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中医治疗慢性心衰研究进展

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慢性心力衰竭是在原有心脏病基础上,出现的心脏泵血能力下降,心输出量不足难以满足机体代谢需要,主要以胸闷、气短、肢体水肿为临床症状的慢性疾病.中医认为慢性心力衰竭基本病机为本虚标实,以心气心阳虚为主对本脏产生影响甚至影响其他脏腑,进而加重心衰症状.中医运用整体观在慢性心衰的临床治疗中取得很好的疗效,成为现阶段治疗慢性心衰不可或缺的力量.文章根据经典阐述了中医对慢性心衰的病因病机以及治疗的原则和方法,并对近些年中医治疗慢性心衰的方法进行简要综述,确定以扶心阳为主,兼顾祛邪的治疗思想,重视精、气、血以及整体气机的调理,最终从根本上治疗和预防慢性心衰的发生.
Research Progress on Traditional Chinese Medicine Treatment of Chronic Heart Failure
Chronic heart failure is a chronic disease that occurs on the basis of existing heart disease,characterized by a decrease in the heart's pumping ability,insufficient cardiac output,and difficulty in meeting the body's metabolic needs.The main clinical symptoms are chest tightness,shortness of breath,and limb edema.Traditional Chinese Medicine believes that the basic pathogenesis of chronic heart failure is based on the deficiency of the root and the excess of the target.The deficiency of heart Qi and Yang mainly affects the internal organs and even other organs,thereby exacerbating the symptoms of heart failure.The application of holistic approach in traditional Chinese medicine has achieved good therapeutic effects in the clinical treatment of chronic heart failure,and has become an indispensable force in the current treatment of chronic heart failure.The article elaborates on the etiology,pathogenesis,treatment principles,and methods of traditional Chinese medicine for chronic heart failure based on classics.It briefly summarizes the methods of traditional Chinese medicine for treating chronic heart failure in recent years,and determines the treatment concept of focusing on nourishing the heart Yang while also considering the elimination of evil.It emphasizes the regulation of essence,Qi,blood,and overall Qi,ultimately treating and preventing the occurrence of chronic heart failure fundamentally.

Chronic heart failureDiagnosis and treatment based on syndrome differentiationQi deficiencyCompre-hensive treatmentReview

庞金华、侯杰军、张小飞、雷鹏、周岩芬

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陕西中医药大学,陕西 咸阳 712046

陕西中医药大学附属医院,陕西 咸阳 712000

陕西省人民医院,陕西 西安 710068

陕西省中医医院,陕西 西安 710003

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慢性心衰 辨证论治 气虚 综合治疗 综述

2025

陕西中医药大学学报
陕西中医学院

陕西中医药大学学报

影响因子:0.479
ISSN:2096-1340
年,卷(期):2025.48(1)