论“血浊伤脉”  

On "Dirty Blood Hurts Veins"

作　　者：侯肖霖 杨建红 李宁 段为钢 HOU Xiaolin;YANG Jianhong;Li Ning;DUAN Weigang(Yunnan University of Chinese Medicine,Kunming 650500,China;Pu‘er Municipal People‘s Hospital,Pu‘er 665000,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]普洱市人民医院,云南普洱665000

出　　处：《云南中医药大学学报》2025年第1期24-34,共11页Journal of Yunnan University of Chinese Medicine

基　　金：国家自然科学基金项目(82260886)。

摘　　要：心血管疾病长期是危害人类健康的第一大疾病,其中很大一部分为病因不明的慢性疾病。本文根据中医的象思维系统地提出“血浊伤脉”理论,指出血液中的异常物质和某些过多的正常物质参与了血浊。这些物质在血压和血流的作用下主要伤害血管内膜,特别是动脉内膜,主要的病理过程为防御修复为主的炎症反应,导致血流受阻后引发一系列慢性脏器缺血性病变。鉴于很大一部分血浊源自于“清”或者正常代谢终产物,故限清、化浊、排浊和降压是防治血浊伤脉的主要策略,该理论也为心血管疾病的中医学直接病因研究指明了方向。Cardiovascular diseases are the first harm to people‘s health for a long period,in which a large portion are the chronic diseases of unknown etiology.According to the Chinese medicine of"xiang thinking",the theory of"dirty blood hurting veins"was systematically put forward,pointing out that the abnormal substances and the normal matters of overload in the blood contribute to the dirty blood.These substances or matters mainly hurt vascular intima,especially the arterial intima,with the help of the blood pressure and blood flow.The main pathological process is an inflammatory response characterized by defense and repair.The blockage of blood flow resulted from dirty blood can lead to a series of chronic organ ischemic lesions.Given that a major portion of the dirty blood originated from the Qing or normal metabolic product,so the limit of the Qing,transformation of the Qing,excretion of the waste,and lowering the blood pressure are the main strategy to prevent vein from injury by dirty blood.The theory also gives clues to search the direct causes of cardiovascular diseases on traditinoal Chinese medicine.

关 键 词：血浊伤脉 血浊 动脉内膜 高血压 微循环障碍 

分 类 号：R223.14[医药卫生—中医基础理论]