梅国强辨治扩张型心肌病经验  

Professor MEI Guoqiang's Experience in the Treatment of Dilated Cardiomyopathy

作　　者：周贤[1] 刘松林[1] 樊讯[1] 明浩 陈海洋 梅国强(指导)[1] ZHOU Xian;LIU Songlin;FAN Xun;MING Hao;CHEN Haiyang(Hubei University of Chinese Medicine,Wuhan,430061;Jianghan University;Shanghai University of Traditional Chinese Medicine)

机构地区：[1]湖北中医药大学,湖北省430061 [2]江汉大学 [3]上海中医药大学

出　　处：《中医杂志》2021年第4期289-291,302,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81603720);国家中医药管理局国医大师传承工作室建设项目[国中医药办人教函[2018]119号];湖北省高等学校优秀中青年科技创新团队计划(T201808)。

摘　　要：总结梅国强教授辨治扩张型心肌病的临证经验。认为扩张型心肌病核心病机为虚实两端,实者,或痰或瘀,阻滞气机,痹阻心脉;虚者,关乎心之气血阴阳虚损,临证务必全面收集四诊资料,详辨其虚实病机。同时坚持辨证与辨病相结合,谨守病机,立法选方,如常见之痰瘀互结证、气滞血瘀证、气阴亏虚证、少阴阳虚水泛证,宜分别选用小陷胸汤、血府逐瘀汤、黄芪生脉饮、真武汤方进行随症加减治疗;用药方面,强调久病入络,善用虫类、藤类及通络散结之品以除络脉之邪。This article introduced the clinical experience of professor MEI Guoqiang in the treatment of dilated cardiomyopathy(DCM).He puts forward that the core pathogenesis of DCM is nothing but deficiency and excess.The excess pattern is mainly due to phlegm and blood stasis which obstruct qi movement and heart vessel,while the deficiency pattern is mainly caused by depletion of qi,blood,yin,and yang of heart.Therefore,data should be comprehensively collected to differentiate the excess and deficiency pattern through four examinations.Pattern differentiation should be combined with disease differentiation to guide treatment.For the commonly seen patterns,such as binding of phlegm and stasis,qi stagnation and blood stasis,qi-yin depletion,and edema due to shaoyin yang deficiency,Xiaoxianxiong Decoction(小陷胸汤),Xuefu Zhuyu Decoction(血府逐瘀汤),Huangqi Shengmai Decoction(黄芪生脉饮),Zhenwu Decoction(真武汤),are recommended respectively,and can be modified according to pattern and disease differentiation.From the theory of"chronic diseases transforming to collaterals",he often uses worms,vines,and collateral-dredging and mass-dissipating drugs,to remove the pathogen of the collaterals.

关 键 词：扩张型心肌病 胸痹 名医经验 梅国强 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]