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从"虚气留滞"探讨扩张型心肌病代谢障碍

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扩张型心肌病(dilated cardiomyopathy,DCM)为虚实夹杂之证,宗气亏虚是其本,血瘀、水湿、痰饮等病理产物是其标.血糖、血脂来源于水谷之精,是人体能量代谢的基础,也是宗气产生的基础,其代谢异常,导致宗气亏虚,心阳虚损.宗气推动无力,形成痰湿、瘀血等病理产物.痰湿、瘀血留滞,相互胶结,生为浊毒,浊毒一方面持续损伤五脏、脉络及气血,另一方面其性顽固,难以根除.宗气亏虚无以运化血液,导致血瘀脉中,甚者溢于脉外.久瘀导致新血不生,进一步加重气虚;痰浊水饮之邪停聚于脏腑,影响五脏功能.脾受困难以腐熟水谷、化生精微,升清不及,肺受损则影响清气的吸入及宗气输布."虚气"与"留滞"两者互为因果,形成正反馈的恶性循环,导致DCM及代谢障碍逐步加重.
Study on Metabolic Disorders in Dilated Cardiomyopathy from the Perspective of"Deficiency Qi Stagnation"
Dilated cardiomyopathy(DCM)is a syndrome characterized by deficiency-excess in complexity,with the deficiency of ances-tral qi as its root cause and pathological products such as blood stasis,fluid dampness,and phlegm retention as its manifestations.Blood sugar and blood lipids come from the essence of food and drink,which are the basis of human energy metabolism and the production of ancestral qi.Abnormal metabolism can lead to deficiency of ancestral qi and heart yang.If ancestral qi fails to function properly,and forms pathological products such as phlegm dampness and blood stasis,etc.which are mutually cemented,resulting in turbidity and tox-icity.On the one hand,turbidity and toxicity continuously damage the five zang-organs,meridians,and qi and blood.On the other hand,its nature is stubborn and difficult to eradicate.Deficient ancestral qi fails to transport and transform blood,leading to blood stasis in the veins and even overflowing outside the veins.Long-term blood stasis leads to the inability to generate new blood,further exacerbating qi deficiency.Phlegm turbidity and fluid retention accumulates in zang-fu organs,affecting the functioning of the five zang-organs.If the spleen is trapped,it is difficult to mature food and drink,transform the essence,and raise the clarity.Lung damage affects the inhalation of lucid qi and the distribution of ancestral qi.The two factors of"deficient qi"and"stagnation"are mutually causal,forming a vicious cycle of positive feedback,leading to the gradual aggravation of DCM and metabolic disorders.

dilated cardiomyopathy(DCM)metabolic disorders"deficiency qi stagnation"ancestral qi deficiencyblood stasisfluid dampnessphlegm retention

班高亚、范苗苗、刘舜禹

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开封市中医院,河南 开封 475000

河南省中医院,河南中医药大学第二附属医院,河南 郑州 450000

扩张型心肌病 代谢障碍 "虚气留滞" 宗气亏虚 血瘀 水湿 痰饮

河南省特色骨干学科中医学第二批学科建设项目河南省科技攻关项目

STG-ZYX01-202104232102310422

2024

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(8)
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