从“五行化痰法”论治胸痹心痛  

Treating Chest Stuffiness and Pains from Perspective of"Five Elements Resolving Phlegm Method"

作　　者：李铎 刘悦[2] 李佳[2] 张哲[2] 英哲铭 党博一 杨关林[1] LI Duo;LIU Yue;LI Jia;ZHANG Zhe;YING Zheming;DANG Boyi;YANG Guanlin(Liaoning University of Chinese Medicine,Shenyang Liaoning China 110032;The Affiliated Hospital to Liaoning University of Chinese Medicine,Shenyang Liaoning China 110032)

机构地区：[1]辽宁中医药大学,辽宁沈阳110032 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中医学报》2020年第10期2065-2068,共4页Acta Chinese Medicine

基　　金：国家重点基础研究发展计划项目(“973”项目)(2013CB531704);国家自然科学基金项目(81703970)。

摘　　要：胸痹心痛病机复杂,痰浊作为其重要致病因素之一,每与血瘀、气滞、阳虚、气虚等因素相兼为患。中医治疗胸痹心痛痰证的方法不外乎在化痰的基础上加上理气、活血、健脾、清热、温阳之法。若在临证时能做到谨守病机,辨证准确,采用理气化痰、活血化痰、健脾化痰、清热化痰、温阳化痰五种化痰方法,或将多种方法联合使用,可收良效。The pathogenesis of chest stuffiness and pains is complicated,and turbid phlegm is one of its important pathogenic factors.It is often caused by blood stasis,Qi stagnation,Yang deficiency,Qi deficiency and other factors.TCM treatment of chest stuffiness and pains with Phlegm syndrome is nothing more than the addition of Phlegm-regulating based on activating blood,strengthening Spleen,clearing Heat,and warming Yang.If the pathogenesis can be known clearly and the syndrome differentiation can be performed accurately during the clinical practice,good treatment efficacy can be achieved by using the following methods,namely,regulating Qi and resolving phlegm,promoting blood circulation and resolving phlegm,invigorating Spleen and resolving phlegm,clearing Heat and resolving phlegm,warming Yang and resolving phlegm.All of the above also can be applied in combination.

关 键 词：胸痹心痛 “五行化痰法” 理气化痰 活血化痰 健脾化痰 清热化痰 温阳化痰 

分 类 号：R256.22[医药卫生—中医内科学]