刍议慢性心力衰竭的气血津液辨治
Discussion on Qi,Blood,and Body Fluid Differentiation and Treatment of Chronic Heart Failure
范玉琴 1文思敏 1杨新倩 1段启航 1杜义斌2
作者信息
- 1. 云南中医药大学第一临床医学院(云南 昆明 650011)
- 2. 云南省中医院老年病干保二科(云南 昆明 650021)
- 折叠
摘要
气血津液皆中焦脾胃所化生,功能上互生互济,故而气虚、气滞、血虚、血瘀、水饮等气血津液的病理过程也常相继发生."血不利则为水"阐明了气分、血分、水分的病理因果关系,可用以解释慢性心力衰竭(慢性心衰)的病变过程,认为慢性心衰常见病因皆可导致气的化生及气的功能障碍,进而引起"血不利",所化之水饮停聚肌肤、脏腑组织间隙导致"水不利",水饮、瘀血互结日久化热酿毒,则蚀脉伤肌,变证丛生.治疗应补气兼顾理气,活血利水不忘养血,恰当配伍清热解毒药,希冀在减少慢性心衰心血管事件方面获得较好的疗效.
Abstract
Qi,blood,and body fluid are all produced by the spleen and stomach in the middle Jiao,and they are functionally complementary.Therefore,the pathological processes of Qi,blood,and body fluid,such as Qi deficiency,Qi stagnation,blood deficiency,blood stasis,and excessive fluid often occur one after another."Obstructed blood flow hinders body fluid transfer and leads to edema"clarifies the pathological causal relationship between Qi,blood,and water,and it can explain the pathological process of chronic heart failure.It is believed that the common causes of chronic heart failure can lead to qi generation and qi dysfunction and then cause obstructed blood flow.The resulting excessive fluid remains in the skin and the interstitial space of the viscera,leading to hindered body fluid.Long-term combination of excessive fluid and blood stasis brings heat and toxin,eroding the pulse and damaging the muscle,with variable syndromes occurring.The treatment should focus on replenishing and regulating Qi,promoting blood circulation and diuresis while nourishing blood,and properly matching the heat-clearing and toxin-resolving antidote,so as to achieve better efficacy in reducing cardiovascular events caused by chronic heart failure.
关键词
慢性心力衰竭/血不利则为水/瘀水互结/瘀毒/清热解毒Key words
chronic heart failure/obstructed blood flow hinders body fluid transfer and leads to edema/combination of excessive fluid and blood stasis/blood stasis and toxin/heat-clearing and toxin-resolving引用本文复制引用
基金项目
云南省万人计划名医人才专项个人培养基金(YNWR-MY-2019-021)
出版年
2024
NETL
NSTL
万方数据