痰瘀同病的理论内涵及其临床应用  

New Understanding of Phlegm and Blood Stasis and Their Clinical Application

作　　者：李玉波[1] 于眉[2] 李君玲[3] 吴朦 LI Yubo;YU Mei;LI Junling;WU Meng(Institute of Basic Theory of Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Traditional Chinese Medicine,Beijing Aerospace General Hospital,Beijing 100076,China;School of Traditional Chinese Medicine,Capital Medical University,Beijing 100069,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700 [2]北京航天总医院中医科,北京100076 [3]首都医科大学中医药学院,北京100069

出　　处：《世界中医药》2022年第21期3061-3064,3069,共5页World Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(81603417);中国中医科学院基本科研业务费优秀青年科技人才(创新类)培养专项计划项目(ZZ13-YQ-071);中国中医科学院基本科研业务费自主选题项目(YZ1874)。

摘　　要：痰和瘀的中医理论研究颇多,现将痰和瘀的中医理论与现代医学的内环境理论相结合,重新认识痰瘀互结。痰瘀互结的临床症状诸多学者表述不一,主要有癥积包块、神志失常、疼痛、肌肤麻木、肢体偏废、痈疡等。基于理论研究发现,大部分症状都可以归纳为疼痛和麻木2个核心症状,并系统阐述了痰瘀同病的病因病机,以冠心病、抑郁症、阳痿3个临床常见疾病为例,探讨从痰瘀论治在具体疾病中的重要意义。Many studies have been conducted on the theory of phlegm and blood stasis in traditional Chinese medicine(TCM).In this paper,the TCM theory of phlegm and blood stasis and the internal environment of modern medicine were combined to reconsider combined phlegm and blood stasis.Scholars hold different opinions on the clinical symptoms of phlegm and blood stasis,mainly including syndrome mass,insanity,pain,skin numbness,limb impairment,and carbuncle.Based on theoretical research,the authors found that most symptoms could be categorized into two core symptoms:pain and numbness.This paper systematically expounded the etiology and pathogenesis of phlegm and blood stasis,and discussed the significance of treating phlegm and blood stasis in specific diseases by taking coronary heart disease,depression and impotence as examples.

关 键 词：痰 瘀 理论内涵 临床特征 疼痛 麻木 临床应用 

分 类 号：R228[医药卫生—中医基础理论]