中医药治疗胸痹概况  

A Review on Treatment of Thoracic Obstruction by Chinese Medicine

作　　者：邓莉[1] 

机构地区：[1]辽宁中医药大学附属医院护理部,沈阳110032

出　　处：《实用中医内科杂志》2014年第5期171-174,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：胸痹病机总属本虚标实,本虚为阴阳气血亏虚,标实为瘀血、气滞、痰浊、寒凝交互为患。治疗当分清标本虚实,本着"补其不足,泻其有余"的原则,兼顾同治。实证宜活血化瘀、温化痰瘀、通补开泄,尤重活血通脉之法;虚证当补气温阳、滋阴益肾、调理脾胃,尤重补益心脾。临证时必须严密观察病情,灵活掌握,辨证论治,配合西医基础治疗,可取得较好的效果。Pathogenesis of thoracic obstruction is deficiency in origin and excess in superficiality.Deficiency of Yin, Yang, qi and blood is deficiency in origin, and interaction infestation about stasis, qi stagnation, phlegm, cold-coagulation is excess in superficiality.Distinguish deficiency in origin and excess in superficiality when treatment, and adhering to principle to reinforce insufficiency and reduce excess, due consideration to simultaneous treatment.The excess should be Promoting blood circulation to remove blood stasis, resolving phlegm and removing blood stasis, Tongbukaixie law, and with particular emphasis on the law Huoxuetongmai ; The deficiency should be reinforcing qi and warming yang, nourish yin to supplement kidney, regulating spleen-stomach, and with particular emphasis on enhancement of heart and spleen.We must be closely observed patient＇s condition when clinical treatment, flexible master skills, treat based on syndrome differentiation.and with Western-based treatment can achieve better results.

关 键 词：胸痹 冠状动脉粥样硬化性心脏病 活血化瘀 温化痰瘀 通补开泄 活血通脉 补气温阳 滋阴益肾 调理脾胃 补益心脾 中医药治疗 综述 

分 类 号：R256.22[医药卫生—中医内科学] R242[医药卫生—中医学]