唐宋医籍中石类药辨治心力衰竭相关学术思想探究  

Exploration of the Academic Thoughts on the Use of Mineral-based Medicines in Treating Heart Failure in Tang and Song Medical Texts

作　　者：翟惠奇 赵新军[2] 李荣[2] Zhai Huiqi;Zhao Xinjun;Li Rong(Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 510405,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《中国中医急症》2025年第2期325-329,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点研发计划“中医药现代化”重点专项基金(2022YFC3500103)。

摘　　要：通过对《外台秘要方》《备急千金要方》《圣济总录》《太平惠民和剂局方》等古籍中治疗阴毒病、风毒病、水肿病、咳嗽上气病等的相关石类药方进行梳理研究,发现石类药方多具有温阳下气、利水消胀之效,常用于阴毒病、风毒病、水肿病、咳嗽上气病中急危重症的治疗。唐宋医家在应用石类药辨治以冷、肿、喘、胀、躁为主要表现的急危重症方面经验丰富,并提出了详细的将息调护方法,此或为中医药辨治心力衰竭提供新的思路方法及方剂参考。By reviewing and studying relevant mineral-based medicine formulas used for treating conditions such as yin toxin disease,wind toxin disease,edema,coughing with upward qi movement,etc.,found in ancient texts like Waitai Miyao Fang,Beji Qianjin Yao Fang,Sheng Ji Zonglu and Taiping Huimin Heji Ju Fang,it was discovered that mineral-based medicines often possess effects of warming yang,descending qi,promoting diuresis,and reducing swelling.These medicines are commonly applied in the treatment of critical conditions associated with yin toxin disease,wind toxin disease,edema,and coughing with upward qi movement.Physicians in Tang and Song dynasties had rich experience in using mineral-based medicines to diagnose and treat acute critical illnesses characterized by coldness,swelling,asthma,distension,and agitation.They also proposed detailed methods for recu-peration and care,which may provide new approaches,methodologies,and formula references for the diagnosis and treatment of heart failure using traditional Chinese medicine.

关 键 词：心力衰竭 石类药 证候学 唐宋时期 考证 

分 类 号：R541.61[医药卫生—心血管疾病]