基于脉络学说探析心肌梗死后心肌纤维化  

Discussion on myocardial fibrosis post myocardial infarction based on vessel-collateral doctrine

作　　者：尹玉洁 张倩[1,2,3] 王亚芬 贾振华[1,2,3] YIN Yujie;ZHANG Qian;WANG Yafen;JIA Zhenhua(Graduate School,Hebei University of Chinese Medicine,Shijiazhuang 050090,China;Yiling Medical Institute of Hebei Province,Shijiazhuang 050035,China;Yiling Hospital of Hebei Medical University,Shijiazhuang 050091,China)

机构地区：[1]河北中医学院研究生学院,石家庄050090 [2]河北以岭医药研究院,石家庄050035 [3]河北医科大学附属以岭医院,石家庄050091

出　　处：《天津中医药》2019年第5期421-425,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划中医药现代化研究重点专项(No2017YFC1700501);河北省自然科学基金(H2018106043);河北中医学院2018年研究生创新资助立项项目(CXZZBS2018153)

摘　　要：以中医脉络学说为指导,基于脉络与现代医学中小血管、微血管、微循环的同一性,提出"脉络-血管系统病"这一新概念,心肌梗死再灌注后的微血管功能障碍导致心肌纤维化,归属于这一病理范畴。基于"脉络-血管系统病"探析心肌梗死心肌纤维化的病机,并应用脉络学说核心理论——"营卫理论"为通络治疗提供理论指导。The new concept of “collateral-vascular system disease” is proposed as guided by vessel-collateral doctrine of traditional Chinese medicine and based on the uniformity between “vessel-collateral” and medium vessel,small vessel,capillary and microcirculation of modern medicine. Myocardial fibrosis caused by microvascular dysfunction after myocardial infarction reperfusion, precisely belongs to this pathological scope. This article is aim to explore pathogenesis of myocardial fibrosis post myocardial infarction based on “collateral-vascular system disease”,and provide theoretical guidance for treatment of tongluo with core theory of vessel- collateral “theory of ying and wei” as the guidance.

关 键 词：脉络学说 心肌梗死 心肌纤维化 脉络-血管系统病 营卫理论 

分 类 号：R541[医药卫生—心血管疾病]