基于心肺相关理论从气血同治辨治肺源性心脏病思路探析  

Analysis of Clinical Thinking in Treating Pulmonary Heart Disease Based on the Theory of Heart-Lung Interconnection and the Combined Treatment of Qi and Blood

作　　者：刘璐 赵文娟[2] 董晓云[2] 王济梅 Liu Lu;Zhao Wenjuan;Dong Xiaoyun;Wang Jimei(Shanxi University of Chinese Medicine,Shanxi,Jinzhong 030619,China)

机构地区：[1]山西中医药大学,山西晋中030619 [2]山西省太原市中医医院,山西太原030009

出　　处：《中国中医急症》2025年第3期443-446,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：山西省中医药管理局科研课题(2023ZYYB057,2020ZYYC060,2024ZYYC080);山西省名中医传承工作室建设项目(晋人社厅﹝2021﹞33号)。

摘　　要：肺源性心脏病是多种慢性肺系疾病的终末阶段,本病初起为肺病宣降失司,日久及心,致心肺功能均异常。肺心病严重影响了人们日常生活,急性加重期死亡率居高不下。心、肺同居上焦,两者生理相关,病理相互影响。而心主血、肺主气,两者的关系实为气和血相互依存、相互作用。因此基于心肺相关理论从气血同治辨治心肺相关疾病具有重要意义。肺心病病因病机为久病肺虚影响及心,痰瘀阻结为关键。治疗上以气血同治为大法,心阳亏虚,肺气郁滞,宜理气活血;心肺不足,宜气血同补,补气养血;心血瘀阻,痰浊内生,宜清痰消瘀。从心肺相关,气血同治论治肺心病,可为临床提供更多治疗思路。Pulmonary heart disease is the terminal stage of various chronic pulmonary diseases. Initially,it manifests as dysfunction of the lung′s dispersing and descending functions,which eventually affects the heart,leading to abnormalities in both cardiac and pulmonary functions. Pulmonary heart disease significantly impacts daily life and has a persistently high mortality rate during acute exacerbations. The heart and lungs are located in the Shangjiao and are physiologically interconnected,with pathological conditions influencing each other. The heart governs blood,while the lungs govern qi,and their relationship reflects the interdependence and interaction between qi and blood. Therefore,treating heart-lung related diseases based on the theory of heart-lung interconnection and the combined treatment of qi and blood are of significant importance. The etiology and pathogenesis of pulmonary heart disease involve long-term lung deficiency affecting the heart,with phlegm and blood stasis obstruction being key factors. In treatment,the principle of combined treatment of qi and blood is emphasized:for deficiency of heart yang and stagnation of lung qi,regulating qi and activating blood circulation is appropriate;for insufficiency of the heart and lungs,replenishing both qi and blood is necessary;for blood stasis obstructing the heart and internal generation of phlegm-turbidity,clearing phlegm and resolving stasis is recommended. Treating pulmonary heart disease by considering the interconnection of the heart and lungs and adopting the combined treatment of qi and blood can provide more therapeutic approaches in clinical practice.

关 键 词：肺源性心脏病 心肺相关 气血同治 理论探讨 

分 类 号：R541.5[医药卫生—心血管疾病]