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从营卫理论治疗变异型心绞痛探析

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《难经》指出"损其心者,调其营卫"。心与营卫之间存在互根互用的关系,营卫功能失调可导致心无法发挥其正常的生理功能。营卫失调是变异型心绞痛的根本病机,卫气逆乱与卫气亏虚是其发作主因,营血瘀阻与营血亏虚是其致病基础,故营卫失于调和导致变异型心绞痛的发作。基于营卫理论治疗变异型心绞痛,应以调和营卫为总则,调营以固本,重视风药的应用,从而达到提高疗效和改善预后的目的。
Analysis of Treating Variant Angina Pectoris from Nutrient-Defense Theory
Classic of Difficult Issues points out that"those who hurt their hearts,adjust their nutrient-defense".There is a mutual and interdependent relationship between heart and nutrient-defense,and the dysfunction of nutrient-defense can prevent the heart from performing its normal physiological functions.The fundamental pathogenesis of variant angina pectoris is the imbalance of nutrient and defense,with disordered defense qi or deficient defense qi as the primary cause of onset,and stasis of nutrient blood or deficiency of nutrient blood as the basis of the disease.Therefore,the disharmony of nutrient and defense leads to the onset of variant angina pectoris.The treatment of variant angina pectoris based on nutrient-defense theory should focus on harmonizing nutrient and defense,reinforcing the foundation by regulating nutrient,with emphasis on the application of wind medicines,so as to achieve the purpose of improving the curative efficacy and prognosis.

nutrient-defense theoryvariant angina pectorischest impediment and painimbalance of nutrient and defenseharmonizing nutrient and de-fense

杨培友、孟昭阳、侯媛、韩烁、刘骅漫

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山东中医药大学中医学院,山东 济南 250355

山东中医药大学附属医院综合内科,山东 济南 250014

营卫理论 变异型心绞痛 胸痹心痛 营卫失调 调和营卫

国家自然科学基金

81804034

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(2)
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