浅析从络论治心力衰竭  

Brief Analysis of Treating Heart Failure from Collaterals Based on Syndrome Differentiation

作　　者：柴苗苗 费元敏 张忠南 尹静 CHAI Miaomiao;FEI Yuanmin;ZHANG Zhongnan;YIN Jing(Linping Hospital of Integrated Traditional Chinese and Western Medicine,Hangzhou Zhejiang 311100,China)

机构地区：[1]杭州市临平区中西医结合医院,浙江杭州311100

出　　处：《新中医》2024年第6期162-165,共4页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2023ZL17);杭州市医药卫生科技项目(B20232225)。

摘　　要：基于络病理论,认为心力衰竭属心络病范畴,提出心络气虚阳微为心力衰竭的病机基础,络脉瘀阻为心力衰竭病情发展的核心,络息成积是心力衰竭的最终病理变化。基于“络以通为用”的原则,结合心力衰竭气、血、水三分病变的特点,提出分别侧重治以温阳、化瘀、利水之法,认为以益气温阳、补虚养络为主,以活血化瘀、利水通络为辅,通补兼施,标本兼治,使心络通,气血行,则疾病向愈。The collateral disease theory believes that heart failure belongs to heart collateral disease and it suggests that the basis of pathogenesis of heart failure is heart-collateral qi deficiency and weak pulse at yang:the core of progression is stasis obstructing the collateral vessels,and the final pathological change is concretions formed by long-term accumulated pathogen in the collateral vessels.The theory holds that the treatment should respectively prioritize the methods of warming yang,resolving stasis and inducing diuresis based on the principle thatt“collateral needs to keep unobstructed”and the pathological characteristics of heart failure in terms of qi,blood and water aspects.Specifically,the treatment should mainly tonify qi and warm yang,and supplement deficiency and nourish collaterals,supplemented with activating blood and resolving stasis,and inducing diuresis and unblocking the collaterals.With simultaneous treatment of unblocking and supplementation,the root and branch are treated simultaneously to unblock the heart collaterals,and move qi and blood so that the disease is cured.

关 键 词：心力衰竭 络病理论 病因病机 辨证论治 

分 类 号：R541.61[医药卫生—心血管疾病]