姜泉教授从瘀热论治大动脉炎经验  

Professor Jiang Quan′s Experience in the Treatment of Takayasu Arteritis from the View of Blood Stasis and Heat

作　　者：王一燃 徐浩东 姜泉[1] WANG Yi-ran;XU Hao-dong;JIANG Quan(Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《世界中西医结合杂志》2023年第3期492-496,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金项目(81774290)。

摘　　要：大动脉炎是一种以大血管受累为主要表现的慢性、非特异性炎症性疾病,姜泉教授认为本病属于中医学“脉痹”,病位在血脉,与三焦相关。核心病机为瘀热相搏,治法以凉血散瘀、活血通脉为主,兼顾护脾胃。临床以四妙勇安汤为基础方,以银花、玄参、当归为主药,擅用辛润通络、藤枝类药物。Takayasu arteritis is a chronic,non-specific inflammatory disease mainly manifested by the involvement of large blood vessels.Professor Jiang Quan believes that this disease belongs to the category of vessel impediment in traditional Chinese medicine(TCM),and the disease is located in the blood vessel and related to triple energizer.The core pathogenesis is considered to be mutual contention of blood stasis and heat,and the treatment mainly follows the principles of cooling blood,dispersing stasis,activating blood,and promoting qi flow in combination with protecting the spleen and stomach.In clinical practice,Simiao Yongan Decoction is used as the fundamental prescription,where Lonicerae Japonicae Flos,Scrophulariae Radix,and Angelicae Sinensis Radix were predominant,and the pungent drugs for dredging collaterals as well as rattan drugs were well used.

关 键 词：脉痹 临证经验 瘀热 凉血散瘀 活血通脉 

分 类 号：R543.1[医药卫生—心血管疾病]