冠心病血浊论
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摘要
血浊论是在现代医学影响下提出的中医学的创新性病机。血浊将血的成分异常与循行不畅综合概括,已成为现代诸多疾病的病理基础。结合血浊的概念与形成理论,从"血浊"辨证论治冠心病,关注发病的关键点,强调"治未病";把握发病中间环节与病理产物的关系,体现"整体观念";注重"浊"本质的防治,突出"致病求本"。从血浊辨治冠心病补充完善了中医"胸痹"的辨治思路,契合临床,意义显著。
The theory on blood turbidity is an innovative pathogenesis of blood abnormality in TCM proposed on the influence of modern medicine. Blood turbidity summarizes the abnormality of blood components and retarded blood circulation. It has become the pathological foundation for many diseases at the contemporary age. In association with the concept and theory formation of blood turbidity,in terms of the syndrome differentiation of blood turbidity,coronary heart disease is analyzed. The disease prevention is greatly considered by focusing on the key links in pathogenesis and its relationship with the pathogenic products. This theory embodies the holistic idea and the substance of"turbidity"in disease prevention and it highlights the essence of seeking the root cause of disease in treatment. The differentiation and treatment of coronary heart disease based on the blood turbidity theory supplements the thought on the differentiation of chest bi syndrome in TCM and complies with clinical practice.
The theory on blood turbidity is an innovative pathogenesis of blood abnormality in TCM proposed on the influence of modern medicine. Blood turbidity summarizes the abnormality of blood components and retarded blood circulation. It has become the pathological foundation for many diseases at the contemporary age. In association with the concept and theory formation of blood turbidity,in terms of the syndrome differentiation of blood turbidity,coronary heart disease is analyzed. The disease prevention is greatly considered by focusing on the key links in pathogenesis and its relationship with the pathogenic products. This theory embodies the holistic idea and the substance of"turbidity"in disease prevention and it highlights the essence of seeking the root cause of disease in treatment. The differentiation and treatment of coronary heart disease based on the blood turbidity theory supplements the thought on the differentiation of chest bi syndrome in TCM and complies with clinical practice.
引文
[1]中华中医药学会.中医内科常见病诊疗指南·西医疾病部分[S].北京:中国中医药出版社,2008:47.
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[3]王新陆.关于血浊理论在现代疾病谱系中作用与地位的探讨[J].天津中医药,2011,28(5):355-357.
[4]秦培洁,仝小林,李敏,等.论脾瘅与血浊的关系及其意义[J].江苏中医药,2010,42(4):6-7.
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[7]王中琳.“血浊”病因病机浅谈[J].中国中医药现代远程教育,2009,7(8):81-82.
[8]王兴臣,王新陆.再论血浊的病机和致病特点[J].山东中医杂志,2008,27(11):729-731.
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[11]卢红蓉,杜松.冠心病病因病机理论研究概述[J].环球中医药,2015,8(2):186-189.
[12]崔松,沈梦雯.何立人从“血浊”论治心系疾病释微[J].上海中医药杂志,2012,46(1):21-22.
[13]王栋先.血浊的危险因素及其与疾病的相关性研究[D].济南:山东中医药大学,2009.
[14]曲华,李圣耀,寇娜,等.从血浊角度浅议冠心病防治[J].中国中医药信息杂志,2016,23(4):104-105.
[15]刘传谦.冠心病患者冠状动脉病变程度与中医血浊证的相关性研究[D].济南:山东中医药大学,2015.
[16]李佃贵.中医浊毒论[M].北京:人民卫生出版社,2016:277.
[17]陈宝财,刘坤,霍永利,等.京津冀地区隐匿型冠心病的中医证候学特点分析[J].中国中医急症,2018,27(4):654-656.
[18]马亚兵,高海青.微量元素与动脉粥样硬化[J].国外医学(老年医学分册),2006,27(6):274-279.
[19]安冬青,吴宗贵.动脉粥样硬化中西医结合诊疗专家共识[J].中国全科医学,2017,20(5):507-511.
[20]马艺鑫,张妮,贾连群,等.基于“痰浊血瘀”病机探讨自噬与动脉粥样硬化的关系[J].时珍国医国药,2016,27(9):2240-2242.
