Treatment of Ischaemia with Non-obstructive Coronary Arteries Based on Heart-Spleen Correlation Theory
黄佳敏 1曾敏 1谢煌烈 2韩鹏宇 2郑朝阳2
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作者信息
1. 广州中医药大学第二临床医学院,广东广州 510006
2. 广州中医药大学第二附属医院心血管一科,广东广州 510120
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摘要
缺血伴非阻塞性冠状动脉疾病(Ischaemia with non-obstructive coronary arteries,INOC A)是临床常见的心血管疾病之一,因胸闷等不适症状反复而严重影响患者生活质量.国医大师邓铁涛提出"五脏相关,心脾为要"的论治体系,INOCA属本虚标实,本虚为心脾肾虚,重在心脾同调,标实为痰、瘀为主,甚者痰瘀互结.治疗上当以养心为主,重视健脾,兼顾固肾、疏肝理肺之法,辨证施治,屡见奇效.
Abstract
Ischemia with non-obstructive coronary artery disease(INOCA)is a cardiovascular disease in clinical practice.The quality of life of the patients was seriously affected by repeated chest tightness and other discomfort symp-toms.Deng Tietao,a master of traditional Chinese medicine,proposes the treatment system of five zang-organ correlation,with heart-spleen being the key points.He believes that the pathogenesis of this disease is deficiency in nature and excess in superficiality.Specifically,deficiency in nature refers to heart,spleen and kidney deficiency,and the focus is simultane-ous regulation of heart and spleen,while excess in superficiality means that phlegm and blood stasis are dominant,even combined phlegm and stasis in severe cases.The treatment should emphasize nourishing heart and strengthening spleen.In addition,tonifying kidney,soothing liver,and regulating lung should be combined.With syndrome differentiation identifica-tion and treatment,desirable results are usually achieved.
关键词
缺血伴非阻塞性冠状动脉疾病/心脾相关/胸痹心痛
Key words
Ischaemia with non-obstructive coronary arteries/Heart-spleen correlation theory/Chest stuffiness and pains
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