董燕平教授对心肌病的认识及治疗总结  

Cognition and Treatment Experience of Professor DONG Yan-ping for Cardiomyopathy

作　　者：张雪娟[1] 张振伟[1] 张铁军[1] 董燕平[1] 

机构地区：[1]河北省中医院,河北石家庄050000

出　　处：《中医临床研究》2015年第12期8-9,12,共3页Clinical Journal Of Chinese Medicine

基　　金：河北省中医药管理局课题:芪桂升板方治疗慢性特发性血小板减少性紫癜的临床疗效及免疫紊乱机理研究已经完成

摘　　要：心肌病是指伴有心功能障碍的心肌疾病,在中医中没有对应的名称,只能按照其症状归属为心胀、咳喘、水肿、心悸、胸痹、厥脱等病。董燕平教授总结其多年临床经验,认为:其病机可概括为正虚邪恋,正虚主要表现为心气虚、心阳虚;邪即瘀血、痰饮、水湿。治疗当与扶助正气、活血化瘀、宣肺化饮、健脾化湿,温阳利水;若有外邪者宜解表祛邪。针对心功能不全、心律失常、血栓、猝死进行辨证论治。Cardiomyopathy refers to the myocardium associated with heart disease. There is no corresponding in TraditionalChinese Medicine. The name of the TCM only follows the symptoms belonging to cardiac distention, cough and gasp, edema, palpitation,Bi syndrome, syncope and other diseases. Professor Dong Yan-ping summarized the clinical experience for many years The pathogenesiscan be summarized as weakened body resistance and lingering of pathogenic factor.The main factor of weakened body resistance is virtualheart Qi deficiency, heart Yang deficiency;lingering of pathogenic factor means blood stasis resistance, retention of phlegm and retainedfluid or water-dampness. Treatment should be taken with supporting vital energy, promoting blood circulation to remove blood stasis,releasing lungs fluid, invigorating spleen to eliminate dampness, warming yang to promote diuresis. If invaded by the exogenouspathogenic factors, it needs to appropriate nourish to relieving exterior syndrome. It is supposed to treat based on differentiation forinsufficiency, arrhythmia, blood clots, sudden death.

关 键 词：心肌病 正虚邪恋 扶助正气 活血化瘀 宣肺化饮 健脾化湿 温阳利水 董燕平教授 临床经验 

分 类 号：R24[医药卫生—中医临床基础]