基于五脏相关理论分期辨治慢性心衰  

ffDifferentiation and treatment of chronic heart failure by stages based on the theory of mutual fiassociation of the five zang viscera

作　　者：辛宇咛 刘爱东[1,2] 刘迎辉 成光宇[3] 李双娣[3] 吕珊[1,3] 韩蕙泽[1] XIN Yuning;LIU Aidong;LIU Yinghui;CHENG Guangyu;LI Shuangdi;LV Shan;HAN Huize(Changchun University of Chinese Medicine,Changchun 130117,China;The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine,Changchun 130117,China;The Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属第三临床医院,长春130117 [3]长春中医药大学附属医院,长春130021

出　　处：《吉林中医药》2024年第2期149-153,共5页Jilin Journal of Chinese Medicine

基　　金：吉林省中医药管理局项目(2023018)。

摘　　要：慢性心衰是各种心脏疾病发展至终末阶段的复杂综合征,其发生发展是各脏腑共同作用的结果。国医大师任继学教授、邓铁涛教授均倡导从五脏相关出发辨治慢性心衰,刘爱东教授总结多年临证经验,深入体会五脏相关理论与慢性心衰的科学内涵,探讨在该理论指导下分期辨治慢性心衰。根据病程不同阶段,主要分为三期,Ⅰ期多以心气不足,肺气壅塞为主,Ⅱ期多见脾虚肺闭,心肝血瘀,而病至Ⅲ期多为五脏衰弱,虚实夹杂,并附医案一则详细阐释临证思路,以飨同道。Chronic heart failure is a complex syndrome in which various heart diseases develop to the terminal stage,and its occurrence and development is the result of the joint action of zang-fu viscera.Professor Ren Jixue,a master of traditional Chinese medicine,and Professor Deng Tietao both advocate the differentiation and treatment of chronic heart failure from the perspective of mutual association of five zang viscera.Professor Liu Aidong,based on his clinical experience,develops a deep understanding of the mutual association of five zang viscera theory and the scientific connotation of chronic heart failure,and explores the staged differentiation and treatment of the disease under the guidance of this theory.According to its different stages,the disease is mainly divided into three stages.Stage I is mostly characterized by insufficient heart qi and lung qi congestion,while stage II is more commonly manifested as spleen deficiency and lung closure,as well as heart and liver blood stasis,and stage III mostly features weakness of the five zang viscera,and intermingled deficiency and excess.A medical case is attached to the paper to explain the clinical thinking in detail,in order to share the vision with the colleagues engaged in the same pursuit.

关 键 词：五脏相关 慢性心衰 分期辨治 

分 类 号：R541.6[医药卫生—心血管疾病]