翁维良治疗冠脉支架术后再狭窄
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摘要
翁维良教授认为,冠脉支架术后再狭窄的根本病机是心脉痹阻,瘀滞不通。气血亏虚因虚致瘀;瘀血、痰浊、气滞、寒凝等病理产物因实致瘀。治疗时谨守病机,以化瘀为主,但主张化瘀不单是活血,要知常达变,灵活运用益气活血、温阳活血、养血活血、滋阴活血等方法,在辨证遣方用药时,注重气血同调,以通为补;双心同治,顾护脾胃,三因制宜。
Professor WENG Weiliang believes that the primary pathogenesis after coronary artery stenting is heart arteries impassability. The defi ciency of qi and blood causes stasis; blood stasis, phlegm, qi stagnation, cold and other pathological products are due to stasis. Observe the pathogenesis during treatment, dissipate blood stasis mainly, and to know changed, fl exible use of supplementing qi and activating blood, warming yang and activating blood, nourishing blood and activating blood, nourishing yin and activating blood, etc. In the case of the dialectic and drugs, pay attention to promoting blood circulation to dissipate blood stasis; qi and blood are in the same tune; treatment of mind and heart; care for the spleen and stomach; abidance by triple pathogens.
Professor WENG Weiliang believes that the primary pathogenesis after coronary artery stenting is heart arteries impassability. The defi ciency of qi and blood causes stasis; blood stasis, phlegm, qi stagnation, cold and other pathological products are due to stasis. Observe the pathogenesis during treatment, dissipate blood stasis mainly, and to know changed, fl exible use of supplementing qi and activating blood, warming yang and activating blood, nourishing blood and activating blood, nourishing yin and activating blood, etc. In the case of the dialectic and drugs, pay attention to promoting blood circulation to dissipate blood stasis; qi and blood are in the same tune; treatment of mind and heart; care for the spleen and stomach; abidance by triple pathogens.
引文
[1]高润霖.中国心脏介入治疗的现状和展望[J].医学研究杂志, 2007, 36(3):1.
[2]梁卫勇.中医思维对辨症的影响[J].长春中医药大学学报,2012, 28(1):1-2.
[3]刘剑刚,徐浩,董国菊,等.血府逐瘀口服液对冠心病心绞痛患者血小板活化分子表达的影响[J].长春中医药大学学报, 2007, 23(1):29-31.
[4]高嘉良,王阶.冠心病脏腑辨证辨治发挥[J].中国中医基础医学杂志, 2016, 22(8):19-20.
[5]李圣耀,徐浩,史大卓.刍议冠心病的气血津液辨治[J].中医杂志, 2017, 58(4):300-302.
[6]许丞莹,王亚红,刘玉霞,等.郭维琴教授治疗冠心病从脾胃中焦枢纽调理气血经验[J].中华中医药学刊, 2014,32(11):2669-2670.
[7]李秋艳,董延芬,张东,等.翁维良活血化瘀治疗冠心病辨证思路[J].中国中医基础医学杂志, 2011, 17(9):1030-1031.
[8]赵迎盼,翁维良,李秋艳,等.论“以通为补”学术思想及其临床应用[J].世界中西医结合杂志, 2014, 9(10):1116-1118.
[9]李悦,徐雅,关梓桐,等.从心主神明论治郁证的理论探讨[J].国医论坛, 2016, 31(6):19-20.
[10]张冰睿,薛一涛.从情志论治谈冠心病治疗[J].吉林中医药, 2018, 38(2):133-136.
[11]余道友,李结华.老年冠心病患者焦虑抑郁现状调查[J].中国循证心血管医学杂志, 2014, 6(5):587-591.
[12]应优优,李浙成,胡智星,等.焦虑抑郁与冠心病发生的关系研究[J].中华老年心血管病杂志, 2015, 17(7):762-763.
[13]郭明冬,翁维良.翁维良“双心”同调治疗老年冠心病经验[J].中医药通报, 2015, 14(2):18-19.
[14]施学丽.“心肝同治”治疗抑郁症的理论探讨[J].辽宁中医杂志, 2017, 44(1):63-65.
[15]宫萍,李悦,夏楠,等.基于“三因制宜”冠心病诊疗规律研究进展[J].时珍国医国药, 2017, 28(9):2212-2215.
