扶阳抑阴法治疗冠心病理论探析
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摘要
扶阳抑阴法是《伤寒论》的基本诊治思路,也是扶阳抑阴学派的基本治病思路。冠心病是在临床心血管疾病中最常见的疾病,中医学将其归属于"胸痹、心痛"范畴,认为其主要病机为"阳微阴弦"。该文以"阴、阳"作为切入点,探析扶阳抑阴法的历史溯源及理论依据,查阅文献解读历代医家对扶阳抑阴法的学术争辩。并将扶阳抑阴法与"阳微阴弦"病机相结合,通过对阳微阴弦的分析,将扶阳抑阴法巧妙用于冠心病的辨证治疗中。
The method of supporting the masculine and restraining the feminine is the basic diagnosis and treatment ideas of Treatise on Febrile Diseases,but also this school's basic treatment ideas. Coronary heart disease is the most common disease in clinical cardiovascular disease,Chinese medicine will be attributed to the"chest paralysis,heartache"category,that the main pathogenesis of "faint in Yang and evident in Yin". This article takes"Yin and Yang"as the starting point,analyzes the historical origin and theoretical basis of supporting the masculine and restraining the feminine method,and reads the academic argument of supporting the masculine and restraining the feminine method. And the method of supporting the masculine and restraining the feminine and the"faint in Yang and evident in Yin"pathogenesis combined,through the analysis of the theory"faint in Yang and evident in Yin",the method of supporting the masculine and restraining the feminine is being used for the treatment of coronary heart disease.
The method of supporting the masculine and restraining the feminine is the basic diagnosis and treatment ideas of Treatise on Febrile Diseases,but also this school's basic treatment ideas. Coronary heart disease is the most common disease in clinical cardiovascular disease,Chinese medicine will be attributed to the"chest paralysis,heartache"category,that the main pathogenesis of "faint in Yang and evident in Yin". This article takes"Yin and Yang"as the starting point,analyzes the historical origin and theoretical basis of supporting the masculine and restraining the feminine method,and reads the academic argument of supporting the masculine and restraining the feminine method. And the method of supporting the masculine and restraining the feminine and the"faint in Yang and evident in Yin"pathogenesis combined,through the analysis of the theory"faint in Yang and evident in Yin",the method of supporting the masculine and restraining the feminine is being used for the treatment of coronary heart disease.
引文
[1]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:227.
[2]徐丽,贾连群,张哲,等.基于MicroRNAs探讨冠心病痰浊血瘀证候及从脾论治冠心病的科学内涵[J].中华中医药学刊,2017,35(9):2249-2252.
[3]王宁,文平,刘辉.微小RNA在心肌梗死再生修复中的研究进展[J].临床心血管病杂志,2017,33(8):722-726.
[4]ALLEN S,LIU Y G,SCOTT E. Engineering nanomaterials to address cell-mediated inflammation in atherosclerosis[J].Regen Eng Transl Med,2016,2(1):37-50.
[5]孙相如,何清湖,陈小平,等.先秦两汉时期阴阳学说的形成发展及其对藏象理论的影响[J].中华中医药杂志(原中国医药学报),2017,32(8):3367-3370.
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[7]李德新.中医基础理论[M].北京:中国中医药出版社,2001:33.
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[9]邹澍宣,罗洋.《黄帝内经》之扶阳思想阐微[J].天津中医药大学学报,2012,31(1):5-6.
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[11]管桦桦,杨志敏,老膺荣.“扶阳抑阴”论据梳理与分析[J].江苏中医药,2016,48(2):69-71.
[12]田芸.胸痹辨治中“阳微阴弦”含义初探[J].辽宁中医杂志,2012,39(3):451-452.
[13]喻昌.古今图书集成医部全录·医门法律[M].北京:人民卫生出版社,1959:1900.
[14]李柳骥,严季澜.试论扶阳在心绞痛治疗中的地位及含义[J].中华中医药杂志(原中国医药学报),2009,24(7):840-842.
[15]杨权生,潘俊辉,杨辉,等.扶阳益气法治疗胸痹的探讨[J].中国中医急症,2005,14(7):657-659.
[16]张文娜.张云祥补肾温阳法治疗胸痹经验初探[J].中国医药科学,2012,2(12):78-79.
[17]黄超坚.从肾论治冠心病稳定期60例[J].辽宁中医杂志,1998,25(8):352-353.
[18]沈伟,范维琥,施海明,等.麝香保心丸对动脉粥样硬化斑块和缺血心肌中血管新生影响的实验研究[J].中国中西医结合杂志,2010,30(12):1284-1287.
