基于“玄府-络病”理论探讨冠状动脉微血管疾病的病机与辨治  

Exploring the pathogenesis and treatment of coronary microvascular disease based on the theory of “Xuanfu Luo Disease”

作　　者：卢虹谕 张溪娟 罗芳玲 贺青军[2] LU Hongyu;ZHANG Xijuan;LUO Fangling(The Eighth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine/Foshan Traditional Chinese Medicine Hospital,Foshan 528000,China;Foshan Traditional Chinese Medicine Hospital,Foshan 528000,China)

机构地区：[1]广州中医药大学第八临床医学院/佛山市中医院,广东佛山528000 [2]佛山市中医院,广东佛山528000

出　　处：《四川中医》2025年第3期103-106,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：佛山市高水平医院建设“登峰计划”实施方案(佛卫函[2021] 73号);佛山自筹经费类科技创新项目(编号:2320001007180)。

摘　　要：冠状动脉微血管疾病(CMVD)是心血管疾病领域的热点、难点。本文基于“玄府-络病”理论,认为玄府、络脉、胸痹三者关联密切,总结CMVD的核心病机为“玄病-络损-胸痹”,病机主要包括“玄络失和,枢机不通”“玄络壅塞,邪踞胸中”“玄络失养,顽杂之变”三大环节,治疗当以“和玄调络,运转枢机”“开玄畅络,舒心除痹”“补玄荣络,畅道遏变”为治法,以期为CMVD中医辨治开辟新思路。Coronary microvascular disease (CMVD) is a hot and difficult topic in the field of cardiovascular disease. Based on the theory of “Xuanfu Luo Disease”,this review believes that Xuanfu,Luo Mai,and Chest Bi are closely related. The core pathogenesis of CMVD is summarized as “Xuanfu Luo Damage Chest Bi”,which mainly includes three major links: “loss of harmony in Xuanfu,obstruction of meridians,blockage of Xuanfu,and stagnation of Xuanfu in the chest”. The treatment should focus on “harmonizing Xuanfu and regulating meridians,activating meridians,opening Xuanfu and smoothing meridians,relieving Bi with comfort,supplementing Xuanrong meridians,and controlling changes in the smooth path”,in order to open up new ideas for TCM diagnosis and treatment of CMVD.

关 键 词：玄府 络脉 冠状动脉微血管疾病 

分 类 号：R229[医药卫生—中医基础理论]