史载祥治疗扩张型心肌病经验  

Experience of Shi Zaixiang in the Treatment of Dilated Cardiomyopathy

作　　者：刘莹莹[1] 李鸿涛[2,3] 史载祥(指导) LIU Yingying;LI Hongtao;SHI Zaixiang(Instructor)(China-Japan Friendship Hospital,Beijing 100029,China;Institute of Information on Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]中日友好医院,北京100029 [2]中国中医科学院中医药信息研究所,北京100700 [3]湖南中医药大学,湖南长沙410208

出　　处：《中国中医药信息杂志》2025年第4期172-175,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家中医药管理局第五批全国中医临床优秀人才研修项目(2022-239)。

摘　　要：本文介绍史载祥教授治疗扩张型心肌病的临床经验。史老认为,中医辨治扩张型心肌病应归属“心积”病,该病以大气下陷为本,以瘀血、水饮为标,同时瘀血、水饮亦会加重大气下陷。治疗时以升阳举陷治其本,祛瘀利水治其标。以自拟升陷祛瘀汤为基础方升阳举陷、化瘀通络,合用中药活血利水或经方蠲饮逐水,临床疗效显著。This article introduces Professor Shi Zaixiang’s clinical experience in treating dilated cardiomyopathy.Professor Shi believes that dilated cardiomyopathy should be classified under“cardiac accumulation”disease in line with TCM diagnostics and treatment.The disease originates from the prolapse of the great qi,with blood stasis and water retention as secondary symptoms.Both blood stasis and water retention can further exacerbate the prolapse of the great qi.The treatment focuses on lifting yang to address the root cause of the prolapse and removing blood stasis and promoting diuresis to treat the secondary symptoms.Based on the self-formulated Shengxian Quyu Decoction,which lifts yang to treat prolapse and transforms stasis to unblock the collaterals,combined with Chinese materia medica that invigorate blood circulation and promote diuresis,or with classical prescriptions that eliminate water retention,the clinical efficacy has been remarkable.

关 键 词：扩张型心肌病 名医经验 史载祥 

分 类 号：R249[医药卫生—中医临床基础]