金玫应用木土同调法治疗胸痹心痛经验  

Jin Mei's experience of harmonizing wood and earth in the treatment of chest pain and cardia pain:a summary of experience

作　　者：蔡朕[1] 汪蕾[2] 佟丽[3] 仇盛蕾[4] 刘玉山 金玫[4] CAI Zhen;WANG Lei;TONG Li;QIU Shenglei;LIU Yushan;JIN Mei(Nephrology Department,Beijing Hospital of Traditional Chinese Medicine Affiliated to the Capital Medical University,Beijing 100010,China;Pediatrics,Beijing Hospital of Traditional Chinese Medicine Affiliated to the Capital Medical University,Beijing 100010;Nutrition Department,Beijing Hospital of Traditional Chinese Medicine Affiliated to the Capital Medical University,Beijing 100010;Cardiovascular Department,Beijing Hospital of Traditional Chinese Medicine Affiliated to the Capital Medical University,Beijing 100010;Respiratory department,The First People's Hospital of Dongcheng District of Beijing,Beijing 100075)

机构地区：[1]首都医科大学附属北京中医医院肾病科,北京100010 [2]首都医科大学附属北京中医医院儿科,北京100010 [3]首都医科大学附属北京中医医院营养科,北京100010 [4]首都医科大学附属北京中医医院心血管科,北京100010 [5]北京市东城区第一人民医院呼吸科,北京100075

出　　处：《北京中医药》2024年第8期894-897,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承工作项目。

摘　　要：金玫教授认为胸痹心痛病常与肝胆、脾胃功能失衡相关,肝胆在五行中属木,脾胃属土,其提出胸痹心痛病木土同调的中医辨证论治方法,肝气乘脾,心气不足证,治以培土泄木,补益心气;肝胃有热,心阴不足证,治以清肝和胃,滋阴清心;脾胃湿热,胆火扰心证,治以清热利胆,健脾燥湿;脾虚肝郁,气虚血瘀证,治以实土御木,益气活血;肝胃气滞,瘀血内停证,治以疏肝理气,活血化瘀;心肝血虚,脾气不足证,治以养肝健脾,补血活血;心虚胆怯,脾阳不足证,治以安神定志,温补脾阳。Professor Jin Mei believes that chest pain and heartache are often related to imbalances in liver-gallbladder and spleenstomach functions.Since the liver-gallbladder corresponds to Wood and the spleen-stomach to Earth in the Five Elements theory,she proposes a traditional Chinese medicine diagnostic and treatment method based on harmonizing Wood and Earth for chest pain and heartache.She identifies seven common TCM patterns and suggests unique treatment methods and herbal formulas for each:treating liver qi attacking the spleen and insufficient heart qi with tonifying Earth and draining Wood,supplementing and nourishing heart qi;treating liver-stomach heat and insufficient heart yin with clearing the liver and stomach,nourishing yin,and clearing the heart;treating spleen-stomach damp-heat and gallbladder fire disturbing the heart with clearing heat and promoting bile flow,strengthening the spleen,and drying dampness;treating spleen deficiency and liver depression,qi deficiency,and blood stasis with solidifying Earth to restrain Wood,supplementing qi,and promoting blood circulation;treating liver-stomach qi stagnation and blood stasis with soothing the liver,regulating qi,and promoting blood circulation;treating heart-liver blood deficiency and spleen qi deficiency with nourishing the liver,strengthening the spleen,supplementing blood,and promoting blood circulation;treating heart deficiency and gallbladder timidity,and spleen yang deficiency with calming the mind,settling the will,and warming and supplementing spleen yang.

关 键 词：金玫 胸痹心痛 辨证论治 木土同调 

分 类 号：R256.22[医药卫生—中医内科学] R249[医药卫生—中医学]