李军教授四期辨证治疗急性心肌梗死的经验总结  

Professor Li Jun′s Experience in Identifying and Treating Acute Myocardial Infarction of Four Stages:A Summary

作　　者：邵祯 孟超 李军[2] 王雪娇 张文杰 SHAO Zhen;MENG Chao;LI Jun;WANG Xue-jiao;ZHANG Wen-jie(Beijing University of Chinese Medicine,Beijing 100029;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《世界中西医结合杂志》2024年第3期506-511,共6页World Journal of Integrated Traditional and Western Medicine

基　　金：国家重点研发计划-中医药现代化-高血压心力衰竭创新病机及其临床辨治方案研究(2022YFC3500102);中国中医科学院科技创新工程重大攻关项目(CI2021A00902);首都卫生发展科研专项项目(首发2020-1-4151)。

摘　　要：急性心肌梗死(Acute myocardial infarction,AMI)发病率和病死率日趋升高,严重危害我国人民的身体健康。中医药对于改善AMI患者的症状、提高生活质量、改善预后颇具特色。李军教授认为,AMI病因包括外邪侵袭、情志过极、年老体虚、饮食不节,总体为本虚标实之证,本虚以心之气虚、阴阳亏虚为主,标实为痰、瘀、热、滞、饮停留。提出“四期辨证治疗”理论,分别总结急性期、亚急性期、陈旧期及终末期患者病机特点、症状、治法及方药。The prevalence and mortality of acute myocardial infarction(AMI)are progressively increasing,posing a significant threat to the health of the Chinese population.Traditional Chinese medicine(TCM)presents distinctive features in alleviating symptoms,enhancing the quality of life,and improving the prognosis of AMI patients.Professor Li Jun believes that the etiology of AMI includes the invasion of external pathogens,excessive emotional stress,being worn out with age,and irregular diet,indicating a pattern of deficiency in nature and excess in superficiality overall.Specifically,deficiency in nature primarily involves a deficiency of qi in the heart and a deficiency of yin and yang,while the excess manifests as phlegm,stasis,heat,stagnation,and retained fluid.Therefore,Professor Li proposes the theory of four-stage syndrome differentiation and treatment,which systematically delineates the pathogenesis,symptoms,treatment principles,and herbal prescriptions for AMI patients in the acute,subacute,chronic,and end stages.

关 键 词：李军 急性心肌梗死 分期辨证治疗 中医药 

分 类 号：R542.22[医药卫生—心血管疾病]