营卫理论指导下从“脾”论治冠状动脉粥样硬化性心脏病的内涵  

Connotation of Treating Coronary Heart Disease from Spleen Based on Nutrient-defense Theory

作　　者：杜敏 冯骁腾 张一凡 沈虹 刘萍[1] DU Min;FENG Xiaoteng;ZHANG Yifan;SHEN Hong;LIU Ping(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai Xuhui Central Hospital,Shanghai 200031,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海市徐汇区中心医院,上海200031

出　　处：《世界中医药》2023年第21期3081-3084,3089,共5页World Chinese Medicine

基　　金：国家自然科学基金项目(82074200);上海市科学技术委员会科研计划项目(18401900200);上海市浦东新区卫生和计划生育委员会卫生计生科研项目(PW2018D-11)。

摘　　要：冠状动脉粥样硬化性心脏病(简称冠心病)是最常见的慢性病之一,严重影响着人类的健康和生命质量。随着人们对中医认识的提高,中西医结合治疗疾病已成为一种普遍接受的疗法。营卫与心密切相关,营卫的化生、运行离不开脾。中医认为脾虚失运,营卫运行失常,内生痰浊,痰瘀互结,心血瘀阻;或营卫虚损,损及心气血阴阳,均可导致冠心病的发生。中医药具有辨证论治、不良反应小、作用缓慢长效、整体调控、无明显药物依赖性等优点,是治疗动脉粥样硬化性疾病的潜在疗法。因此,从脾入手调和营卫,恢复营卫功能,可以有效防治冠心病。Coronary heart disease(CHD)is a common chronic disease,posing serious effects on human health and quality of life.As the recognition of traditional Chinese medicine(TCM)is improving,integrated Chinese and Western medicine has become an acceptable method to treat diseases.Nutrient and defense have a close relationship with the heart,and their transformation and transport are inseparable from the spleen.According to the TCM theory,spleen deficiency and dysfunction in transportation lead to the imbalance of nutrient and defense,generation of turbid phlegm,combined phlegm and stasis,and finally heart blood stasis and obstruction.Or the deficiency of nutrient and defense injures qi,blood,yin,and yang of the heart,which can all lead to CHD.TCM serves as a potential therapy for atherosclerotic disease due to its advantages of syndrome differentiation and treatment,mild adverse reactions,long-lasting effects,overall regulation,and no obvious drug dependence.Therefore,harmonizing nutrient and defense and improving their functions from the spleen can prevent and treat CHD.

关 键 词：营 卫 营卫学说 脾 动脉粥样硬化 冠心病 

分 类 号：R22[医药卫生—中医基础理论]