唐蜀华教授基于“阳化气,阴成形”辨证论治急性心肌梗死经皮冠状动脉介入治疗术后心绞痛经验  

Professor Tang Shuhua’s experience in the syndrome differentiation and treatment of postoperative angina pectoris treated with percutaneous coronary intervention for acute myocardial infarction based on“yang transforming qi and yin forming structure”

作　　者：包迪妮 苏晓明 刘春玲 BAO Dini;SU Xiaoming;LIU Chunling(Department of Cardiology,Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210004,China)

机构地区：[1]南京中医药大学附属医院心内科,江苏南京210004

出　　处：《中国医药导报》2024年第22期160-163,共4页China Medical Herald

基　　金：国家中医药管理局第四届国医大师传承工作室和第二届全国名中医传承工作室建设项目(国中医药办人教函〔2022〕245号)。

摘　　要：经皮冠状动脉介入治疗(PCI)是急性心肌梗死的主要治疗方法,可有效降低临床死亡率,但术后再发心绞痛已成为常见的术后并发症之一,不容忽视。本文总结唐蜀华教授基于“阳化气,阴成形”理论治疗PCI术后再发心绞痛的经验。唐教授总结PCI术后再发心绞痛的基本病机为“阳化气”不足,“阴成形”有余,为本虚标实证,基本治法为温补、活血、理气为主。临证时,需结合患者病程长短及冠状动脉病变程度辨证论治,临床获效显著,其诊疗经验可为临床拓宽思路。Percutaneous coronary intervention(PCI)is the main treatment method for acute myocardial infarction,which can effectively reduce clinical mortality.However,postoperative recurrent angina pectoris has become one of common postoperative complications that cannot be ignored.This article summarizes Professor Tang Shuhua’s experience in the treatment of recurrent angina pectoris after PCI based on the theory of“yang transforming qi and yin forming structure”.Professor Tang summarizes basic pathogenesis of recurrent angina pectoris after PCI is insufficient“yang transforming qi”and excess“yin forming structure”,which is based on the principle of deficiency and empirical evidence.The basic treatment methods are mainly warming and tonifying,promoting blood circulation,and regulating qi.When treating symptoms,it is necessary to combine the length of the patient’s disease course and the degree of coronary artery disease differentiation and treatment.Clinical results are significant,and the diagnosis and treatment experience can broaden clinical thinking.

关 键 词：唐蜀华 阳化气 阴成形 经皮冠状动脉介入治疗 心绞痛 

分 类 号：R256.2[医药卫生—中医内科学]