动脉粥样硬化中医病因病机浅论  

Etiology and Pathogenesis of Atherosclerosis in Traditional Chinese Medicine

作　　者：侯仙明[1] 司秋菊[1] 贾云芳[1] 刘淑彦[1] 张艳慧[1] 潘莉[1] 王琪艳 赵涵悦 HOU Xian-ming;SI Qiu-ju;JIA Yun-fang;LIU Shu-yan;ZHANG Yan-hui;PAN Li;WANG Qi-yan;ZHAO Han-yue(Hebei University of Chinese Medicine, Shijiazhuang 050200)

机构地区：[1]河北中医学院,石家庄050200 [2]石家庄精英中学,石家庄050000

出　　处：《河北中医药学报》2018年第6期9-11,54,共4页Journal of Hebei Traditional Chinese Medicine and Pharmacology

基　　金：河北省自然科学基金资助项目:No.H2013206095;河北省科技计划资助项目:No.16277725D;河北省高等学校人文社会科学研究资助项目:No.BJ2016086;河北省中医药管理局科研计划资助项目:No.2014003、2016004

摘　　要：目的:动脉粥样硬化(AS),中医虽无此名,但是根据其相关临床症状表现可将其归于血痹、胸痹、真心痛、眩晕、头痛、腹痛、中风和厥证等范畴。因而此病借用中医辨证进行诊治,临床可取得一定效果。纵观诸家对AS病因病机的认识,虽然有诸多共同之处,但各有侧重,并不断有创新性认识提出,使得临床上出现了治法各异,难以形成统一认识的局面。针对这一问题,笔者不揣浅陋,提出了解决方案,即抓关键病机。临床实践中可根据病人的具体见证在解决关键病机的基础上进行加减治疗,针对关键病机进行论治。AS的关键病机是痰瘀互结,占主体地位应为本;虽然还可兼见阴虚、血虚、阳虚、气虚、气滞、热邪、毒邪等病机,但它们均处于次要地位应为标。这与古人正虚为本,邪盛为标的传统认识规律大有不同,对"本虚标实"的内涵进行了重新解读。并且通过理论分析,指出大黄虫丸是治疗AS的良方。There isn't the term atherosclerosis(AS)in traditional Chinese medicine,but it can be classified into such categories as blood impediment,chest impediment,genuine heart pain,vertigo,headache,abdominal pain,stroke and syncope according to its related clinical symptoms.Therefore,the disease can be diagnosed and treated by TCM syndrome differentiation,and a certain effect can be achieved in clinic.Throughout the understanding of the etiology and pathogenesis of AS,despite many similarities,each has its own emphasis with constant innovative ideas,making the clinical treatment varied and absence of a unified understanding.Here the author,accordingly,puts forward a solution that is to grasp the key pathogenesis.In clinical practice,we can perform treatment on the basis of solving the key pathogenesis according to the specific symptoms and signs of patients.The key pathogenesis of AS is intermingled phlegm and blood stasis,which occupies the dominant position and should be the root cause.Although yin deficiency,blood deficiency,yang deficiency,qi deficiency,qi stagnation,pathogenic heat and pathogenic toxin can be seen simultaneously,they are all in the secondary position and should be the manifestations.This is quite different from the traditional cognitive law that healthy qi deficiency is the root while the pathogenic qi excess is manifestation.This paper reinterprets the connotation of ben xu biao shi(deficiency in root and excess in manifestation),and points out with theoretical analysis that Dahuang Zhechong Pill is a good prescription for AS.

关 键 词：动脉粥样硬化 血痹 胸痹 真心痛 中风 病因病机 痰瘀互结 大黄䗪虫丸 

分 类 号：R256.22[医药卫生—中医内科学]