大方复法并中西医结合自治慢性心力衰竭的体会  

The experience in treating chonic heart failure by generous compound method plus the integrative medicine

作　　者：邓悦 毛倩 佘林君 舒鸿飞 DENG Yue

机构地区：[1]任桂华中医诊所,湖北武汉430000 [2]华中科技大学同济医院,湖北武汉430000 [3]河南中医药大学,河南郑州450004 [4]湖北省英山县人民医院,湖北英山438799

出　　处：《中医临床研究》2024年第29期109-113,共5页Clinical Journal Of Chinese Medicine

摘　　要：本研究相关研究人员舒鸿飞因患冠状动脉粥样硬化性心脏病(简称冠心病)合并慢性心功能不全2次住院仅“好转”,遂打破“医不自治”的观念,在名医经验的基础上参考有关文献自己拟方,根椐多因并存、多证兼具、多病同患的病情复杂性,基于辨证是论治的依据,方证对应,采用大方复法治疗。在对慢性心功能不全运用西药强心、利尿等的同时,配合中药大方复法治疗。处方体现了中医与西医结合、辨病施治与辨证论治并举、新病与旧疾同疗、专方与他方合用。经过2月余的治疗,收到了宏观主症消失或减轻、微观检查指标正常或改善的显效结果。由此认识到合方与大方复法关系的规律性:前者为后者的基础,后者是前者的升华;醒悟到中西医结合可取长补短,提高疾病疗效;体会到大方复法治疗慢性心功能不全的优越性;深感吸取古今名医经验的重要性。The corresponding author suffered from coronary atherosclclous heart disease(CHD)plus chronic cardiac insufficiency.Because the results of two hospitalizations were only amelioration,the corresponding author broke the concept of“Doctors don’t treat themselves or their families”,and based on the experience of famous doctors,referred to the relevant literature to formulate prescription.According to the complexity of the disease with multiple causes,multiple syndromes and multiple diseases,based on the theory of syndrome differentiation is the basis of treatment,and prescriptions and syndromes should be responded to each other,the generous compound method of treatment is adopted.Western medicines of strengthening the heart and diuresis were used,accompanied by TCM generous compound method to treat chronic heart insufficiency.The prescription embodies the combination of TCM and Western medicine,simultaneous treatment based on disease differentiation and syndrome differentiation,the simultaneous treatment of new diseases and old diseases,and the combination of special prescriptions and other prescriptions.After more than two months of treatment,the macro main symptoms were disappeared or decreased,and the micro examination indicators were normal or improved.Therefore,it is realized that the relationship between combined prescriptions and generous compound method is that the former is the basis of the latter,and the latter is the sublimation of the former,the combination of TCM and Western medicine can learn from each other to improve the curative effect on disease,generous compound method has advantages in the treatment of chronic heart dysfunction,and learning from ancient and modern famous doctors is important.

关 键 词：冠状动脉粥样硬化性心脏病 慢性心功能不全 大方复法 辨病施治 辨证论治 

分 类 号：R256.2[医药卫生—中医内科学]