张金波教授“解肌扩脉”法治疗冠心病心绞痛经验总结  

Professor Zhang Jinbo's experiences in treatment of coronary heart disease angina pectoris based on"jiejikuomai"method

作　　者：徐小璐 张金波 王蕊[3] 李颖杰 孙丽 李史清 Xu Xiaolu;Zhang Jinbo;Wang Rui;Li Yingjie;Sun Li;Li Shiqing(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Yantai Hospital of Traditional Chinese Medicine,Yantai 264013,Shandong,China;Department of Pharmacy,the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]烟台市中医医院,山东烟台264013 [3]山东中医药大学第二附属医院药学部,山东济南250355

出　　处：《中国中西医结合急救杂志》2021年第6期738-741,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：齐鲁医派中医学术流派传承项目(鲁卫函[2021]45号)。

摘　　要：张金波教授运用“解肌扩脉”法治疗冠状动脉粥样硬化性心脏病(冠心病)心绞痛,将玄府、络脉、血脉与解肌发表药的应用相结合,认为心脉肌表腠理密塞,玄府开阖失序,营卫不通,营卫稽留,血凝不流是基本病机。临床配伍辛散横开,解表舒肌疏腠扩络的解表药可以提高疗效,特别是对血管痉挛、狭窄、闭塞具有经络支架的作用,可快速地缓解急慢性心绞痛胸闷、胸痛的症状。Professor Zhang Jinbo's"jiejikuomai(relax the flesh and dilate vessels)"method is applied for the treatment of coronary heart disease angina pectoris.In the method,the application of herbal medicinal drugs with"Jiejifabiao(relax of muscle and exterior effusion)"actions are associated with"xuanfu(mysterious house)","luomai(network vessels)"and"xuemai(blood vessels)".It is believed that the heart blood vessels,fleshy exterior surface and interstices are tightly blocked,the opening and closing of the"Xuanfu(house probably indicating the whole body surface as a house)"are out of order,the Ying(construction or nutrient)and Wei(defense)are blocked and tangled,then blood coagulation with blood flow stoppage is the basic pathogenesis.Clinically,the compatible herbal drugs with"Xinsan Hengkai(acridity dissipation)"were generally given to the patients to relieve their exterior surface,relax the muscles,loose the interstices,and dilate network vessels or the collaterals,thus the method can elevate the curative effect,especially the Professor Zhang's therapy has the action similar to that of meridian stent that may alleviate vasospasm,stenosis and occlusion,and in turn quickly relieve the symptoms of acute and chronic angina pectoris,chest tightness and chest pain.

关 键 词：冠心病 心绞痛 玄府 络脉支架 血脉 解肌扩脉 

分 类 号：R54[医药卫生—心血管疾病]