痰瘀兼化:冠心病病机新论及临床应用
|
摘要
胡镜清教授临证注重诊病知理、辨证识机,并在总结古代理论与当代诸多医家冠心病诊治思想的基础上,借鉴刘完素病邪兼化论,提出冠心病的基本病机为"痰瘀兼化",即痰瘀互结贯穿始终,早期"湿化",活动期"热化",后期"虚化",并以此为总纲统领冠心病之诊治。今从理法方药等角度对其冠心病的临证诊疗经验进行系统总结。
Professor HU Jing-qing pays attention to pathology and pathogenesis of disease while syndrome differentiation. On the basis of summarizing the ancient theory and the thoughts of many doctors ' coronary heart disease diagnosis and treatment,he draws on LIU Wansu's theory of "the Accompany and transformation of Pathogen",and puts forward that the basic pathogenesis of coronary heart disease is "the Accompany and transformation of phlegm and Blood stasis",and it exists the whole process of coronary heart disease. Early"dampness","heating"during the activity period,"deficiency"in the later period,and taking this as the general guideline for the diagnosis and treatment of coronary heart disease. This article summarizes the clinical experience of HU's treatment of coronary heart disease from the perspective of principle-method-recipe-medicines.
Professor HU Jing-qing pays attention to pathology and pathogenesis of disease while syndrome differentiation. On the basis of summarizing the ancient theory and the thoughts of many doctors ' coronary heart disease diagnosis and treatment,he draws on LIU Wansu's theory of "the Accompany and transformation of Pathogen",and puts forward that the basic pathogenesis of coronary heart disease is "the Accompany and transformation of phlegm and Blood stasis",and it exists the whole process of coronary heart disease. Early"dampness","heating"during the activity period,"deficiency"in the later period,and taking this as the general guideline for the diagnosis and treatment of coronary heart disease. This article summarizes the clinical experience of HU's treatment of coronary heart disease from the perspective of principle-method-recipe-medicines.
引文
[1]胡镜清.病机兼化理论框架下的冠心病病机解析[J].中国中医基础医学杂志,2017,23(1):4-7.
[2]卢红蓉,胡镜清.“瘀血”与“血瘀”辨析[J].中华中医药杂志,2017,32(2):426-428.
[3]陈可冀.血瘀证与活血化瘀治疗的研究[J].中国中医药现代远程教育,2005,3(11):10-12.
[4]原雪,李福凤,王忆勤.湿邪与冠心病的关系[J].中华中医药学刊,2013,31(3):499-500.
[5]胡镜清.国医大师路志正临证精要[M].北京:人民卫生出版社,2017:7.
[6]吴伟,李俊哲,李荣,等.从刘完素“寒凉派”学术思想思考冠心病热毒病机[C].长春:中华中医药学会心病分会第十次全国中医心病学术年会暨吉林省中医药学会心病第二次学术会议论文精选,2008:4.
[7]刘爱军.炎症在冠心病发生发展过程中的作用[J].中西医结合心脑血管病杂志,2009,7(9):1082-1083.
[8]梁月华.寒热本质研究的进展[J].中医杂志,1988,29(2):63-65.
[9]陈小野,屈伸,邵晶晶,等.冠心病:一直被忽视的热证[J].中国中医基础医学杂志,2015,21(5):489-493.
[10]张军平,吕仕超.从外科治疗痈的理念探讨动脉粥样硬化疾病的治疗[J].中华中医药杂志,2011,26(3):557-560.
[2]卢红蓉,胡镜清.“瘀血”与“血瘀”辨析[J].中华中医药杂志,2017,32(2):426-428.
[3]陈可冀.血瘀证与活血化瘀治疗的研究[J].中国中医药现代远程教育,2005,3(11):10-12.
[4]原雪,李福凤,王忆勤.湿邪与冠心病的关系[J].中华中医药学刊,2013,31(3):499-500.
[5]胡镜清.国医大师路志正临证精要[M].北京:人民卫生出版社,2017:7.
[6]吴伟,李俊哲,李荣,等.从刘完素“寒凉派”学术思想思考冠心病热毒病机[C].长春:中华中医药学会心病分会第十次全国中医心病学术年会暨吉林省中医药学会心病第二次学术会议论文精选,2008:4.
[7]刘爱军.炎症在冠心病发生发展过程中的作用[J].中西医结合心脑血管病杂志,2009,7(9):1082-1083.
[8]梁月华.寒热本质研究的进展[J].中医杂志,1988,29(2):63-65.
[9]陈小野,屈伸,邵晶晶,等.冠心病:一直被忽视的热证[J].中国中医基础医学杂志,2015,21(5):489-493.
[10]张军平,吕仕超.从外科治疗痈的理念探讨动脉粥样硬化疾病的治疗[J].中华中医药杂志,2011,26(3):557-560.