王永炎教授学术思想及临证经验总结
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摘要
王永炎教授从医从教50余年,创立了较完整的中风病中医诊疗体系,制定了"中风病中医诊断、疗效评定标准",对我国临床其他各科建立规范化系统化中医药诊疗体系起到了一定的启示及示范作用。王永炎教授首次明确了病络的定义,指出病络是络脉的病理过程和病机环节,是病证产生的根源,强调深入分析病络的发生机制,对寻求其共同的病机、制定治法方药、评估预后均具有重要意义。在此基础上,发展创新,将理论与实践结合,用于心血管病的治疗,提出心阴不足、风动心络为室性期前收缩的病机之一。在临床上根据本病的基本病机形成治疗本病的经验方——养阴熄风复脉汤。本研究旨在通过总结王永炎教授的学术思想及临证经验,以期为临床防治心脑血管疾病提供参考借鉴。
Professor WANG Yong-yan has been engaged in medicine and teaching for more than 50 years,he creatively established and improved the system of traditional Chinese medicine(TCM) diagnosis and treatment of stroke,and put forward the formulation TCM diagnosis and curative effect evaluation standard of stroke,which played a leading role and exemplary role for the study on standardization of diagnosis and treatment of common diseases and syndromes in clinical departments.Professor Wang made a clear interpretation of the concept of abnormal collaterals for the first time,pointed out that the abnormal collaterals is the collateral disease of the pathological process and pathogenesis,the source of disease and syndrome.It is of great significance to deepen the analysis of pathogenesis of abnormal collaterals,to seek common pathogenesis of syndromes,to determine the treatment and treatment of prescription and to determine the prognosis.On this basis,developing and innovating,he combined theory and practice for the treatment of cardiovascular disease,put forward the heart-YIN deficiency and wind-driven heart collaterals is one of the pathogenesis of premature ventricular contraction,according to the basic pathogenesis of this disease,he formed the experienced prescription:Yangyinxifengfumai Decoction.The purpose of this study is to summarize the academic thought and clinical experience of Professor WANG Yong-yan,in order to provide reference for the clinical prevention and treatment of cardiovascular and cerebrovascular diseases.
Professor WANG Yong-yan has been engaged in medicine and teaching for more than 50 years,he creatively established and improved the system of traditional Chinese medicine(TCM) diagnosis and treatment of stroke,and put forward the formulation TCM diagnosis and curative effect evaluation standard of stroke,which played a leading role and exemplary role for the study on standardization of diagnosis and treatment of common diseases and syndromes in clinical departments.Professor Wang made a clear interpretation of the concept of abnormal collaterals for the first time,pointed out that the abnormal collaterals is the collateral disease of the pathological process and pathogenesis,the source of disease and syndrome.It is of great significance to deepen the analysis of pathogenesis of abnormal collaterals,to seek common pathogenesis of syndromes,to determine the treatment and treatment of prescription and to determine the prognosis.On this basis,developing and innovating,he combined theory and practice for the treatment of cardiovascular disease,put forward the heart-YIN deficiency and wind-driven heart collaterals is one of the pathogenesis of premature ventricular contraction,according to the basic pathogenesis of this disease,he formed the experienced prescription:Yangyinxifengfumai Decoction.The purpose of this study is to summarize the academic thought and clinical experience of Professor WANG Yong-yan,in order to provide reference for the clinical prevention and treatment of cardiovascular and cerebrovascular diseases.
引文
[1]王永炎.高概念时代中药学研究的传承与创新[J].中药与临床,2010,1(1):1-2.
[2]王永炎,王燕平,于智敏.医苑丛谈——谈治学[J].天津中医药,2012,29(1):1-4.
[3]王永炎,黄启福,鲁兆麟,等.中医药学学科方向的变革与创新[J].北京中医药大学学报,2011,34(1):5-11.
[4]佚名.1996年度国家中医药管理局中医药基础研究奖奖励项目[J].中国中医药科技,1997,4(5):299-302.
[5]任占利,王顺道.中风病证候量化标准研究概述[J].北京中医药大学学报,1995,18(6):39-41.
[6]王永炎,刘炳林.中风病研究进展述评[J].湖南中医药导报,1998,5(1):9-12.
[7]简文佳,时晶,田金洲.王永炎先生运用化痰通腑法治疗中风浅析[J].天津中医药,2015,32(2):65-67.
[8]袁长津,袁梦石.20世纪中医中风病临床研究概要[J].世界中西医结合杂志,2006,1(1):62-66.
[9]马丽虹,李可建.中风气虚血瘀生风病机假说的循证检验研究[J].山东中医药大学学报,2014,38(5):411-414.
[10]陈钿鑫.“治病必求于本”的临床实践体会[J].当代医学,2010,16(14):152-153.
