从“血脉辨证”探讨黄芪对动脉硬化性闭塞症的治疗作用  

Exploration of Astragalus Treatment for Arteriosclerosis Obliterans Based on the Theory of Xuemai Differentiation and Diagnosis

作　　者：彭超 蓝旭 闫英 Peng Chao;Lan Xu;Yan Ying(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029

出　　处：《成都医学院学报》2025年第2期225-228,共4页Journal of Chengdu Medical College

基　　金：国家自然科学基金委员会资助项目(No:82004190);北京市中医药科技发展资金项目(No:BJZYYB-2023-82)。

摘　　要：动脉硬化性闭塞症(ASO)是因供应下肢的血管内粥样硬化斑块形成,导致管腔狭窄的缺血性疾病。ASO病位在脉,当从“血脉辨证”,脉内外气血津液的改变是关键环节。因年老气虚阴寒内生,寒邪稽留,营卫逆乱,瘀血停滞,致脉功能损伤,出现下肢缺血等症状。脉壅遏血液通行营卫气血、运津液的功能异常,使脉内外之气血状态改变,脉内外营卫相干,气血逆乱,脉失濡养,血行不畅。黄芪走血脉,可益气通脉、调卫益营,能促进脉内外营卫运转、通利血脉,且益血中温气、调和营卫,调节ASO脉营卫相干逆行之乱,使逆者敛之,郁者运之,阻者通之。临床中,黄芪常与当归、丹参、乳香、没药配伍,和畅气血、调整脉内外气血状态,以达益气养血通脉、祛瘀生新、行气止痛之效。Arteriosclerosis obliterans(ASO)is an ischemic disease characterized by the formation of atherosclerotic plaques in the blood vessels supplying the lower limbs,leading to lumen narrowing.The diagnosis and treatment of ASO should follow the theory of"Xuemai Differentiation and Diagnosis"since its pathogenic location is in the Mai.The changes in the qi,blood,and body fluids inside and outside the Mai are the key factors.Due to aging,qi deficiency,and internal generation of cold,the cold pathogen is retained,leading to disruption of the nutritive and defensive qi,stagnation of blood,and resulting in functional impairment of the meridians,which manifests as symptoms such as lower limb ischemia.The obstruction of the Mai hinders the functions of blood flow and the nourishment of the body's defense mechanisms,leading to abnormal circulation of qi and blood.This results in altered states of qi and blood both inside and outside the Mai,disturbing their harmonious interaction,causing chaotic qi and blood flow,and ultimately leading to inadequate nourishment of the Mai and poor blood circulation.Astragalus(Huangqi)acts on the blood vessels,benefiting the qi and unblocking the meridians,as well as regulating the defensive and nutritive qi.It promotes the circulation of defensive and nutritive qi within and outside the vessels,smoothens the blood flow,nourishes the Yang energy in the blood,harmonizes the defensive and nutritive qi,and regulates the chaos caused by the backward flow of the ASO meridians.It helps to restrain what is reversed,move what is stagnant,and unblock what is obstructed.In clinical practice,Astragalus is often combined with Angelica sinensis,Salvia miltiorrhiza,frankincense,and myrrh to harmonize the flow of qi and blood,and adjust the state of qi and blood within and outside the meridians.This combination aims to enhance qi,nourish blood,unblock the meridians,dispel stasis and generate new blood,and promote qi circulation to relieve pain.

关 键 词：血脉辨证 动脉硬化性闭塞症 黄芪 

分 类 号：R259[医药卫生—中西医结合]