基于“风升生”理论探讨风药治疗冠心病  

Study on the Treatment of Coronary Heart Disease with Wind-Medicinals Based on the"Wind Rising to Generate Life"Theory

作　　者：马丹 黄楠 鲍荣琦 MA Dan;HUANG Nan;BAO Rongqi(Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou,Jiangsu,China,215009;Xiyuan Hospital of CACMS Suzhou Branch,Suzhou,Jiangsu,China,215009)

机构地区：[1]南京中医药大学附属苏州市中医医院,江苏苏州215009 [2]西苑医院苏州医院,江苏苏州215009

出　　处：《河南中医》2024年第12期1798-1802,共5页Henan Traditional Chinese Medicine

基　　金：江苏省苏州市科技计划项目(SLT201962);全国名老中医岐黄学者史大卓工作室专项项目{苏卫健中医便函〔2023〕87号}。

摘　　要：对于冠状动脉粥样硬化性心脏病(简称冠心病)的病机,各医家认识不同,有医家从瘀立论,认为冠心病病机为心血瘀阻,血脉不通,应治以活血化瘀;有医家从气立论,认为冠心病的核心病机为气机失调,治疗应重在调气;有医家从湿立论,认为湿邪是冠心病发病的重要因素,治应温阳利湿;有医家从风立论,认为内外风客于心脉导致心脉痹阻是冠心病重要病机,可从风论治。风药质轻味薄,药性升发宣散,可助脾升清、运化,宣发肺气、提壶揭盖,调畅气机,协肾气化,治疗冠心病时在主药的基础上适当配伍风药可协助增效,发挥四两拨千斤之功。Regarding the pathogenesis of coronary artery disease(CAD),various perspectives exist among TCM practitioners.Some emphasize blood stasis as the core mechanism,advocating for invigorating blood circulation and removing stasis.Others highlight qi stagnation,asserting that CAD stems from disrupted qi dynamics,necessitating qi regulation as the primary treatment.Some view dampness as a pivotal factor,advocating for warming yang and eliminating dampness.Meanwhile,others propose a wind-based perspective,suggesting that internal and external wind invading the heart meridian causes obstruction,making wind therapy an essential approach to treatment.Wind-medicinals,characterized by their light and dispersing nature,possess upward-moving and ventilating properties.They aid in uplifting spleen yang to clear turbidity,promoting lung qi dissemination,invigorating liver and gallbladder qi to regulate the qi movement,and assisting kidney transformation to elevate essence.In treating CAD,the strategic addition of wind-medicinals to primary drugs can enhance therapeutic efficacy,embodying the principle of achieving significant results with minimal intervention.

关 键 词：冠状动脉粥样硬化性心脏病 “风升生”理论 风药 

分 类 号：R259.433[医药卫生—中西医结合]