首页|基于圆运动理论探析射血分数保留心衰的病机与治疗

基于圆运动理论探析射血分数保留心衰的病机与治疗

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圆运动理论的实质是气在人体内的周流循环运动,即升降浮沉中,黄元御将其概括为"一气周流"。基于圆运动理论,认为射血分数保留心衰先由金气不降、火气不宣而成,继则中焦之气升降乖戾,最终肾阳受损,命门火衰,水木之气不升。在临床治疗方面,应当在射血分数保留心衰的早期祛邪以复金火之右降运动,中期祛邪扶正以复脾胃之升降,晚期温阳益气、化饮祛瘀以复水木之升,总以恢复气之周流运动为目标,从而达到改善或治愈射血分数保留心衰的目的。
Discussion on Pathogenesis and Treatment of Heart Failure with Preserved Ejection Fraction Based on Circular Motion Theory
The essence of the theory of circular motion is the circulation of qi in the human body,that is,the ascending,descending,floating and sinking of qi,which is"qi circulation"summarized by HUANG Yuanyu.Based on the theory of circular motion,it is believed that heart failure with preserved ejection fraction is caused by metal qi failing to descend and fire qi failing to ascend,then the ascending and descending of qi of middle jiao is in disorder gradually,which finally leads to damage to kidney yang and the fire of lifegate becoming weak,and qi of water and wood can not ascend.In terms of clinical treatment,it is necessary to expel pathogenic factors to restore the descending of qi of fire and metal in the early stage of heart failure with preserved ejection fraction and the ascending of spleen and the descending of stomach in the middle stage and to warm yang and benefit qi and remove blood stasis to restore the ascending of qi of water and wood in the late stage.The final goat is restoring the circulation of qi so as to improve or cure the heart failure with preserved ejection fraction.

circular motionheart failure preserved with ejection fractionqi of metal and fire fails to descendfluid retentionblood stasis

乔文博、董国菊、石玉姣、刘春秋、刘永成、杨晨光、刘思雨

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中国中医科学院西苑医院,北京 100091

圆运动 射血分数保留心衰 金火不降 水饮 瘀血

国家自然科学基金面上项目中国中医科学院科技创新项目

82074423CI2021A00903

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(3)
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