宋鲁成论治冠心病经验  

Experience of Professor SONG Lucheng in Treating Coronary Heart Disease

作　　者：高梦琦[1] 韩得婷 孙善美 宋鲁成(指导) GAO Mengqi;HAN Deting;SUN Shanmei;SONG Lucheng(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The First Affiliated Hospital of Shandong First Medical University,Jinan 250014,China;不详)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东第一医科大学第一附属医院,山东济南250014 [3]不详

出　　处：《山东中医杂志》2022年第7期777-781,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金项目(编号:ZR2013HL033);山东省中医药科技发展计划项目(编号:2013-197);山东省名老中医传承工作室建设项目(批文号:鲁中药函〔2018〕5号)。

摘　　要：在冠心病的诊断和治疗上,宋鲁成教授擅长以寸口脉来诊断心脏的病理状态,并首次将动脉粥样硬化性疾病和肿瘤等癥积类疾病的辨证治疗联系在一起,形成了独具特色的“微观癥积”理论。宋教授认为冠心病病因可概括为气虚、气滞、血瘀、痰浊、热毒5个要素,重视毒邪对疾病的影响;治疗上标本兼顾,扶正与祛邪并用,创制参夏合剂及其加减方以益气化积、活血解毒,此外,宋教授主张从“血脉心”治心、心胃同治。In the diagnosis and treatment of coronary heart disease,Professor SONG Lucheng is good at diagnosing the pathological state of the heart on the basis of cunkou pulse,and for the first time connects atherosclerotic diseases with the syndrome differentiation and treatment of tumors and other mass and accumulation diseases,thus forming a unique theory of“microcosmic mass and accumulation”.Professor SONG believes that the disease cause of coronary heart disease can be generalized as qi deficiency,qi stagnation,blood stasis,phlegm turbidity and heat toxin,totally five factors,and pays attention to the influence of toxic pathogen on the disease.In the treatment,he treats both the branch and root simultaneously,and uses tonifying healthy qi and remove evil qi in combination.He invents Shenxia Mixture(参夏合剂)and uses this formula and its modifications to replenish qi and resolve accumulation,activate blood circulation and detoxify.In addition,Professor SONG advocates treating heart from“blood,vessel and heart”and treating heart and stomach simultaneously.

关 键 词：冠心病 微观癥积 参夏合剂 寸口脉 心胃同治 毒邪 宋鲁成 

分 类 号：R259.414[医药卫生—中西医结合]