[19]苏晓艳,高冬,宋军.从阴阳学说角度看血管新生[J].中医杂志,2014,55(9):747-750.
[20]陈铭泰,欧莉君,黄若兰,等.从经典学术源流探析补肾祛邪法于冠心病的应用[J].辽宁中医杂志,2017,44(8):1612.
[21]滑振,张哲,杨关林.中医药防治冠心病相关数据挖掘文献的数据挖掘[J].辽宁中医杂志,2018,45(4):675-678.
[22]赵梦慧,杨涛,徐征.范文甫温通法论治胸痹经验浅析[J].辽宁中医杂志,2017,44(12):2509-2511.
[23]唐思云,杨涛,徐征.王肯堂论胸痹心痛探略[J].辽宁中医杂志,2017,44(12):2533-2535.
[24]滑振,张哲,张帆,等.补肾益气活血方药治疗冠心病心绞痛随机对照试验系统评价[J].辽宁中医药大学学报,2017,19(9):8285.
[2]徐丽,贾连群,张哲,等.基于MicroRNAs探讨冠心病痰浊血瘀证候及从脾论治冠心病的科学内涵[J].中华中医药学刊,2017,35(9):2249-2252.
[3]王宁,文平,刘辉.微小RNA在心肌梗死再生修复中的研究进展[J].临床心血管病杂志,2017,33(8):722-726.
[4]ALLEN S,LIU Y G,SCOTT E. Engineering nanomaterials to address cell-mediated inflammation in atherosclerosis[J].Regen Eng Transl Med,2016,2(1):37-50.
[5]孙相如,何清湖,陈小平,等.先秦两汉时期阴阳学说的形成发展及其对藏象理论的影响[J].中华中医药杂志(原中国医药学报),2017,32(8):3367-3370.
[6]刘英,刘旭.庄子[M].北京:中国社会科学出版社,2004:383.
[7]李德新.中医基础理论[M].北京:中国中医药出版社,2001:33.
[8]张登本,田丙坤.“扶阳抑阴”治法研究述评[J].山西中医学院学报,2015,16(1):4-9.
[9]邹澍宣,罗洋.《黄帝内经》之扶阳思想阐微[J].天津中医药大学学报,2012,31(1):5-6.
[10]高长玉,杜鹃,王秀珍,等.黄元御扶阳抑阴学术思想探析[J].中医药信息,2011,28(3):9-10.
[11]管桦桦,杨志敏,老膺荣.“扶阳抑阴”论据梳理与分析[J].江苏中医药,2016,48(2):69-71.
[12]田芸.胸痹辨治中“阳微阴弦”含义初探[J].辽宁中医杂志,2012,39(3):451-452.
[13]喻昌.古今图书集成医部全录·医门法律[M].北京:人民卫生出版社,1959:1900.
[14]李柳骥,严季澜.试论扶阳在心绞痛治疗中的地位及含义[J].中华中医药杂志(原中国医药学报),2009,24(7):840-842.
[15]杨权生,潘俊辉,杨辉,等.扶阳益气法治疗胸痹的探讨[J].中国中医急症,2005,14(7):657-659.
[16]张文娜.张云祥补肾温阳法治疗胸痹经验初探[J].中国医药科学,2012,2(12):78-79.
[17]黄超坚.从肾论治冠心病稳定期60例[J].辽宁中医杂志,1998,25(8):352-353.
[18]沈伟,范维琥,施海明,等.麝香保心丸对动脉粥样硬化斑块和缺血心肌中血管新生影响的实验研究[J].中国中西医结合杂志,2010,30(12):1284-1287.
[19]苏晓艳,高冬,宋军.从阴阳学说角度看血管新生[J].中医杂志,2014,55(9):747-750.
[20]陈铭泰,欧莉君,黄若兰,等.从经典学术源流探析补肾祛邪法于冠心病的应用[J].辽宁中医杂志,2017,44(8):1612.
[21]滑振,张哲,杨关林.中医药防治冠心病相关数据挖掘文献的数据挖掘[J].辽宁中医杂志,2018,45(4):675-678.
[22]赵梦慧,杨涛,徐征.范文甫温通法论治胸痹经验浅析[J].辽宁中医杂志,2017,44(12):2509-2511.
[23]唐思云,杨涛,徐征.王肯堂论胸痹心痛探略[J].辽宁中医杂志,2017,44(12):2533-2535.
[24]滑振,张哲,张帆,等.补肾益气活血方药治疗冠心病心绞痛随机对照试验系统评价[J].辽宁中医药大学学报,2017,19(9):8285.