国医大师周仲瑛辨治肺源性心脏病临证经验撷要  

Clinical experience of Chinese medical master Zhou Zhongying in differentiation and treatment of pulmonary heart disease

作　　者：陈潇颖 张晓娜 李天赐 王振[1] 叶放[1] CHEN Xiaoying;ZHANG Xiaona;LI Tianci;WANG Zhen;YE Fang(Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210023,China)

机构地区：[1]南京中医药大学,江苏南京210023

出　　处：《上海中医药杂志》2023年第10期1-5,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(国中医药人教发〔2010〕59号);江苏省科技厅社会发展重点研发计划项目(BE2019723)。

摘　　要：介绍国医大师周仲瑛教授辨治肺源性心脏病的临证经验。周教授临床以病机辨证为法,认为肺源性心脏病以痰瘀阻肺、气阴两虚为基本病机,痰、瘀为核心病理因素,病位涉及肺、心、脾、肾,形成虚实夹杂、多因复合、多脏同病的复合病机特点。周教授常以复法制方,法随机转,杂合以治;组方一药多用,多效协同,以求实现临床辨治的圆机活法。This paper introduces the clinical experience of Chinese medical master Zhou Zhongying in differentiation and treatment of pulmonary heart disease.According to the method of syndrome differentiation in pathogenesis,professor Zhou believes that the basic pathogenesis of pulmonary heart disease is phlegm and blood stasis blocking lung and deficiency of qi and yin,phlegm and blood stasis are the core pathological factors,and the disease locations involve lung,heart,spleen and kidney,forming a complex pathogenesis characteristic of deficiency and solid,multiple causes and multiple organs.Professor Zhou often uses compound method,method random turn,hybrid to treat.In order to realize the flexible principle according to the different pathogenesis of clinical differentiation and treatment,the combination of prescription and medicine is multi-purpose and multi-effect coordination.

关 键 词：肺源性心脏病 病机辨证 复法制方 名医经验 中医药疗法 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]