首页|基于"上下交损,当治其中"论治冠心病

基于"上下交损,当治其中"论治冠心病

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"上下交损,当治其中"语出叶天士著作《临证指南医案》,其强调了中焦脾胃为气血化生之源,气机及阴阳升降之枢机。冠心病以脾胃气血虚损为本,痰、瘀、膏、浊凝结血脉为标,可从中医大脾胃生理病理观入手诊治冠心病。中虚正损,气血匮乏,心脉失养是冠心病的发病基础,中虚邪实,枢轴失常,浊气攻心是冠心病的发病关键。临床治疗上采用补脾胃养心脉、畅中焦通心脉、复枢轴调寒热之法。"上下交损,当治其中"为冠心病"治中"提供理论基础,为冠心病临床诊治提供新思路。
Treatment of Coronary Heart Disease Based on"Treating the Middle When the Upper and the Lower Both Injured"
The saying that"treating the middle when the upper and the lower are both injured"is recorded in YE Tianshi's Medical Records of Clinical Guidelines,which emphasizes that spleen and stomach are the source of Qi and blood,and the pivot of the rise and fall of Yin-Yang and Qi.The root of the coronary heart disease is Qi and blood deficiency of spleen and stomach and phlegm,blood stasis,turbidity and coagulation of blood meridians are the secondary causes.The diagnosis and treatment of coronary heart disease can be based on the physiological and pathological view of spleen and stomach.Deficiency in the middle,deficiency of Qi and blood,and malnutrition of heart and meridian are the basis of the onset of coronary heart disease.Deficiency in the middle,excess of factors,pivot disorder and turbidity Qi attack the heart are the keys to the onset of coronary heart disease.In clinical treatment,the methods of tonifying spleen and stomach and nourishing heart meridian,unblocking the middle Jiao and unblocking heart meridians,and adjusting cold and heat are adopted.The theory of"treating the middle when the upper and the lower both injured"provides a theoretical basis for the treatment of coronary heart disease,and provides new ideas for the clinical diagnosis and treatment of coronary heart disease.

coronary heart diseasespleen and stomachetiology and pathogenesistreatment principles and methods

李路珍、张哲

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学中医脏象理论及应用国家教育部重点实验室,辽宁沈阳 110847

冠心病 脾胃 病因病机 治则治法

国家中医药管理局青年岐黄学者支持项目

20201A2180

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(10)