《黄帝内经》“血脉”整体观防治动脉粥样硬化性心血管疾病的理论发挥  

Holistic View of"Blood"and"Pulse"in Huangdi Nejing Prevents Atherosclerotic Cardiovascular Disease

作　　者：张铜五 陈向心 陆毅 郝秀炜 王洋[2] 关乐[2] 刘悦[2] 张哲[2] 闵冬雨[2] 杨关林[2] 孔德昭[1] ZHANG Tongwu;CHEN Xiangxin;LU Yi;HAO Xiuwei;WANG Yang;CUAN Le;LIU Yue;ZHANG Zhe;MIN Dongyu;YANG Guanlin;KONG Dezhao(The First Clinical College of Liaoning University of Chinese Medicine.,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第6期1-4,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：中国博士后科学基金面上项目(2021M703618)。

摘　　要：《黄帝内经》有云:“人之所以成生者,血脉也”“血脉和利,精神乃居”“血”,维系着机体的正常生理功能;“脉”,则具有推动和约束血液在脉道运行的作用;“血”与“脉”相互作用,二者相合,共同维持着机体的生命活动。传承《黄帝内经》的思想和理论,杨关林教授从中医学“整体观”出发,结合前人“痰瘀”相关学说,整体审视心脑血管系统疾病,提纲挈领地提出“血脉病”这一概念。血脉病,指气血运行失常,导致血脉痹阻的一类疾病,包含心脉病、脑脉病和肢脉病等多系统疾病。血脉病的发生与脾虚受损有密切的联系,我们创新性的将血脉病分为“血浊脉滞”“血瘀脉壅”“血毒脉损”三个不同发展阶段,并根据不同阶段的病机和临床表现提出“健脾益气,化痰降浊”“健脾益气,化痰祛瘀”“化痰祛瘀,清热解毒”三种不同的治法并建立出相应中药组方,构建血脉病全程防治体系,提升中医药防治疗效。Huangdi Neijing reads:"The reason why people become born is also blood""If your blood run normally,your spirit is very good"."Blood"maintains the normal physiological functions of the body."Vessels"have the effect of promoting and restraining the blood in the vein."Blood"and"Vessels"are interconnected,which can maintain the life activities of the body.Inheriting the ideas and theories of Huangdi Neijing,professor YANG Guanlin started from the"holistic view"of traditional Chinese medicine,combined with the relevant theories of"phlegm and blood stasis"of his predecessors,examined cardiovascular and cerebrovascular system diseases as a whole,and proposed the concept of"blood and vessels disease"in an outline.There is a close relationship between the occurrence of"blood and vessels disease"and damage due to spleen deficiency,and we innova-tively divide"blood and vessels disease"into three different stages of development:"blood turbidity and vessels stagnation","blood stasis and vessels obstruction"and"blood toxin and vessels damage".And according to the pathogenesis and clinical man-ifestations of different stages,three different treatment methods are proposed:"strengthening spleen and invigorating Qi,dissolving phlegm and reducing turbidity","strengthening spleen and invigorating Qi,dissolving phlegm and removing blood stasis","dis-solving phlegm and removing stasis,clearing heat and detoxification",and creating corresponding Chinese medicine formulae to build a whole-process prevention and treatment system for"blood and vessels disease"and improve the efficacy of traditional Chinese medicine prevention and treatment.

关 键 词：黄帝内经 血脉病 中医药 脾虚受损 防治体系 动脉粥样硬化性心血管疾病 

分 类 号：R259[医药卫生—中西医结合]