[11]于智敏,王燕平.熟读经典勤临证发皇古义创新说[N].中国中医药报,2008-08-06(4).
[12]赵文博,赵瑞成,张崇泉,李志,袁华,龙驹.中医药治疗缺血性中风的临床进展[J].中医药导报,2012,18(2):90-92.
[13]唐旭东.董建华“通降论”学术思想整理[A]//中国中西医结合学会养生学与康复医学专业委员会委员会议暨第八次学术研讨会[C].合肥,2013:6.
[14]邹忆怀.王永炎教授应用化痰通腑法治疗急性期中风病的经验探讨[J].北京中医药大学学报,1999,22(4):69-70.
[15]李梦伊,车念聪,杜宇琼.温病营血分证与病络关系探析[J].北京中医药,2012,31(9):679-681.
[16]王永炎,杨宝琴,黄启福.络脉络病与病络[J].北京中医药大学学报,2003,26(4):1-2.
[17]王永炎,常富业,杨宝琴.病络与络病对比研究[J].北京中医药大学学报,2005,28(3):1-6.
[18]邱瑞瑾,高永红,商洪才,等.病络理论指导下脑、心、肾一体化中西医结合防治体系的构建[J].中医杂志,2016,57(5):361-365+374.
[19]李鲲,王燕平.王永炎从病络论治急性冠脉综合征的体会[J].中医杂志,2011,52(20):1726-1728.
[20]王显,王永炎.对“络脉、病络与络病”的思考与求证[J].北京中医药大学学报,2015,38(9):581-586.
[21]吴以岭.络病理论体系构建及其学科价值[J].前沿科学,2007,1(2):40-46.
[22]黄芪,郑颖.养血熄风法治疗冠心病室性早搏临床随机对照研究[J].天津中医药,2013,30(11):653-655.
[2]王永炎,王燕平,于智敏.医苑丛谈——谈治学[J].天津中医药,2012,29(1):1-4.
[3]王永炎,黄启福,鲁兆麟,等.中医药学学科方向的变革与创新[J].北京中医药大学学报,2011,34(1):5-11.
[4]佚名.1996年度国家中医药管理局中医药基础研究奖奖励项目[J].中国中医药科技,1997,4(5):299-302.
[5]任占利,王顺道.中风病证候量化标准研究概述[J].北京中医药大学学报,1995,18(6):39-41.
[6]王永炎,刘炳林.中风病研究进展述评[J].湖南中医药导报,1998,5(1):9-12.
[7]简文佳,时晶,田金洲.王永炎先生运用化痰通腑法治疗中风浅析[J].天津中医药,2015,32(2):65-67.
[8]袁长津,袁梦石.20世纪中医中风病临床研究概要[J].世界中西医结合杂志,2006,1(1):62-66.
[9]马丽虹,李可建.中风气虚血瘀生风病机假说的循证检验研究[J].山东中医药大学学报,2014,38(5):411-414.
[10]陈钿鑫.“治病必求于本”的临床实践体会[J].当代医学,2010,16(14):152-153.
[11]于智敏,王燕平.熟读经典勤临证发皇古义创新说[N].中国中医药报,2008-08-06(4).
[12]赵文博,赵瑞成,张崇泉,李志,袁华,龙驹.中医药治疗缺血性中风的临床进展[J].中医药导报,2012,18(2):90-92.
[13]唐旭东.董建华“通降论”学术思想整理[A]//中国中西医结合学会养生学与康复医学专业委员会委员会议暨第八次学术研讨会[C].合肥,2013:6.
[14]邹忆怀.王永炎教授应用化痰通腑法治疗急性期中风病的经验探讨[J].北京中医药大学学报,1999,22(4):69-70.
[15]李梦伊,车念聪,杜宇琼.温病营血分证与病络关系探析[J].北京中医药,2012,31(9):679-681.
[16]王永炎,杨宝琴,黄启福.络脉络病与病络[J].北京中医药大学学报,2003,26(4):1-2.
[17]王永炎,常富业,杨宝琴.病络与络病对比研究[J].北京中医药大学学报,2005,28(3):1-6.
[18]邱瑞瑾,高永红,商洪才,等.病络理论指导下脑、心、肾一体化中西医结合防治体系的构建[J].中医杂志,2016,57(5):361-365+374.
[19]李鲲,王燕平.王永炎从病络论治急性冠脉综合征的体会[J].中医杂志,2011,52(20):1726-1728.
[20]王显,王永炎.对“络脉、病络与络病”的思考与求证[J].北京中医药大学学报,2015,38(9):581-586.
[21]吴以岭.络病理论体系构建及其学科价值[J].前沿科学,2007,1(2):40-46.
[22]黄芪,郑颖.养血熄风法治疗冠心病室性早搏临床随机对照研究[J].天津中医药,2013,30(11):653-655.