唐蜀华教授治疗扩张型心肌病心力衰竭患者临证经验  

Clinical Experience of Professor Tang Shuhua in Treatment of Heart Failure Patients with Dilated Cardiomyopathy

作　　者：艾英 刘春玲 陈玲玉 郦心瑶 李鑫琪 AI Ying;LIU Chunling;CHEN Lingyu;LI Xinyao;LI Xinqi(Department of Cardiology,Affiliated Hospital of Nanjing University of Chinese Medicine/Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院/江苏省中医院心内科,江苏南京210029

出　　处：《基层中医药》2024年第4期1-5,共5页Basic Traditional Chinese Medicine

基　　金：唐蜀华全国名中医传承工作室(国中医药办人教函[2022]245号)。

摘　　要：本文介绍唐蜀华教授对于扩张型心肌病(DCM)的病因病机认识及辨治用药特点。唐老认为,扩张型心肌病病理性质以正虚为本、血瘀水停为标,当治以扶正补虚、活血化瘀利水。同时强调治疗时需明辨病情发展阶段,把握病机变化,结合现代药理,衷中参西,灵活遣方用药,发挥中西医结合治疗优势,提升患者生活质量,改善预后。This study introduced Professor Tang Shuhua's understanding of the etiology and pathogenesis of dilated cardiomyopathy(DCM)and the characteristics of syndrome differentiation,treatment,and medication.Professor Tang believes that the pathological nature of DCM is healthy qi deficiency as root cause and blood stasis and fluid retention as manifestation.The treatment should focus on reinforcing healthy qi,tonifying deficiency,activating blood,resolving stasis,and eliminating water retention.At the same time,Professor Tang emphasizes the need to identify the stage of disease progression,grasps the changes in pathogenesis,combines modern pharmacology,integrates traditional Chinese and Western medicine,flexibly prescribes medications,leverages the advantages of integrated traditional Chinese and Western medicine treatment,improves patient quality of life,and enhances prognosis.

关 键 词：扩张型心肌病 正虚邪实 衷中参西 名医经验 

分 类 号：R54[医药卫生—心血管疾病]