谈心力衰竭津液代谢障碍的中医思辨  

Traditional Chinese Medicine Thoughts on Dysfunction of Body Fluid Metabolism in Heart Failure

作　　者：王艳霞 张艳[2] WANG Yanxia;ZHANG Yan(Department of Cardio Cerebral Diseases,Liaoyang Hospital of Traditional Chinese Medicine,Liaoyang 111000;Affiliated Hospital of Liaoning University of Chinese Medicine,Shenyang 110032)

机构地区：[1]辽宁省辽阳市中医院心脑病科,辽宁辽阳111000 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《湖北中医药大学学报》2020年第1期48-51,共4页Journal of Hubei University of Chinese Medicine

基　　金：国家“十一五”科技支撑计划课题(项目编号:2007BAI20B076)。

摘　　要：心力衰竭临床表现复杂,中医古籍中对心力衰竭无统一的认识。慢性心衰为本虚标实之证,病机为"虚"、"瘀"、"水",其中水指津液代谢障碍,是一个涉及多脏腑、气血阴阳失衡的病理改变,尤以阳气虚为主要病机关键,病理性质为阳虚阴盛,以温化为治疗原则。临床上根据心力衰竭津液代谢障碍导致的不同临床症候进行辨证施治,讲究方证对应,常用经方药简而效彰。The clinical manifestations of heart failure are complex,and there is no unified understanding of heart failure in ancient books of traditional Chinese medicine. It is also scattered in various diseases and syndromes according to different manifestations in different periods. At present,the medical community has reached a consensus that chronic heart failure is the syndrome of deficiency and excess,and the pathogenesis is"deficiency","stasis"and"water";among them,water refers to body fluid metabolism disorder;it is a pathological change involving multiple organs and imbalance of yin and yang of qi and blood,in which yang deficiency is the main pathogenesis key,pathological nature is yang deficiency and yin excess,and warming is the treatment principle. Syndrome differentiation and treatment can be carried out in clinic according to different clinical symptoms caused by metabolic disorders of body fluid in heart failure.

关 键 词：心力衰竭 津液代谢障碍 经方 

分 类 号：R256.2[医药卫生—中医内科学]