李果烈补心运脾和化痰逐瘀治疗胸痹经验
|
摘要
李果烈教授认为胸痹的病机为本虚标实,同时各有侧重,本虚尤重心脾,标实尤重痰瘀。临床治疗以补心运脾、化痰逐瘀为大法,同时随症灵活加减用药,重视生活调摄。中药采用黄芪、太子参、麦冬配合陈皮、半夏、白术以心脾同调,正气得复;瓜蒌皮、瓜蒌仁配合丹参、川芎以痰瘀同治,浊邪得消。
Professor LI Guo-Lie believes that the pathogenesis of chest Qi-blockage is characterized by deficiencyin the origin and excess in the superficiality, deficiency in the origin showing as deficiency of both heart andspleen, and excess in the superficiality showing as stagnation of phlegm and blood-stasis. The therapeuticprinciples are tonifying heart and regulating spleen, resolving phlegm and removing blood-stasis, andmodification of herbs is necessary for the accompanying symptoms and signs. Meanwhile,well management of dailylife is also vital for the prevention and treatment of chest Qi-blockage. The commonly-used herbs for simultaneousmodulation of heart-spleen to restore the healthy Qi prescribed by Professor LI are Radix Astragali, RadixPseudostellariae and Radix Ophiopogonis, assistant by Pericarpium Citri Reticulatae, Rhizoma Pinelliae and Rhizoma Atractylodis Macrocephalae. And the common-used herbs for simultaneous treatment of phlegm and bloodstasis to resolve the turbidity are Pericarpium Trichosanthis and Fructus Trichosanthis,assistant by Radix SalviaeMiltiorrhizae and Rhizoma Chuanxiong.
Professor LI Guo-Lie believes that the pathogenesis of chest Qi-blockage is characterized by deficiencyin the origin and excess in the superficiality, deficiency in the origin showing as deficiency of both heart andspleen, and excess in the superficiality showing as stagnation of phlegm and blood-stasis. The therapeuticprinciples are tonifying heart and regulating spleen, resolving phlegm and removing blood-stasis, andmodification of herbs is necessary for the accompanying symptoms and signs. Meanwhile,well management of dailylife is also vital for the prevention and treatment of chest Qi-blockage. The commonly-used herbs for simultaneousmodulation of heart-spleen to restore the healthy Qi prescribed by Professor LI are Radix Astragali, RadixPseudostellariae and Radix Ophiopogonis, assistant by Pericarpium Citri Reticulatae, Rhizoma Pinelliae and Rhizoma Atractylodis Macrocephalae. And the common-used herbs for simultaneous treatment of phlegm and bloodstasis to resolve the turbidity are Pericarpium Trichosanthis and Fructus Trichosanthis,assistant by Radix SalviaeMiltiorrhizae and Rhizoma Chuanxiong.
引文
[1]吴勉华,王新月.中医内科学[M]. 3版.北京:中国中医药出版社,2012:134.
[2] Kelly B B, Narula J, Fuster V. Recognizing global burden of cardiovascular disease and related chronic diseases[J]. Mt Sinai J Med, 2012, 79(6):632.
[3]汪静.李果烈教授从脾论治胸痹[J].吉林中医药,2013,33(10):994.
[4]孙敬辉,王茹,王培利,等.从情志论治胸痹[J].辽宁中医杂志,2018,45(1):55.
[5]戴启刚,汪受传.乌头赤石脂丸对寒凝胸痹大鼠损伤心肌和血液粘度的作用研究[J].云南中医学院学报,2012,35(4):25.
[6]何蕾.华明珍教授辨治胸痹的学术思想及从痰浊治疗冠心病(稳定型心绞痛)的临床研究[D].济南:山东中医药大学,2015.
[7]李雯.丹红注射液治疗胸痹心血瘀阻、气虚血瘀证临床效果观察[D].南京:南京中医药大学,2014.
[8]黄燕,李果烈.李果烈从痰瘀论治冠心病心绞痛的经验[J].四川中医,2014,32(1):18.
[2] Kelly B B, Narula J, Fuster V. Recognizing global burden of cardiovascular disease and related chronic diseases[J]. Mt Sinai J Med, 2012, 79(6):632.
[3]汪静.李果烈教授从脾论治胸痹[J].吉林中医药,2013,33(10):994.
[4]孙敬辉,王茹,王培利,等.从情志论治胸痹[J].辽宁中医杂志,2018,45(1):55.
[5]戴启刚,汪受传.乌头赤石脂丸对寒凝胸痹大鼠损伤心肌和血液粘度的作用研究[J].云南中医学院学报,2012,35(4):25.
[6]何蕾.华明珍教授辨治胸痹的学术思想及从痰浊治疗冠心病(稳定型心绞痛)的临床研究[D].济南:山东中医药大学,2015.
[7]李雯.丹红注射液治疗胸痹心血瘀阻、气虚血瘀证临床效果观察[D].南京:南京中医药大学,2014.
[8]黄燕,李果烈.李果烈从痰瘀论治冠心病心绞痛的经验[J].四川中医,2014,32(1):18.