“调营卫津血”系统干预心血管事件链用药规律  

Pathogenic characteristics of systematic intervention of cardiovascular continuum in disease progress and medication laws of“regulating ying,wei,jin and blood”

作　　者：贾振华[1,2] Jia Zhenhua(Hebei Yiling Hospital,high-level key disciplines of the National Administration of Traditional Chinese Medicine-TCM Collateral Disease Theory,Hebei Province,Shijiazhuang 050091;National Key Laboratory of Collateral Disease Theory Innovation and Transformation,Hebei Province,Shijiazhuang 050035,China)

机构地区：[1]河北以岭医院,国家中医药管理局高水平中医药重点学科—中医络病学,石家庄050091 [2]络病理论创新转化全国重点实验室,石家庄050035

出　　处：《疑难病杂志》2024年第12期1409-1412,共4页Chinese Journal of Difficult and Complicated Cases

基　　金：国家重点研发计划项目(2017YFC1700500);河北省省级科技计划资助项目(24462501D)。

摘　　要：心血管事件链是指高危因素导致动脉粥样硬化,动脉硬化易损斑块破裂引起急性心肌梗死,心肌梗死后心律失常、心力衰竭直至死亡的过程,呈现出多因素、多环节作用下因果相连、递进发展、事件突发、后果严重的复杂连续病变特点。传承创新中医“治未病、防传变”思想,提出“治本病,防未病”系统干预新观点,以中医营卫理论指导古今医案多维数据挖掘,揭示心血管事件链传变病机特点及“调营卫津血”用药规律,创新诠释了《难经》“损其心者,调其营卫”治则,形成心血管事件链系统干预中医临床用药方案。Cardiovascular continuum refers to the process in which high-risk factors lead to atherosclerosis,rupture of atherosclerotic vulnerable plaque causes acute myocardial infarction,and arrhythmia,cardiac failure or even death may occur after myocardial infarction.It has complicated and continuous pathological characteristics including multiple factors,causal relationship under multi-link effect,progressive development,sudden event and serious consequence.This study inherits and innovates TCM thought of"preventing disease occurrence and disease progress",proposes a new concept of systematic intervention by"treatment of the underlying disease and prevention before disease onset",uses ying-wei theory of Chinese medicine to guide multidimensional data mining in ancient and modern medical records,reveals progress,pathogenic characteristics and medication laws of cardiovascular continuum,innovatively explains the treatment principle of"regulating ying and wei in case of heart injury"as described in Nan Jing,and develops clinical medication regimen for systematic intervention of cardiovascular continuum.

关 键 词：心血管事件链 系统干预 调营卫津血 用药规律 治本病、防未病 

分 类 号：R541[医药卫生—心血管疾病] R243[医药卫生—内科学]