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从"寒瘀虚滞"论微血管性心绞痛的中医治疗

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微血管性心绞痛是在冠状动脉造影检查中无明显异常,而患者可出现劳力性心绞痛症状的疾病,中医可归属于"胸痹心痛"范畴.文章以"寒瘀虚滞"为切入点探讨微血管性心绞痛的中医病因病机,其中寒为因,瘀为枢,虚为末.治疗上以"通补"为总则,根据各个阶段病理因素的侧重,采用散寒化滞、破瘀行滞、补虚通滞之法,通畅络脉,从而恢复气血周流,达到养心体、行心用的目的,以期为中医防治微血管性心绞痛提供新的思路.
On the traditional Chinese medicine treatment of microvascular angina from the perspective of"cold,blood stasis,deficiency and stagnation"
Microvascular angina is a disease in which there are no obvious abnormalities in coronary angiography examination,but patients may experience symptoms of exertional angina.In traditional Chinese medicine,it can be classified as"chest obstruction and heart pain".The article explores the traditional Chinese medicine etiology and pathogenesis of microvascular angina with"cold,blood stasis,deficiency and stagnation"as the starting point,with cold as the cause,blood stasis as the pivot,and deficiency as the effect.In terms of treatment,the general principle is to promote qi and blood circulation and tonify the body.Based on the leading pathological factor at each stage,methods are adopted for dispelling cold and resolving stagnation,removing blood stasis and activating stagnancy,and supplementing deficiency and clearing stagnation.In this way,collaterals are supposed to be unblocked,thereby the circulation of qi and blood is to be restored,achieving the goal of nourishing the heart and promoting cardiac function.It is hoped that this study provides new ideas for the prevention and treatment of microvascular angina in traditional Chinese medicine.

microvascular anginacold,blood stasis,deficiency and stagnationdispelling cold and resolving stagnationremoving blood stasis and activating stagnancysupplementing deficiency and clearing stagnation

宗慧琪、李明轩、刘红旭、胡哲恺、李享、周琦

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北京中医药大学,北京 100029

首都医科大学附属北京中医医院,北京 100010

中国中医科学院广安门医院,北京 100053

微血管性心绞痛 "寒瘀虚滞" 散寒化滞 破瘀行滞 补虚通滞

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(12)