《肘后备急方》温法治疗冠心病不稳定性心绞痛思考
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摘要
《肘后备急方》作为古代急救的经典书籍,温法应用广泛,尤其在卒心痛、卒腹痛、心腹俱痛、胸痹痛等章节中占有很大比重,在症状方面,冠心病不稳定性心绞痛大抵可与上述疾病相对应,应用温法治疗时,常常取得较为理想的疗效。中医学认为冠心病不稳定性心绞痛是由胸阳不足、外寒入侵或阴寒内生而导致的,故应用温法是不二之选。《肘后备急方》中对温法的应用大致表现在多应用温热类药物、灸法、药物温服、熏洗疗法及罨法等方面,形式多样,温法治疗冠心病不稳定性心绞痛疗效值得肯定。
As a classic book of ancient first aid,Emergency Formulas to Keep Up One's Sleeve provides a treatment plan for the diagnosis and treatment of common emergencies. Throughout the book,warming method is widely used,especially in the chapters of sudden heartache,sudden abdominal pain,pain in the heart and abdomen,chest pain and so on. In terms of symptoms,unstable angina pectoris caused by coronary heart disease(CHD) can generally correspond to the above mentioned diseases. In the application of warming method,the ideal curative effect is often achieved. In the field of traditional Chinese medicine,it is believed that the unstable angina caused by CHD is caused by the deficiency of chest yang,the invasion of external cold or the endogenous yin cold,so the application of warming method is the best choice. The application of warming method in Emergency Formulas to Keep Up One's Sleeve is mainly manifested in the application of Chinese medicine warm and heat in nature,moxibustion,administration of warm decoction,application of fumigation and cataplasm,etc.,with various forms,which is more suitable for clinical use.Single prescription is commonly used,according to the theory of warming method,the effect of warm prescription on unstable angina pectoris is recommended.
As a classic book of ancient first aid,Emergency Formulas to Keep Up One's Sleeve provides a treatment plan for the diagnosis and treatment of common emergencies. Throughout the book,warming method is widely used,especially in the chapters of sudden heartache,sudden abdominal pain,pain in the heart and abdomen,chest pain and so on. In terms of symptoms,unstable angina pectoris caused by coronary heart disease(CHD) can generally correspond to the above mentioned diseases. In the application of warming method,the ideal curative effect is often achieved. In the field of traditional Chinese medicine,it is believed that the unstable angina caused by CHD is caused by the deficiency of chest yang,the invasion of external cold or the endogenous yin cold,so the application of warming method is the best choice. The application of warming method in Emergency Formulas to Keep Up One's Sleeve is mainly manifested in the application of Chinese medicine warm and heat in nature,moxibustion,administration of warm decoction,application of fumigation and cataplasm,etc.,with various forms,which is more suitable for clinical use.Single prescription is commonly used,according to the theory of warming method,the effect of warm prescription on unstable angina pectoris is recommended.
引文
[1]黄辉.肘后备急方[J].中医药临床杂志,2013,25(2):174.
[2]俞欣玮,殷瑛,叶黎青,等.《肘后备急方》现代急救方法源流考[J].浙江中医药大学学报,2006,30(4):329-330.
[3]施仲伟. 2007年慢性稳定性心绞痛防治指南解读[J].实用医院临床杂志,2008,5(3):7-9.
[4]袁建,梁庭栋.冠心病心绞痛病因病机浅谈[J].河南中医,2012,32(5):541-543.
[5]颜建云,吴伟康,侯灿.温法的研究进展[J].中西医结合学报,2003,1(4):301-303.
[6]李杰.巧用汗法逐邪出表[N].大众卫生报,2013-09-03(10).
[7]王丽慧.《肘后备急方》急症辨证经验总结[J].中国中医基础医学杂志,2008,14(10):727-728.
[8]戴卫波,梅全喜.葛洪《肘后备急方》中艾叶治疗疾病的机理探讨[J].中国民间疗法,2014,22(7):5-7.
