徐凤芹教授治疗慢性稳定性心绞痛经验  

Treatment of chronic stable angina pectoris: Professor Xu Fengqin’s experience

作　　者：李婧[1] 徐凤芹[1] 王海云[1] 张颖[1] 梅俊 LI Jing;XU Feng-qin;WANG Hai-yun;ZHANG Ying;MEI Jun(Department of General Medicine,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091)

机构地区：[1]中国中医科学院西苑医院综合内科

出　　处：《世界中西医结合杂志》2020年第1期81-83,118,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金面上项目(81774143)

摘　　要：慢性稳定性心绞痛是指在某种因素作用下引起的冠状动脉供血量不足,突发急剧、暂时的心肌缺血缺氧,引起阵发性、持续时间短暂、前胸压榨性疼痛为主要特征的综合症,徐凤芹教授认为胸痹基本病机为本虚标实,多是由于气血阴阳失调,最终影响血液运行,而成血瘀,痹阻心脉,发为胸痹,在临床实践中辨证论治,立法组方,将胸痹归纳为血脉瘀滞、气滞血瘀、痰浊痹阻、气阴两虚、心肾阴虚五种证型,并根据胸痹发作轻重缓急及临床表现,将其分为缓解期和急性期,结合不同时期的特点进行分期施治,并总结归纳出补虚和通痹中医治法治则,临床诊疗颇具疗效。Chronic stable angina pectoris is a syndrome characterized by insufficient coronary blood supply,sudden acute and temporary myocardial ischemia and hypoxia,paroxysmal,short duration,and compressive pain in the forechest.Professor Xu Fengqin believes that the basic pathogenesis of chest impediment is deficiency as the root and excess as the branch.It is due to the disharmony of qi,blood,yin and yang,which eventually affects the blood circulation,and results in blood stasis obstructing the heart,and causes chest impediment.In clinical practice,the prescriptions should be made according to syndrome differentiation.Prof.Xu classifies five patterns of chest impediment,which are blood vessel stagnation,qi stagnation and blood stasis,turbid phlegm obstruction,qi and yin deficiency,and heart-kidney yin deficiency.According to the degree and clinical symptoms of the disease,it can be divided into the remission stage and the acute stage and it should be treated in different ways.The treatment principle is mainly supplementing deficiency and diffuse impediment,which is quite effective.

关 键 词：胸痹 心绞痛 名医经验 

分 类 号：R256.2[医药卫生—中医内科学]