郭伟星教授论治中青年冠状动脉粥样硬化性心脏病气郁血滞证的经验  

Professor GUO Weixing’s experience in treating the Qi-stagnation and blood stagnation syndrome of coronary heart disease in young and middle-aged people

作　　者：江镇 戴霞[1] 张磊[2] 郭伟星[2] JIANG Zhen

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《中医临床研究》2024年第11期99-104,共6页Clinical Journal Of Chinese Medicine

基　　金：国家自然科学面上基金项目(81974561)。

摘　　要：冠状动脉粥样硬化性心脏病(简称冠心病)是心血管科常发生的疾病之一,发作时胸闷如窒,呼吸欠畅,疼痛不已,持续不解。该病属于中医学“胸痹心痛病”的范畴。随着社会环境的变化,中青年冠心病越发常见,常出现无任何前兆的心前区疼痛感,胸闷气短,憋喘乏力,其症状让患者难以提前干预。如何做到预防冠心病的发生、保护心血管和改善临床的亚健康状态,是当前亟需通关的课题。郭伟星教授根据多年所学和临床经验,对中青年冠心病的病因病机以及治疗有自己独特的见解和心得。他指出,中青年冠心病的发作与老年冠心病略有区别,由于生活压力增大,中青年一方面容易脾气暴躁,另一方面倦怠乏力。郭教授认为这是因为中青年气血不和,诸病生焉,气与血在中青年冠心病的发生发展中起着至关重要的作用,并认为气血失和是诱发中青年冠心病的重要因素,气郁血滞是其基本病机,故采用行气活血通络法治疗该病,效如桴鼓,立起沉疴。笔者从跟诊实践出发,对郭教授治疗中青年冠心病之气郁血瘀证经验进行总结,希望能够帮助医者拓宽临床诊治思路,提高临床治疗效果,防止疾病进一步恶化、稳定斑块,营养心肌与血脉,缓解中青年冠心病患者的痛苦,提高他们的生活幸福度。Coronary atherosclerotic heart disease is one of the most common cardiovascular diseases,characterized by chest tightness,poor breathing,persistent pain,and difficulty in resolving.In TCM,it belongs to the category of chest obstruction and cardiac pain disease.With the changes in social environment,coronary heart disease is becoming increasingly common in middleaged and young people,often accompanied by pain in the precordial area without any precursor,chest tightness,shortness of breath,and wheezing fatigue.The symptoms make it difficult for middle-aged and young people to intervene in advance.How to prevent the occurrence of coronary heart disease,protect the cardiovascular system,and ameliorate the clinical sub-health status is an urgent issue to be solved.Professor GUO Weixing has his own unique insights and experiences on the etiology,pathogenesis,and treatment of coronary heart disease in middle-aged and young people based on many years of learning and clinical experience.He pointed out that the onset of coronary heart disease in middle-aged and young people is slightly different from that in the elderly.Due to the increase in life pressure,middle-aged and young people are prone to be grumpy on the one hand,and on the other hand,they are tired and weak.Professor GUO believes that this is because of the disharmony between Qi(气)and blood in middle-aged and young people,and Qi and blood play a crucial role in the occurrence and development of coronary heart disease in middle-aged and young people.It is believed that the imbalance of Qi and blood is an important factor inducing coronary heart disease in middle-aged and young people,and that Qi stagnation and blood stasis are its basic pathogenesis.Therefore,Professor GUO adopts the method of activating Qi,promoting blood circulation,and unblocking collateral to treat the disease.The curative effect is remarkable,and the disease is cured immediately.From the perspective of learning from the tutor in clinical practice,the author summarizes the experience of Pro

关 键 词：中青年冠心病 胸痹心痛病 气郁血滞证 名医经验 

分 类 号：R256.2[医药卫生—中医内科学]