冠心病的扶阳活血治法理论探讨
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摘要
冠心病属中医学"胸痹""心痛"范畴,其基本病机是本虚标实。临床流行病学调查研究显示,阳虚血瘀为冠心病中医常见证型,因此,扶阳活血法成为冠心病的主要治法之一。通过对经典著述及现代文献的研究,论述扶阳活血理论的形成及发展过程,认为扶阳之法具体可分为温阳、通阳、潜阳。通过总结扶阳活血治法的古今应用及现代研究为冠心病扶阳活血治法的临床应用提供依据。
The concept of coronary heart disease(CHD) is similar to "chest impediment","chest pain"in traditional Chinese medicine and its basic pathogenesis is deficiency in origin and excess in superficislity. Clinical epidemiology showed that "yang deficiency and blood stasis" is a common syndrome type in CHD,therefore "strengthening yang and activating blood" becomes one of the main treatment methods of coronary heart disease. Through the study of classical writings and modern literature,the formation and development process of strengthening yang and activating blood therapy was discussed. It is believed that the method of strengthening yang can be divided into warming yang,activating yang and subduing yang. By summarizing the ancient and modern application of strengthening yang and activating blood treatment,and related modern research,this paper provide a support for the clinical application of strengthening yang and activating blood in the treatment of coronary heart disease.
The concept of coronary heart disease(CHD) is similar to "chest impediment","chest pain"in traditional Chinese medicine and its basic pathogenesis is deficiency in origin and excess in superficislity. Clinical epidemiology showed that "yang deficiency and blood stasis" is a common syndrome type in CHD,therefore "strengthening yang and activating blood" becomes one of the main treatment methods of coronary heart disease. Through the study of classical writings and modern literature,the formation and development process of strengthening yang and activating blood therapy was discussed. It is believed that the method of strengthening yang can be divided into warming yang,activating yang and subduing yang. By summarizing the ancient and modern application of strengthening yang and activating blood treatment,and related modern research,this paper provide a support for the clinical application of strengthening yang and activating blood in the treatment of coronary heart disease.
引文
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[2]孙政红.扶阳学派辨治思路研究[D].石家庄:河北医科大学,2011.
[3]孙志彬,刘爎原.浅析卢氏扶阳学派与扶阳学术思想[J].江苏中医药,2014,46(8):7-8.
[4]张存娣.祝味菊学术思想探讨(下)[J].辽宁中医杂志,2007,34(3):354-355.
[5]李军,王阶.冠心病心绞痛证候要素与应证组合的5099例文献病例分析[J].中国中医基础医学杂志,2007,13(12):926-927,930.
[6]周景想,宋业琳,迟伟峰,等.稳定型心绞痛与不稳定型心绞痛的证候特点及差异性研究[J].中华中医药学刊,2012,30(6):1410-1412.
[7]张燕,韩旭.冠状动脉粥样硬化性心脏病中医证候要素与现代化指标相关性的探讨[J].环球中医药,2012,5(12):893-896.
[8]冀惠霖.冠心病心气虚刍议[J].中医杂志,2000,41(2):123-124.
[9]吕立言.颜德馨治疗冠心病经验[J].湖北中医杂志,1989,11(2):2-3.
[10]张京春.岳美中教授病证结合治疗常见病的临证经验[J].中国中西医结合杂志,2012,32(7):879-881.
[11]张朝和,孙淑英,谢文英,等.任应秋重阳学说探析[J].河南中医,1994,14(6):341-343.
[12]李军,张振鹏,熊兴江,等.稳心汤治疗不稳定性心绞痛的随机对照研究[J].中国实验方剂学杂志,2016,22(4):154-158.
[13]胡晓贞,曹振东,王胜林,等.颜氏温阳活血方防治冠状动脉介入术后再狭窄的临床观察[J].上海中医药杂志,2017,51(4):59-62.
[14]常艳鹏,张明雪,刘宁,等.温阳活血中药复方对冠心病阳虚血瘀证大鼠血小板GPⅡb-Ⅲa的影响[J].中华中医药学刊,2007,25(11):2270-2271.
[15]叶新,汤德生,王昀,等.温阳活血方对AS大鼠血管炎症反应因子的影响[J].同济大学学报(医学版),2009,29(4):45-49.
[16]李麟仙.冠心病中医辨证分型的病理生理基础[J].云南中医杂志,1983,4(2):41-45.
[17]陈可冀.我的中西医结合六十年[J].中国中西医结合杂志,2016,36(7):773-775.