首页|魏孟玲基于"阳化气,阴成形"理论治疗急性心肌梗死PCI术后气虚血瘀证

魏孟玲基于"阳化气,阴成形"理论治疗急性心肌梗死PCI术后气虚血瘀证

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魏孟玲教授认为,"阳化气"不及和"阴成形"太过与急性心肌梗死经皮冠状动脉介入治疗(percutaneous coronary interven-tion,PCI)术后气虚血瘀证契合,结合胸痹的"阳微阴弦"和"瘀血"提出扶阳活血法,主张补气通阳、活血化瘀,并在"阳化气,阴成形"理论指导下通过益气温阳之法,补气阳之本以增强化气功能,同时气化抑制其瘀血之标,辅以活血通脉以祛除有形瘀血,标本兼治,重在治本,两擅其功,实现"形气相得".急性心肌梗死PCI术后气虚血瘀证治疗的根本大法在于补其不足,泄其有余,调和致中,恢复"阳化气,阴成形"之平衡,运用原明忠教授的益气通脉汤治疗急性心肌梗死PCI术后气虚血瘀证,疗效甚佳,通过恢复"化气与成形"的动态平衡以减轻症状,改善患者生活质量,达到机体阴平阳秘的状态.
Wei Mengling's Experience in Treating Post-PCI Qi Deficiency and Blood Stasis Syndrome in Acute Myocardial Infarction Based on the Theory of"Yang Transforming Qi While Yin Constructing the Physique"
Professor Wei Mengling believes that the insufficiency of"yang transforming qi"and the excess of"yin constructing the phy-sique"correspond with post-percutaneous coronary intervention(PCI)qi deficiency and blood stasis syndrome in acute myocardial in-farction(AMI).Combining"faint pulse at upper energizer due to yang deficiency and stringy pulse at lower energizer due to yin patho-gen"and"blood stasis"chest obstruction,she proposes the method of reinforcing yang and invigorating blood,advocating the use of tonifying qi and warming yang,as well as invigorating blood and removing stasis.Guided by the theory of"yang transforming qi while yin constructing the physique,"she enhances the qi transformation function by replenishing qi and warming and tonifying yang,while simul-taneously removing blood stasis with blood-activating methods.This approach addresses both the root cause and the manifestations of the condition,with a focus on treating the root,achieving the balance of"form and qi in harmony."The fundamental treatment for post-PCI qi deficiency and blood stasis syndrome in acute myocardial infarction involves supplementing what is deficient,relieving what is exces-sive,and restoring balance.Qi-Replenishing and Channel-Unblocking Decoction,developed by Professor Yuan Mingzhong,has proved to be highly effective in treating this syndrome by restoring the dynamic balance between"qi transformation and physique construction,"which can alleviate symptoms,improve patients'quality of life,and achieve a state of harmony between yin and yang.

acute myocardial infarction(AMI)post-percutaneous coronary intervention(PCI)"yang transforming qi,yin constructing the physique"Qi-Replenishing and Channel-Unblocking Decoctionqi deficiency and blood stasis syndromeWei Mengling

仇天歌、姚铁、李晨晨、魏孟玲

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山西中医药大学,山西太原 030024

山西白求恩医院,山西医科大学第三医院,山西太原 030032

急性心肌梗死 经皮冠状动脉治疗术后 "阳化气,阴成形" 益气通脉汤 气虚血瘀证 魏孟玲

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(11)