孙兰军从气血论治心衰经验  

SUN Lanjun’s Experience in Treatment of Heart Failure from Qi and Blood Syndrome Differentiation and Treatment

作　　者：周之婉 王瑞华[2] 李美凤[2] ZHOU Zhiwan;WANG Ruihua;LI Meifeng(Tianjin University of Traditional Chinese Medicine,Tianjin 300073,China;The Second Affiliated Hospital of Tianjin University of TCM,Tianjin 300150,China)

机构地区：[1]天津中医药大学,天津300073 [2]天津中医药大学第二附属医院,天津300150

出　　处：《山东中医杂志》2024年第12期1427-1430,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：天津市教委科研计划项目(编号:2021KJ168)。

摘　　要：孙兰军教授认为心衰往往由其他心系疾病发展而来,与五脏、气血密切相关,通过分析气血理论对心衰的致病机制,将其总结为气虚血瘀水停及气滞血瘀两型。气虚血瘀水停治以益气活血利水,临床常常选用党参、黄芪、太子参等扶助正气,酌加干姜、冬瓜皮等或温阳或利水;气滞血瘀治以疏肝理气活血,常常选用丹参、红花等活血化瘀,加柴胡、川芎等疏肝,或当归、白芍等柔肝。Professor SUN Lanjun believes that heart failure often develops from other heart diseases and is closely related to the five zang viscera and qi and blood.By analyzing the pathogenic mechanism of the theory of qi and blood on heart failure,it can be summarized into two types:qi deficiency,blood stasis and water retention and qi stagnation and blood stasis.The treatment of qi deficiency,blood stasis and water retention focuses on benefiting qi,promoting blood and alleviating water retention.Clinically,Codonopsis,Radix Astragalus and Radix pseudostellariae are often used to support healthy qi,and dried ginger and wax gourd peel are added to warm yang or alleviate water retention;The treatment of qi stagnation and blood stasis focuses on soothing liver,regulating qi and promoting blood circulation.Salvia miltiorrhiza and safflower are often used to promote blood circulation and remove blood stasis,and bupleurum and ligusticum Chuanxiong are added to soothe the liver,or angelica sinensis and paeony are added to soften the liver.

关 键 词：孙兰军 心衰 气血论治 气虚血瘀水停 气滞血瘀 

分 类 号：R256.2[医药卫生—中医内科学]