活血化瘀药在冠心病经皮冠状动脉成形术后的运用及配伍探讨  

The Application and Compatibility Law of Blood-activating and Blood-stasis-removing Herbs in Coronary Heart Diseases after PTCA

作　　者：白扬[1] 任素剑 丘志良 余静寅 万娟 吴亚姗 杨力强[1] BAI Yang;REN Su-jian;QIU Zhi-liang;YU Jing-yin;WAN Juan;WU Ya-shan;YANG Li-qiang(Guangxi University of Traditional Chinese Medicine,Nanning Guangxi 530200,China)

机构地区：[1]广西中医药大学,广西南宁530200

出　　处：《中医药导报》2020年第2期124-127,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(81560748);广西自然科学基金项目(2013GXNSFAA019128);广西教育厅重点项目(KY2015ZD059)。

摘　　要：以中医辨证论治为基础,分析活血化瘀法在冠心病经皮冠状动脉成形术(PTCA)后的运用现状,认为心脉瘀阻是冠心病PTCA术后的重要病机,痰浊、气滞、热蕴、气虚、阴虚、阳虚为术后再狭窄的影响因素,在临床使用活血化瘀法时,应将化痰、行气、清热、益气、滋阴养血、温阳通脉等治法纳入冠心病PTCA术后的治疗,以防治PTCA术后再狭窄。Based on syndrome differentiation and treatment of traditional Chinese medicine, this paper analyzed the current application of promoting blood circulation and removing blood stasis in coronary heart disease(CHD) after percutaneous coronary angioplasty(PTCA). It is considered that the obstruction of heart blood stasis is an important pathogenesis in CHD after PTCA. Phlegm, Qi stagnation, heat accumulation, Qi deficiency,Yin deficiency and Yang deficiency are the influencing factors of restenosis after PTCA. The methods of resolving phlegm, promoting Qi, clearing heat, supplementing Qi, nourishing Yin and blood, warming Yang and activating pulse should be included in the treatment of restenosis after PTCA.

关 键 词：冠心病 经皮冠状动脉成形术 动脉狭窄 活血化瘀 配伍 中医药 

分 类 号：R282.7[医药卫生—中药学]