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作 者:任高灿 刘锦 高风 马晓昌[1] Ren Gaocan;Liu Jin;Gao Feng;Ma Xiaochang(Xiyuan Hospital,China Academy of Chinese Medical Sciences,National Clinical Research Center for Chinese Medicine Cardiology,Beijing 100091,China)
机构地区:[1]中国中医科学院西苑医院,国家中医心血管病临床医学研究中心,北京100091 [2]河南中医药大学第一附属医院,河南郑州450046
出 处:《中国中医急症》2023年第7期1174-1177,共4页Journal of Emergency in Traditional Chinese Medicine
基 金:北京市科技计划课题——首都临床特色应用研究(Z181100001718128)。
摘 要:在临床中,慢性心力衰竭急性加重病情危急,死亡率和再入院率较高,现已成为影响我国居民健康的公共卫生问题。慢性心力衰竭急性加重常由外邪袭表、七情所伤、劳倦过度所诱发,“虚”“瘀”“水”三者失去相对稳定状态,急性发作,伤人至深。风药凭借其“升、散、透、窜、通、燥、动”的特性,与它药相配,可增加疗效,引经报使,又可缩短起效时间,恰似符合慢性心力衰竭急性加重“急、重”的特点。因此本文从升阳助阳,培土制水;活血化瘀,以通其脉;祛风解表,防邪入里;疏肝理气,双心同治;通络散结,以制其变5个方面,论述了风药在慢性心力衰竭急性加重治疗中的应用。In clinical practice,chronic heart failure has become an important public health problem affecting the health of Chinese residents because of its acute exacerbation,high mortality and readmission rate.The acute exacerbation of chronic heart failure is often induced by external evil attacking the exterior,emotions being in-jured,and overwork.The"deficiency""blood stasis",and"water"lose their relatively stable state,and the acute attack can hurt people deeply.By virtue of its characteristics of"rising,dispersing,penetrating,channeling,un-blocking,drying and moving",wind medicine,when matched with other drugs,can increase the curative effect,guide the meridians to report,and shorten the onset time,which seems to conform to the characteristics of acute ex-acerbation of chronic heart failure as"acute and severe".Therefore,this article discusses the application of wind medicine in the treatment of acute exacerbation of chronic heart failure from five aspects:promoting yang and helping yang,cultivating earth to make water,activating blood and removing blood stasis,to unblock the pulse,dis-pel wind and remove exterior,to prevent evil from entering the interior,to soothe the liver and regulate qi,to treat both hearts together,to unblock collaterals and disperse knots,and to control its change.
关 键 词:慢性心力衰竭急性加重 风药 药物增效 起效时间
分 类 号:R541.61[医药卫生—心血管疾病]
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