温阳活血为主辨治冠心病介入术后心绞痛的体会  

Experience of Warming Yang and Activating Blood Circulation in Treatment of Angina Pectoris after Coronary Intervention

作　　者：李赵陵 段练[1] 李军[1] LI Zhaoling;DUAN Lian;LI Jun(Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijng 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《辽宁中医杂志》2024年第10期19-22,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然基金青年项目(81904185);首都卫生发展科研专项重点攻关项目(2020-1-4151)。

摘　　要：冠脉介入术是冠心病的重要治疗手段,但冠脉介入术后心绞痛仍是冠心病治疗的重要问题和治疗难点。冠心病中医病机是阳微阴弦,即胸阳不振,导致寒、痰、瘀等阴邪上乘,影响气血运行,使心脉不通或心失所养而发病。冠心病介入术后心绞痛的病机与冠心病经典病机相似,且介入术后对其痰瘀互结,心脉不通的病机有促进和强化的作用。结合病机特点,李军教授提出,临床治疗可以温阳活血法为基本治疗大法,同时兼顾寒温并治、宣痹通阳、疏肝理气等基本治法,以期为冠心病介入术后心绞痛的临床治疗提供思路。Percutaneous coronary intervention(PCI)is an important treatment for coronary heart disease(CHD),but angina pectoris after PCI is an important problem and difficult point in clinical treatment of CHD.The pathogenesis of CHD is weak pulse at Yang and wiry pulse at Yin,that is,the chest Yang is not vibrated,which leads to the Yin evil such as cold,phlegm and blood stasis.It affects the operation of Qi and blood and makes the heart vein blocked or heart out of care.The pathogenesis of angina pectoris after PCI is similar to the classical pathogenesis of CHD,and it can promote and strengthen the pathogenesis of phlegm and blood stasis and heart failure after PCI.Combined with the characteristics of pathogenesis,Professor LI Jun has proposed that warming Yang and activating blood circulation should be the main treatment method in clinical treatment.The basic treatment methods should be taken into account in clinical treatment of angina pectoris after PCI,such as warming Yang and resolving phlegm,clearing heat and cooling blood,soothing liver and regulating Qi.

关 键 词：冠心病 介入术后心绞痛 活血 温阳 化痰 

分 类 号：R249[医药卫生—中医临床基础]