[9]张凤侠,王雪松.浅谈附子的临床应用[J].内蒙古中医药,2011,30(1):69-70.
[10]李红念,梅全喜,郭文贤.《肘后备急方》中附子的应用探讨[J].中药材,2016,39(1):209-212.
[11]周飞雄,柴铁劬.《肘后备急方》灸法学术思想探析[J].上海针灸杂志,2005,12(24):46-47.
[12]李杰.扶阳温法治寒以热[N].大众卫生报,2013-10-08(10).
[13]戴卫波,梅全喜,金世明.论葛洪《肘后备急方》对熏洗疗法的贡献.时珍国医国药,2013,24(10):2478-2480.
[14]金明华,吴伟康,秦鉴.中医辨证施治对冠心病心绞痛患者生活质量的影响[J].中国临床康复,2005,9(19):131-133.
[15]金明华,吴伟康,罗汉川,等.四逆汤对实验性小鼠心肌I/R时心肌组织HO-1-CO体系的影响[J].中国中医急症,2009,18(12):2017-2019.
[16]李卫东.瓜蒌薤白桂枝汤治疗急性心肌梗死后心绞痛68例[J].河南中医,2015,35(6):1262-1263.
[17]吴长岩,贾乐红,吕志军.温针灸对冠心病心绞痛发作频率及静息心电图的影响[J].针灸临床杂志,2009,25(6):32-34.
[18]张少军,杨巍.《金匮要略》温法概述[J].河南中医,2013,33(6):826-827.
[2]俞欣玮,殷瑛,叶黎青,等.《肘后备急方》现代急救方法源流考[J].浙江中医药大学学报,2006,30(4):329-330.
[3]施仲伟. 2007年慢性稳定性心绞痛防治指南解读[J].实用医院临床杂志,2008,5(3):7-9.
[4]袁建,梁庭栋.冠心病心绞痛病因病机浅谈[J].河南中医,2012,32(5):541-543.
[5]颜建云,吴伟康,侯灿.温法的研究进展[J].中西医结合学报,2003,1(4):301-303.
[6]李杰.巧用汗法逐邪出表[N].大众卫生报,2013-09-03(10).
[7]王丽慧.《肘后备急方》急症辨证经验总结[J].中国中医基础医学杂志,2008,14(10):727-728.
[8]戴卫波,梅全喜.葛洪《肘后备急方》中艾叶治疗疾病的机理探讨[J].中国民间疗法,2014,22(7):5-7.
[9]张凤侠,王雪松.浅谈附子的临床应用[J].内蒙古中医药,2011,30(1):69-70.
[10]李红念,梅全喜,郭文贤.《肘后备急方》中附子的应用探讨[J].中药材,2016,39(1):209-212.
[11]周飞雄,柴铁劬.《肘后备急方》灸法学术思想探析[J].上海针灸杂志,2005,12(24):46-47.
[12]李杰.扶阳温法治寒以热[N].大众卫生报,2013-10-08(10).
[13]戴卫波,梅全喜,金世明.论葛洪《肘后备急方》对熏洗疗法的贡献.时珍国医国药,2013,24(10):2478-2480.
[14]金明华,吴伟康,秦鉴.中医辨证施治对冠心病心绞痛患者生活质量的影响[J].中国临床康复,2005,9(19):131-133.
[15]金明华,吴伟康,罗汉川,等.四逆汤对实验性小鼠心肌I/R时心肌组织HO-1-CO体系的影响[J].中国中医急症,2009,18(12):2017-2019.
[16]李卫东.瓜蒌薤白桂枝汤治疗急性心肌梗死后心绞痛68例[J].河南中医,2015,35(6):1262-1263.
[17]吴长岩,贾乐红,吕志军.温针灸对冠心病心绞痛发作频率及静息心电图的影响[J].针灸临床杂志,2009,25(6):32-34.
[18]张少军,杨巍.《金匮要略》温法概述[J].河南中医,2013,33(6):826-827.