中医学报2025,Vol.40Issue(1) :57-61.DOI:10.16368/j.issn.1674-8999.2025.01.010

从"痰瘀-热毒"论冠脉临界病变斑块微环境中医药调控机制

TCM Microenvironmental Regulation Mechanism of Coronary Artery Critical Lesion Plaques from Perspective of"Phlegm-Stasis and Heat-Toxin"

连文静 王阶 张振鹏 刘兰椿
中医学报2025,Vol.40Issue(1) :57-61.DOI:10.16368/j.issn.1674-8999.2025.01.010

从"痰瘀-热毒"论冠脉临界病变斑块微环境中医药调控机制

TCM Microenvironmental Regulation Mechanism of Coronary Artery Critical Lesion Plaques from Perspective of"Phlegm-Stasis and Heat-Toxin"

连文静 1王阶 1张振鹏 1刘兰椿1
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作者信息

  • 1. 中国中医科学院广安门医院,北京 100053
  • 折叠

摘要

冠脉临界病变是冠状动脉粥样硬化性心脏病发展过程中的特殊阶段,此阶段中斑块微环境内的多种生物成分相互作用,形成一个复杂的生态系统.冠脉临界病变"痰瘀-热毒"的证候演变与炎症反应、内皮损伤、血管新生及脂质代谢等现代病理机制相应.故临证治疗应采用"消、清、通"法调控冠脉临界病变斑块微环境,即:消痰瘀——改善内皮损伤与脂质沉积;清热毒——抑制炎症反应;通脉络——抑制斑块内血管新生.如此则可发挥抗炎、改善内皮与血脂代谢、抑制斑块内血管新生的作用,共同构建冠脉临界病变"痰瘀-热毒"的病证结合全周期动态干预模式.

Abstract

Critical coronary lesions are a special stage in the development of coronary atherosclerotic heart disease,in which multiple bi-ological components within the plaque microenvironment interact with each other to form a complex ecosystem.The evolution of"Phlegm-Stasis and Heat-toxin"in critical lesions of coronary artery corresponds to the modern pathological mechanisms of inflammatory reac-tion,endothelial damage,neovascularization and lipid metabolism.Therefore,the clinical treatment should adopt the method of"elimina-ting,clearing and dredging"to regulate the plaque microenvironment of critical lesions of coronary artery,i.e.:eliminating Phlegm and stasis to improve endothelial damage and lipid deposition;clearing Heat and toxin to suppress the inflammatory reaction;dredging merid-ians and collaterals to suppress the vascularization in the plaque.In this way,it can play the role of anti-inflammatory,improve the quality of blood vessels in plaque.In this way,anti-inflammation,improvement of endothelial and lipid metabolism,and inhibition of plaque neovascularization can be realized,and the whole-cycle dynamic intervention model of"Phlegm-stasis and Heat-Toxin"for critical coronary lesions can be constructed together.

关键词

冠脉临界病变/"痰瘀-热毒"/动脉粥样硬化/斑块微环境/血管新生

Key words

critical lesions of coronary artery/"Phlegm-stasis and Heat-toxin"/atherosclerosis/plaque microenvironment/neovascu-larization

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出版年

2025
中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
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