冠心病痰瘀互结辨治浅析  

Intermingled Phlegm and Blood Stasis in Coronary Heart Disease:Diagnosis and Treatment

作　　者：李圣耀 陈卓 徐浩[1] 史大卓[1] LI Sheng-yao;CHEN Zhuo;XU Hao;SHI Da-zhuo(Center of Cardiovascular Disease,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心血管病中心,北京100091

出　　处：《中国中西医结合杂志》2020年第12期1502-1504,共3页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家科技支撑计划项目(No.2013BAI02B01);北京市科学技术委员会“首都临床特色应用研究”专项资助课题(No.Z151100004015090)。

摘　　要：痰瘀互结的发生有痰瘀同生与痰瘀互生两个方面,痰瘀互生又包括痰瘀间的直接和间接转化。当痰瘀互结化热,则易酿生毒邪,蚀脉伤肌,发生心血管事件。因此治疗上,应详细辨析痰瘀互结的病机,或痰瘀同治,或痰瘀互治,根据痰瘀的偏重灵活用药。同时依据气血津液相关及证候动态演变,恰当配伍应用理气、补气和清热解毒药物。The pattern of intermingled phlegm and blood stasis emerge includes coincidence and interac-tion,and the latter process includes two types:direct and indirect conversion.Once phlegm and blood stasis produce heat,toxin will easily come into being,which does harm to coronary artery and myocardium.As a result,adverse cardiovascular events will probably occur.Thus,coronary artery disease should be treated by eliminating phlegm and removing blood stasis,together or mutually,based on the meticulous analysis of the pathogenesis.Simultaneously,regulating qi,supplementing qi and clearing heat and dispelling toxin herbs should be used according to the qi-bloodbody fluid correlation theory and dynamic development of syndrome.

关 键 词：冠心病 痰瘀互结 瘀毒 活血解毒 

分 类 号：R259[医药卫生—中西医结合]