程志清从气化理论辨治慢性心力衰竭临床经验介绍  

Experience Introduction of CHENG Zhiqing in Differentiating and Treating Chronic Heart Failure from Theory of Qi Transformation

作　　者：余峥瑶 沈祥峰[1] 程志清(指导)[1] YU Zhengyao;SHEN Xiangfeng;CHENG Zhiqing

机构地区：[1]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2021年第20期195-198,共4页New Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教[2018]31号)。

摘　　要：总结程志清教授治疗慢性心力衰竭的辨证特点和用药规律。程志清教授认为慢性心力衰竭多为本虚标实之证,以气化不利、瘀水内生为最常见的病机,治疗重在温补阳气,复其气化。在临床上,从整体认识证型之间病机的传变规律,以真武汤为主方,温补阳气,活血利水,疏通三焦,并因人制宜,兼顾扶正祛邪。This paper summarizes the characteristics of syndrome differentiation and treatment as well as medication rules of Prof. CHENG in the treatment of chronic heart failure. Prof. CHENG believes that chronic heart failure is mostly a syndrome of deficiency in origin and excess in superficiality, whose most common pathogenesis is disturbance of qi transformation and internal generation of stasis and water. Its treatment should be focused on warming and supplementing yang qi to restore the qi transformation. Chinese medicine practitioners should understand the mechanism of pathogenesis between different syndromes as a whole,take Zhengwu tang as the main prescription to warm and supplement yang qi,invigorate blood and promote urination, and soothe triple energizers, and should consider different people and how to reinforce healthy qi and dispel pathogen.

关 键 词：慢性心力衰竭 气化理论 温阳利水 程志清 

分 类 号：R541.6[医药卫生—心血管疾病] R249[医药卫生—内科学]