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韩旭从心肝论治冠心病经验

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韩旭教授认为,冠状动脉粥样硬化性心脏病(以下简称冠心病)为本虚标实之证,病位在心,五脏皆与之有关,与肝关系最为密切,心肝失调是本源,痰瘀互结是表现,情志为重要的危险因素.韩教授在活血化瘀法的基础上,从心肝论治冠心病:重视滋阴养血,养心通脉;自拟释忧汤疏肝解郁,调理气机;喜用瓜蒌薤白半夏汤加减疏肝理气、化痰通痹;理气活血,通络消瘀,常配伍三七、丹参、川芎、葛根.此外,韩教授还推崇调畅情志,形神共调.
Han Xu's Experience of Treating Coronary Heart Disease from the Heart and Liver
Professor Han Xu believes that coronary atherosclerotic heart disease(hereinafter referred to as coronary heart disease)is the syndrome of deficient root cause and excessive manifestation.The location of the disease is in the heart,and all the five internal organs are related to it.It is most closely related to the liver.Heart-liver disorder is the root cause,phlegm and blood stasis in complexity are manifestations,and emotion is an important risk factor.Based on the method of promoting blood circulation and removing blood stasis,Professor Han treats coronary heart disease from the heart and liver:Paying attention to nourishing yin and blood,nourishing the heart and dredging the meridians;self-prescribing Sadness-Relieving Decoction to soothe the liver and relieve depression,and regulating qi;u-sing Modified Trichosanthes and Chinese Chive and Pinellia Decoction to soothe the liver and regulate qi,resolve phlegm and dredge rheumatism;regulating qi and promoting blood circulation,dredging the meridians and eliminating blood stasis,often combined with San-qi(Radix et Rhizoma Notoginseng),Danshen(Radix Salviae Miltiorrhizae),Chuanxiong(Rhizoma Chuanxiong),and Gegen(Radix Puerariae Lobatae).In addition,Professor Han also advocates harmonious emotions,regulating both body and spirit.

coronary heart diseasetreating from the heart and liverSadness-Relieving DecoctionTrichosanthes and Chinese Chive and Pinellia DecoctionHan Xu

张冉、韩旭

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南京中医药大学附属医院,江苏 南京 210029

冠状动脉粥样硬化性心脏病 从心肝论治 释忧汤 瓜蒌薤白半夏汤 韩旭

江苏省自然科学基金项目江苏省中医药科技发展专项计划项目江苏省卫生健康委员会老年医学临床技术应用研究项目带头人科研项目2022年江苏省研究生实践创新计划项目

BK201815052020ZX08LR2022002SJCX22_0766

2024

10.16367/j.issn.1003-5028.2024.07.0196

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子：0.968
ISSN：1003-5028
年,卷(期)：2024.44(7)