心痹胸痹心痛病名及治法演变初探  

Discussion of Disease Name and Treating Method Evolution of Heart Bi and Chest Bi,Heart Pain

作　　者：刘茜[1] 时晓迟 王保和[2] LIU Qian;SHI Xiao-chi;WANG Bao-he(Liuqian, Tianjin University Traditional Chinese Medicine, Tianjin 300250, China;No. 2 affiliated Hospital of Tianjian University of TCM , Tianfin 300250, China)

机构地区：[1]天津中医药大学,天津300250 [2]天津中医药大学第二附属医院,天津300250

出　　处：《中国中医基础医学杂志》2018年第4期443-445,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金："重大新药创制"科技重大专项"十二五"课题(2012ZX09303-010-001);创新药物研究开发技术平台建设-心脑血管疾病中药新药临床评价技术平台及规范研究

摘　　要：心痹是一种由于思虑过多、心脉虚弱,再有邪气乘虚而入,客于经脉脏腑,积气在胸中,出现心中隐隐满痛,但痛势不强;心气更虚,邪气更甚者会出现心烦、气喘、嗌干善噫或逆气上乘于心而恐惧,其脉或微或微大或沉弦,但必为阴脉的疾病。治疗上无一定之规,现补充《辅行诀》中大小补心汤两方以资参考。胸痹是咽喉-胸-背这一条路线因寒邪上冲阳虚之胸而发生的疾病,治疗由《金匮要略》诸方奠定基础,发展为活血、搜络等方法。心痛是因寒邪或因热邪客于心、心包络或其他四脏,沿着心-腹-背这一路线传导的疾病。隋唐之前以辛热开破法为主,后世因心痛与胃脘痛相混淆,多数方法实则为治疗胃脘之病而设,应以辨明。Chest bi,cardiac ache,cardiac bi are respectively from different traditional Chinese medical classics which from different era and different author. The classics have different description to them,so taking difficult to standard using disease name of TCM. Now we attempt to combine time background and academic background with classics to analyze these three disease. We try to analyze etiology,pathogenesis and variety of the rule and law to normalize the diagnosis of disease and open the ideas of curing disease.

关 键 词：心痹 胸痹 心痛 病名 治法 

分 类 号：R256.22[医药卫生—中医内科学]