基于久病入络理论探研冠脉微循环障碍的病机和治疗  

Exploration on the Pathogenesis and Treatment of Coronary Microvascular Dysfunction from the Theory of Prolonged Disease Entering Collaterals

作　　者：刘中旭 刘宁[2] LIU Zhongxu;LIU Ning(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China;Department of Cardiovascular Disease,Linyi Hospital of Traditional Chinese Medicine,Shandong Province,Linyi 276002,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250014 [2]临沂市中医医院心血管病内科,山东临沂276002

出　　处：《中国中医药现代远程教育》2024年第24期76-79,共4页Chinese Medicine Modern Distance Education of China

摘　　要：基于叶天士“久病入络”理论研究冠脉微循环障碍(CMD)的病机,结合人体经络系统的层次结构,发现CMD符合久病入络的病理特征,发病切合久病入络的病机特点,发展受到外邪、情志、病理产物多种因素的影响。此外,对久病入络理论进行深入研究,发现其中蕴含治未病思想,故临床上要防治结合、防大于治,阻断CMD进入“久病”,有益于控制疾病发展;治疗上要以“络以通为用”为主旨,灵活采用通络之法,可大获良效。Based on Ye Tianshi’s theory of prolonged disease entering collaterals,and combined with the hierarchical structure of hu⁃man meridians system,it was found that coronary microvascular dysfunction was in line with the pathological features of the theory.Its onset was in line with the pathogenesis characteristics of the theory,and its development was influenced by various factors such as ex⁃ternal evil,emotion and pathological products.The in-depth study of the theory of has found its implied idea of preventive treatment of disease.In clinical treatment of the disease,prevention is greater than treatment,blocking the pathological factors of its entering pro⁃longed disease,which is beneficial to control its development.The treatment should be based on the characteristics of collaterals are better for unblocking as the keynote,flexible use of collaterals unblocking method has a good effect.

关 键 词：冠脉微循环障碍 久病入络理论 治未病 病机 

分 类 号：R259[医药卫生—中西医结合]