周仲瑛从瘀热辨治高脂血症经验撷英  

ZHOU Zhongying's Experience in Treating Hyperlipidemia Based on Differentiation of Stasis and Heat

作　　者：豆晓云 江珊 孙萌 叶放[1] DOU Xiaoyun;JIANG Shan;SUN Meng;YE Fang(Nanjing University of traditional Chinese Medicine,Jiangsu Nanjing 210023,China)

机构地区：[1]南京中医药大学,江苏南京210023

出　　处：《中医药临床杂志》2025年第1期57-61,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(国中医药人教发〔2010〕59号);江苏省(社会发展)重点研发计划(BE2019723);中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB)。

摘　　要：总结周仲瑛教授从瘀热辨治高脂血症的临证经验。认为瘀热病机是高脂血症病机网络中的一个重要环节,并提出清泄痰热,凉血化瘀是治疗高脂血症一条新途径。一般认为,高脂血症的病理因素主要与痰浊、火热、血瘀、气血虚等有关,但随着病情进展,瘀热病机将逐渐成为矛盾的主要方面,亦可贯穿病程始终,只是不同阶段瘀热的程度有差异,病机的侧重点不同。临证当审机论治,分清病机主次。周教授提出从瘀热辨治高脂血症具有一定的实际意义,可以为临床治疗高脂血症提供新的思路。This paper summarizes Professor ZHOU Zhongying’s clinical experience in treating hyperlipidemia from the perspective of stasis and heat.It is believed that the pathogenesis of stasis and heat is an important link in the pathogenesis network of hyperlipidemia,and it is proposed that clearing phlegm and heat,cooling blood and removing blood stasis is a new way to treat hyperlipidemia.It is generally believed that the pathological factors of hyperlipidemia are mainly related to phlegm turbidity,heat,blood stasis,Qi and blood deficiency,etc.,but as the disease progresses,the pathogenesis of stasis and heat will gradually become the main aspect of the contradiction,and it can also run through the course of the disease,but the degree of stasis and heat in different stages is different,and the focus of the pathogenesis is different.In clinical practice,we should examine the mechanism and treat it,and distinguish the primary and secondary pathogenesis.Professor ZHOU Zhongying’s proposal to treat hyperlipidemia from the perspective of stasis and heat has certain practical significance,and can provide new ideas for the clinical treatment of hyperlipidemia.

关 键 词：高脂血症 瘀热 名医经验 周仲瑛 

分 类 号：R259[医药卫生—中西医结合]