不同地域名老中医胸痹辨治经验分析  

Analysis of the Diagnosis and Treatment Experiences of Renowned Traditional Chinese Medicine Practitioners for Chest Pain Across Different Regions

作　　者：席崇程 张杰[1] 张卓蕊 马远寿 聂谦[3] 余阳[1] XI Chongcheng;ZHANG Jie;ZHANG Zhuorui;MA Yuanshou;NIE Qian;YU Yang(Chengdu University of Traditional Chinese Medicine,Chengdu 611137,Sichuan,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510000,Guangdong,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan,China)

机构地区：[1]成都中医药大学,四川成都611137 [2]广东省第二中医院,广东广州510000 [3]成都中医药大学附属医院,四川成都610072

出　　处：《中西医结合慢性病杂志》2025年第1期6-10,共5页JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE ON CHRONIC DISEASES

基　　金：国家自然科学基金青年科学基金项目(82105049);四川省自然科学基金项目(2023NSFSC1811,2022NSFSC1578)。

摘　　要：在公开数据库平台检索并筛选出符合纳入排除标准的现代名老中医诊治胸痹相关文献,并将文献中名老中医对胸痹病因、病机的认识和治法、处方的相关内容构建复杂网络。然后,根据名老中医行医的主要地域,将复杂网络拆分为东方、西方、南方、北方和中央5个部分,探讨不同地域名老中医胸痹辨治经验的异同。研究结果表明,全国名老中医都以荣通软坚疗胸痹。然根据成坚之邪气不同,具体治法又各有差异。This study retrieved and screened relevant literature on the treatment of chest impediment by renowned contemporary traditional Chinese medicine(TCM)practitioners from public database platforms,selecting those that met the inclusion and exclusion criteria.The collected data included the practitioners'insights into the etiology and pathogenesis of chest impediment,as well as their treatment methods and prescriptions,which were then used to construct a complex network.Subsequently,this complex network was divided into five regions-east,west,south,north,and central-based on the primary practicing locations of these renowned TCM practitioners.The study explored the similarities and differences in the diagnostic and therapeutic experiences of chest impediment among practitioners from different regions.The results indicated that all practitioners nationwide prioritize the principles of nourishing,promoting circulation,and softening hard masses in the treatment of chest impediment.However,specific treatment methods vary according to the different pathogenic factors causing the hard masses.

关 键 词：胸痹 现代名老中医 因地制宜 辨治经验 

分 类 号：R256.22[医药卫生—中医内科学] R561[医药卫生—中医学]