脉络学说营卫理论指导心律失常辨证论治
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摘要
经脉包括经(气)络和血(脉)络,清代周学海《读医随笔》将气络末端称为"气之细络",脉络末端称为"血之细络"。心之气络涵盖心脏起搏与传导系统等广泛调控机制,心之脉络涵盖冠状动脉循环系统,心之气络与脉络相互协调,营卫相偕而行,共同维持心脏正常功能。各种致病因素导致营卫异常而发为心律失常,基于脉络学说营卫理论"损其心者,调其营卫"(《难经·十四难》)治疗原则指导心律失常辨证论治,同时充分结合现代致病因素和致病特点,分别选用调节卫气营血之方药,标本兼治,以期为临床诊疗提供有益借鉴。
Meridians include( Qi) channels and blood( vessels). In Duyi Suibi,ZHOU Xue-hai of qing Dynasty named the terminal of Qi channel as " fine collateral of Qi" and the terminal of blood vessel as " fine collateral of blood". Qi channels of the heart cover extensive regulating mechanisms including cardiac pacing and conducting system. Blood vessels of the heart cover circulation system of coronary artery. Cardiac Qi channels and blood vessels are coordinated mutually,and Ying and Wei run together,to jointly maintain normal functions of the heart. Abnormal Yingwei caused by various pathogenic factors leads to occurrence of arrhythmia. Based on the Yingwei theory of vessel-collateral theory,this paper puts forward treatment based on syndrome differentiation of arrhythmia guided by therapeutic principle of " regulating Yingwei in case of heart damage"( Nanjing·14 thNan)as well as addresses both symptoms and root causes by prescriptions for regulating Wei,Qi,Ying and blood through sufficiently considering modern pathogenic factors and pathogenic characteristics,in order to provide beneficial reference for clinical diagnosis and treatment.
Meridians include( Qi) channels and blood( vessels). In Duyi Suibi,ZHOU Xue-hai of qing Dynasty named the terminal of Qi channel as " fine collateral of Qi" and the terminal of blood vessel as " fine collateral of blood". Qi channels of the heart cover extensive regulating mechanisms including cardiac pacing and conducting system. Blood vessels of the heart cover circulation system of coronary artery. Cardiac Qi channels and blood vessels are coordinated mutually,and Ying and Wei run together,to jointly maintain normal functions of the heart. Abnormal Yingwei caused by various pathogenic factors leads to occurrence of arrhythmia. Based on the Yingwei theory of vessel-collateral theory,this paper puts forward treatment based on syndrome differentiation of arrhythmia guided by therapeutic principle of " regulating Yingwei in case of heart damage"( Nanjing·14 thNan)as well as addresses both symptoms and root causes by prescriptions for regulating Wei,Qi,Ying and blood through sufficiently considering modern pathogenic factors and pathogenic characteristics,in order to provide beneficial reference for clinical diagnosis and treatment.
引文
[1]吴以岭.脉络论[M].北京:中国科学技术出版社,2010.
[2]吴以岭.气络论[M].北京:科学技术文献出版社,2018.
[3]吴以岭,魏聪,贾振华,等.脉络学说的核心理论——营卫承制调平[J].中医杂志,2013,54(1):3-7.
[4] WU Y L. Construction of the vessel-collateral theory and its guidance for prevention and treatment of vasculopathy[J]. Front Med,2011,5(2):118-122.
[5] GAO Y,YANG Y,GUAN Q G,et al. IL-1 beta modulate the Ca2+-activated big-conductance K channels(BK)via reactive oxygen species in cultured rat aorta smooth muscle cells[J]. Mol Cellular Biochem,2010,338(2):59-68.
[6] GUAN Q G,LIU M J,LIU R H,et al. Tongxinluo induces n NOS expression through ERK activation:possible contribution to the effects of Tongxinluo to attenuate vasoconstriction[J]. J Cardiovasc Pharmacol,2015,66(1):9-15.
[7]吴以岭,贾振华,常丽萍,等.脉络学说营卫理论指导血管病变防治研究[J].中国实验方剂学杂志,2019,25(1):1-10.
[8]吴以岭,赵珊珊,魏聪,等.试论气络病变治疗十法[J].中国实验方剂学杂志,2018,24(9):1-8.
[2]吴以岭.气络论[M].北京:科学技术文献出版社,2018.
[3]吴以岭,魏聪,贾振华,等.脉络学说的核心理论——营卫承制调平[J].中医杂志,2013,54(1):3-7.
[4] WU Y L. Construction of the vessel-collateral theory and its guidance for prevention and treatment of vasculopathy[J]. Front Med,2011,5(2):118-122.
[5] GAO Y,YANG Y,GUAN Q G,et al. IL-1 beta modulate the Ca2+-activated big-conductance K channels(BK)via reactive oxygen species in cultured rat aorta smooth muscle cells[J]. Mol Cellular Biochem,2010,338(2):59-68.
[6] GUAN Q G,LIU M J,LIU R H,et al. Tongxinluo induces n NOS expression through ERK activation:possible contribution to the effects of Tongxinluo to attenuate vasoconstriction[J]. J Cardiovasc Pharmacol,2015,66(1):9-15.
[7]吴以岭,贾振华,常丽萍,等.脉络学说营卫理论指导血管病变防治研究[J].中国实验方剂学杂志,2019,25(1):1-10.
[8]吴以岭,赵珊珊,魏聪,等.试论气络病变治疗十法[J].中国实验方剂学杂志,2018,24(9):1-8.