动脉粥样硬化斑块与血脉癥瘕  

Atherosclerotic Plaque and Blood Meridian Mass

作　　者：宋磊 梁家祺 官宝怡 史大卓[3] SONG Lei;LIANG Jiaqi;GUAN Baoyi;SHI Dazhuo(Xiyuan Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100029;Graduate School,China Academy of Chinese Medical Sciences;Xiyuan Hospital,China Academy of Chinese Medical Sciences)

机构地区：[1]北京中医药大学西苑临床医学院,北京市朝阳区100029 [2]中国中医科学院研究生院 [3]中国中医科学院西苑医院

出　　处：《中医杂志》2019年第21期1812-1814,共3页Journal of Traditional Chinese Medicine

基　　金：“十二五”国家科技支撑计划(2013BAI02B01)

摘　　要：动脉粥样硬化(AS)斑块是导致血管狭窄的病理基础。基于影像学及病理学发现,认为AS斑块具有与癥瘕相似的形态,而AS斑块脂质沉积、炎症浸润、细胞增殖等病理机制与中医学癥瘕形成的过程基本相似。据此提出AS斑块可称之为“血脉癥瘕”,其基本病机可概括为痰凝血瘀、毒伤血脉、血脉失和,治疗可采用散结化斑、解毒稳斑、荣脉抑斑等法。临证根据AS不同的病理阶段进行病证结合治疗,可获较好效果。Atherosclerosis(AS)plaque is the pathological basis of vascular stenosis.Based on the findings of imaging and pathology,it is believed that AS plaque has similar morphology to the plaque,while the pathological mechanisms of AS plaque such as lipid deposition,inflammatory infiltration,cell proliferation are basically similar to the process of the formation of traditional Chinese medicine(TCM)plaque.According to this,AS plaque can be called“blood meridian mass”.Its basic pathogenesis can be summarized as coagulated phlegm and blood stasis,toxin injury of blood vessel,disharmony of blood and meridian,and the treatment can be used by removing stasis and plaque,detoxification and stabilization of plaque,flourishing meridians and inhibiting plaque and so on.According to the different pathological stages of AS,the combination of disease and syndrome can achieve better results.

关 键 词：动脉粥样硬化 斑块 癥瘕 血脉 

分 类 号：R[医药卫生]