从“气”的失常探讨冠状动脉血运重建术后心绞痛病机  

Pathogenesis of Angina Pectoris after Coronary Artery Revascularization from the Perspective of Qi Abnormality

作　　者：杨祎 李峥[1] 杜毅[1] 张哲[2] 杨关林[3] 王凤荣[1] YANG Yi;LI Zheng;DU Yi;ZHANG Zhe;YANG Guanlin;WANG Fengrong(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,110847;Liaoning University of Traditional Chinese Medicine;Ministry of Education Hold Key Laboratory of Chinese Medicine Visceral Theory and Application,Liaoning)

机构地区：[1]辽宁中医药大学附属医院,辽宁省沈阳市110847 [2]辽宁中医药大学 [3]辽宁中医药大学中医藏象理论及应用教育部重点实验室

出　　处：《中医杂志》2020年第15期1322-1324,共3页Journal of Traditional Chinese Medicine

基　　金：辽宁省中医药临床重点学(专)服务能力建设项目(LNZYXZK201908);重大疑难疾病中西医临床协作试点项目。

摘　　要：冠状动脉血运重建术后心绞痛与中医学胸痹有相似之处,但二者有本质区别。根据中医传统理论,结合流行病学调查和相关研究,提出要抓住冠状动脉血运重建术后心绞痛的核心病机——气的失常,即气滞和气虚为其根本。气的运行出现障碍导致血瘀;或气血亏虚,气不行血,血瘀脉中;或气滞气虚并见,肝郁脾虚生痰,痰浊血瘀。此三者为冠状动脉血运重建术后心绞痛的主要病机。Angina pectoris after coronary artery revascularization has similarities with chest obstruction in traditional Chinese medicine(TCM), but there are essential differences between the two. According to the traditional theory of TCM, combined with the epidemiological investigation and related research, it is proposed to seize the core pathogenesis of angina pectoris after coronary artery revascularization, qi abnormity. Qi stagnation and qi deficiency are fundamental of the disease. Obstacles in qi movement lead to blood stasis;or qi and blood deficiency, Qi not promoting blood leading to blood stasis in the vein;or stagnation of qi and qi deficiency occur at the same time, liver depression and spleen deficiency leading to phlegm, phlegm turbidity and blood stasis. These three aspects are the main pathogenesis of angina pectoris after coronary artery revascularization.

关 键 词：冠状动脉血运重建术 心绞痛 气滞 气虚 肝郁脾虚 

分 类 号：R259[医药卫生—中西医结合]