 张红霞, 等. 心脾(胃)相关及健脾和胃法论治慢性心力衰竭[J]. 中医药临床杂志, 2016, 28(10): 1379-1381.
秦佳枫. 健脾活血方治疗慢性充血性心力衰竭C期(气虚血瘀型)的临床研究[J]. 中医药导报, 2017, 23(24): 88-89, 95.
朱文秀, 高坤, 汤献文. 浅谈郭维琴教授分期治疗心力衰竭的临床经验[J]. 中西医结合心脑血管病杂志, 2019, 17(6): 948-949.
陈银春, 李玉峰, 郝锦红, 等. 心力衰竭合剂对慢性心力衰竭患者心脏功能及生活质量影响研究[J]. 世界中医药, 2016, 11(1): 49-51, 54.
张莹, 秦建国, 王亚红, 等. 心康合剂治疗慢性充血性心力衰竭临床疗效观察[J]. 中华中医药学刊, 2007, 25(9): 1886-1887.
GHEORGHIADE M, VADUGANATHAN M, FONAROW GC, et al. Rehospitalization for heart failure: problems and perspectives[J]. J Am Coll Cardiol, 2013, 61(4): 391-403.
陈广坤, 钱会南, 张金超, 等. “肝脾同治”为《金匮要略》治疗杂病理论的核心[J]. 中医学报, 2015, 30(2): 196-198.
0
浏览量
2
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构