[16]杨栋,易无庸,骆昕宇.骆继杰教授“三因制宜”治疗经验[J].时珍国医国药, 2014, 25(1):236-237.
[17]张东,李睿.翁维良治疗高血压病的三因制宜学术思想探讨[J].世界中医药, 2013, 8(3):308-309.
[18]代民涛,柴可夫.基于“三因制宜”理论的食材养生探微[J].中华中医药杂志, 2015, 30(2):345-348.
[19]宋琦,宋海萍,戴彦成,等.赵国定从脾胃论治冠心病临床经验探析[J].时珍国医国药, 2017, 28(1):223-224.
[20]吴耀南,谢俊杰,许正锦.路志正调理脾胃治疗胸痹的学术思想浅析[J].北京中医, 2006, 25(2):88-89.
[21]李小可.国医大师路志正调理脾胃法治疗胸痹经验发挥[J].中华中医药杂志, 2012, 27(1):123-125.
[2]梁卫勇.中医思维对辨症的影响[J].长春中医药大学学报,2012, 28(1):1-2.
[3]刘剑刚,徐浩,董国菊,等.血府逐瘀口服液对冠心病心绞痛患者血小板活化分子表达的影响[J].长春中医药大学学报, 2007, 23(1):29-31.
[4]高嘉良,王阶.冠心病脏腑辨证辨治发挥[J].中国中医基础医学杂志, 2016, 22(8):19-20.
[5]李圣耀,徐浩,史大卓.刍议冠心病的气血津液辨治[J].中医杂志, 2017, 58(4):300-302.
[6]许丞莹,王亚红,刘玉霞,等.郭维琴教授治疗冠心病从脾胃中焦枢纽调理气血经验[J].中华中医药学刊, 2014,32(11):2669-2670.
[7]李秋艳,董延芬,张东,等.翁维良活血化瘀治疗冠心病辨证思路[J].中国中医基础医学杂志, 2011, 17(9):1030-1031.
[8]赵迎盼,翁维良,李秋艳,等.论“以通为补”学术思想及其临床应用[J].世界中西医结合杂志, 2014, 9(10):1116-1118.
[9]李悦,徐雅,关梓桐,等.从心主神明论治郁证的理论探讨[J].国医论坛, 2016, 31(6):19-20.
[10]张冰睿,薛一涛.从情志论治谈冠心病治疗[J].吉林中医药, 2018, 38(2):133-136.
[11]余道友,李结华.老年冠心病患者焦虑抑郁现状调查[J].中国循证心血管医学杂志, 2014, 6(5):587-591.
[12]应优优,李浙成,胡智星,等.焦虑抑郁与冠心病发生的关系研究[J].中华老年心血管病杂志, 2015, 17(7):762-763.
[13]郭明冬,翁维良.翁维良“双心”同调治疗老年冠心病经验[J].中医药通报, 2015, 14(2):18-19.
[14]施学丽.“心肝同治”治疗抑郁症的理论探讨[J].辽宁中医杂志, 2017, 44(1):63-65.
[15]宫萍,李悦,夏楠,等.基于“三因制宜”冠心病诊疗规律研究进展[J].时珍国医国药, 2017, 28(9):2212-2215.
[16]杨栋,易无庸,骆昕宇.骆继杰教授“三因制宜”治疗经验[J].时珍国医国药, 2014, 25(1):236-237.
[17]张东,李睿.翁维良治疗高血压病的三因制宜学术思想探讨[J].世界中医药, 2013, 8(3):308-309.
[18]代民涛,柴可夫.基于“三因制宜”理论的食材养生探微[J].中华中医药杂志, 2015, 30(2):345-348.
[19]宋琦,宋海萍,戴彦成,等.赵国定从脾胃论治冠心病临床经验探析[J].时珍国医国药, 2017, 28(1):223-224.
[20]吴耀南,谢俊杰,许正锦.路志正调理脾胃治疗胸痹的学术思想浅析[J].北京中医, 2006, 25(2):88-89.
[21]李小可.国医大师路志正调理脾胃法治疗胸痹经验发挥[J].中华中医药杂志, 2012, 27(1):123-125.