基于“苦欲补泻”从脾论治慢性心力衰竭  

Treatment of Chronic Heart Failure from Spleen Based on the Theory of Applying Tonifying and Purging Methods Based on Preference and Aversions

作　　者：侯艳 俞鹏[2] 陈晓虎[2] HOU Yan;YU Peng;CHEN Xiaohu(The First Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Cardiology,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023 [2]江苏省中医院心内科,江苏南京210029

出　　处：《基层中医药》2024年第1期49-53,共5页Basic Traditional Chinese Medicine

基　　金：江苏省中医临床医学创新中心研究项目(省中医高血压病临床医学创新中心重点项目)(苏中医科教函[2023]1号)。

摘　　要：慢性心力衰竭是各种心脏疾病的严重和终末阶段。中医概括其病机为“虚”“瘀”“水”,以心之气阳亏虚为本,以血瘀、水停为标,病位涉及五脏,尤以心脾关系密切。苦欲补泻理论源于《黄帝内经》,是指导临床组方用药的重要原则。本文结合脾苦欲补泻理论,探讨慢性心衰病机,论述苦温燥湿、甘淡补脾、甘温补虚的治疗原则,以期为慢性心衰治疗提供新的方法及思考。Chronic heart failure is the severe and final stage of heart diseases.The traditional Chinese medicine(TCM)pathogenesis of this disease is summarized as deficiency,stasis,and water,with qi and yang deficiency of the heart as the root cause and blood stasis and water retention as the symptoms.The disease involves the five zang-organs,especially the heart and spleen.The theory of applying tonifying and purging methods based on preference and aversions from Huangdi's Internal Classic(Huang Di Nei Jing)is an important principle guiding the clinical prescription and use of medicines.According to this theory,this paper explores the pathogenesis of chronic heart failure and discusses the treatment principles of bitter-warm drying dampness,sweet-bland tonifying the spleen,and sweet-warm tonifying the deficiency,aiming to provide new ideas and approaches for the treatment of chronic heart failure.

关 键 词：苦欲补泻 慢性心力衰竭 心 脾 

分 类 号：R54[医药卫生—心血管疾病]