基于“络瘀则胀”理论辨治扩张型心肌病撷要  

Summary of Differentiation and Treatment of Dilated Cardiomyopathy Based on the"Static Collaterals Leading to Swelling"Theory

作　　者：赵鑫 孙静[2] 王贺[2] 周亚滨[2] ZHAO Xin;SUN Jing;WANG He;ZHOU Yabin(Graduate School,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Department of Cardiovascular Disease,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学研究生院,黑龙江省哈尔滨市150040 [2]黑龙江中医药大学附属第一医院心血管病二科,黑龙江省哈尔滨市150040

出　　处：《实用心脑肺血管病杂志》2025年第1期86-89,93,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2022年全国第七批名老中医药专家传承工作室建设项目;黑龙江省省属本科高校中央支持地方高校改革发展资金(高水平人才项目)(2020GSP06);黑龙江省中医药学会青年人才托举工程项目(2022-QNRC1-04)。

摘　　要：扩张型心肌病(DCM)属中医“心胀”范畴,其发病与“络脉瘀滞”有关,六淫邪毒、络脉虚损、血瘀痰浊均可致络瘀,日久络脉失和,使局部胀满,病情迁延难愈。本文基于“络瘀则胀”理论探讨DCM的病因病机与治法用药,指出毒邪致瘀、虚滞致瘀、痰瘀致瘀为DCM的病因病机,其治疗应以“通”法贯穿疾病始终,以解毒祛邪、扶正益气、化痰通络为原则,以期为中医辨治DCM提供新的理论依据和诊疗思路。Dilated cardiomyopathy(DCM)belongs to the category of"cardiac distension"in traditional Chinese medicine,its onset is related to"stagnation of collaterals".Factors such as the six exopathogens and pathogenic factors,collaterals deficiency,blood stasis,and phlegm turbidity can contribute to this stagnation.Over time,pathological changes in the collaterals lead to localized distension,with a longer course of the disease that is difficult to cure.This essay explores the etiology,pathogenesis,treatment method and medication of DCM based on the"static collaterals leading to swelling"theory,it points out that,the etiology and pathogenesis of DCM include toxin-induced blood stagnation,deficiency-induced stagnation and phlegm-induced blood stagnation,treatment should be based on"through"method through the whole process,and the treatment such as detoxifying and eliminating pathogens,tonifying the body's resistance and Qi,and resolving phlegm and promoting collateral circulation should be as the treatment principle of DCM,in order to provide new theoretical foundations and diagnostic strategies for the clinical diagnosis and treatment of DCM in traditional Chinese medicine.

关 键 词：心肌病 扩张型 络瘀则胀 络病学说 通络散瘀 综述 

分 类 号：R542.2[医药卫生—心血管疾病]