[21]陆强.从中医“治未病”———谈中医药在冠心病预防中的重要作用[D].北京:北京中医药大学,2009.
[22]卢素红,姚丽梅,刘瑶,等.基于“脾主运化”理论探讨血浊的转输[J].江西中医药大学学报,2017,29(2):5-7.
[23]刘淑萍,张志芹,刘桂云.浅析降血脂中药的研究进展[J].卫生职业教育,2018,36(6):74-75.
[24]梁芳,谢丽莎,张小军,等.降血糖中药的研究进展[J].海峡药学,2015,27(3):15-17.
[25]车伯琛,王新陆.王新陆教授从血浊入手治疗心悸、胸痹经验[J].天津中医药,2013,30(2):70-71.
[26]王新陆.血浊证的辨证治疗[J].山东中医杂志,2007,26(1):3-5.
[2]赵进喜,庞博.中医学“浊”的涵义及其临床意义[J].中医杂志,2009,50(7):581-584.
[3]王新陆.关于血浊理论在现代疾病谱系中作用与地位的探讨[J].天津中医药,2011,28(5):355-357.
[4]秦培洁,仝小林,李敏,等.论脾瘅与血浊的关系及其意义[J].江苏中医药,2010,42(4):6-7.
[5]王新陆.论血浊与脑病[J].山东中医杂志,2006,25(9):579-582.
[6]王新陆.血浊论[M].北京:中国医药科技出版社,2016.
[7]王中琳.“血浊”病因病机浅谈[J].中国中医药现代远程教育,2009,7(8):81-82.
[8]王兴臣,王新陆.再论血浊的病机和致病特点[J].山东中医杂志,2008,27(11):729-731.
[9]李茹,刘德山.关于血浊的理论浅析[J].江西中医药,2015,46(8):10-11.
[10]毕颖斐,毛静远.浅议冠心病的现代中医病因体系[J].中华中医药杂志,2012,27(11):2940-2943.
[11]卢红蓉,杜松.冠心病病因病机理论研究概述[J].环球中医药,2015,8(2):186-189.
[12]崔松,沈梦雯.何立人从“血浊”论治心系疾病释微[J].上海中医药杂志,2012,46(1):21-22.
[13]王栋先.血浊的危险因素及其与疾病的相关性研究[D].济南:山东中医药大学,2009.
[14]曲华,李圣耀,寇娜,等.从血浊角度浅议冠心病防治[J].中国中医药信息杂志,2016,23(4):104-105.
[15]刘传谦.冠心病患者冠状动脉病变程度与中医血浊证的相关性研究[D].济南:山东中医药大学,2015.
[16]李佃贵.中医浊毒论[M].北京:人民卫生出版社,2016:277.
[17]陈宝财,刘坤,霍永利,等.京津冀地区隐匿型冠心病的中医证候学特点分析[J].中国中医急症,2018,27(4):654-656.
[18]马亚兵,高海青.微量元素与动脉粥样硬化[J].国外医学(老年医学分册),2006,27(6):274-279.
[19]安冬青,吴宗贵.动脉粥样硬化中西医结合诊疗专家共识[J].中国全科医学,2017,20(5):507-511.
[20]马艺鑫,张妮,贾连群,等.基于“痰浊血瘀”病机探讨自噬与动脉粥样硬化的关系[J].时珍国医国药,2016,27(9):2240-2242.
[21]陆强.从中医“治未病”———谈中医药在冠心病预防中的重要作用[D].北京:北京中医药大学,2009.
[22]卢素红,姚丽梅,刘瑶,等.基于“脾主运化”理论探讨血浊的转输[J].江西中医药大学学报,2017,29(2):5-7.
[23]刘淑萍,张志芹,刘桂云.浅析降血脂中药的研究进展[J].卫生职业教育,2018,36(6):74-75.
[24]梁芳,谢丽莎,张小军,等.降血糖中药的研究进展[J].海峡药学,2015,27(3):15-17.
[25]车伯琛,王新陆.王新陆教授从血浊入手治疗心悸、胸痹经验[J].天津中医药,2013,30(2):70-71.
[26]王新陆.血浊证的辨证治疗[J].山东中医杂志,2007,26(1):3-5.