基层中医药2024,Vol.3Issue(1) :54-58.DOI:10.20065/j.cnki.btcm.20240011

从五脏论治冠状动脉粥样硬化性心脏病

Treating Coronary Heart Disease from Five Zang-Organs

陈煜洁 王永
基层中医药2024,Vol.3Issue(1) :54-58.DOI:10.20065/j.cnki.btcm.20240011

从五脏论治冠状动脉粥样硬化性心脏病

Treating Coronary Heart Disease from Five Zang-Organs

陈煜洁 1王永2
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作者信息

  • 1. 福建中医药大学第二临床医学院(福建 福州 350003)
  • 2. 福建中医药大学附属第二人民医院心血管内科(福建 福州 350003)
  • 折叠

摘要

冠状动脉粥样硬化性心脏病(冠心病)属中医学"胸痹"范畴.张机的《金匮要略》中提出,胸痹是以胸部闷痛,严重者心痛彻背、喘息不能平卧为临床特点的疾病.历代医家认为,本虚标实是其主要病机,本虚在阳气亏虚,标实为寒凝、气滞、血瘀、痰浊等有形之邪,相兼为病,积聚于心,形成胸痹.其主要病位在心,但与肝、脾、肺、肾密切相关.今从五脏探讨冠心病的发病机制.

Abstract

Coronary heart disease is a disease of chest impediment in traditional Chinese medicine.Zhang Zhongjing proposes in Synopsis of the Golden Chamber(J in Gui Yao Lue)that chest impediment is a disease characterized by chest tightness,and severe cases suffer from serious heart pain and wheezing and cannot lie on their back.Physicians in the past dynasties believed that this disease was rooted in the deficiency of yang qi and triggered by cold coagulation,qi stagnation,blood stasis,and phlegm turbidity.The accumulation of these pathogenic factors in the heart leads to chest impediment.The heart is the main pathogenic site of this disease,which also involves the liver,spleen,lung,and kidney.This paper expounds the pathogenesis of coronary heart disease from five zang-organs.

关键词

冠心病/胸痹/五脏

Key words

coronary heart disease/chest impediment/five zang-organs

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出版年

2024
基层中医药
中国中医科学院中医研究所

基层中医药

ISSN:2097-1222
参考文献量24
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