首页|基于因机症治探讨冠心病热证的古今发展

基于因机症治探讨冠心病热证的古今发展

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通过探究前人对冠心病热证的相关论述,溯本求源,明确冠心病热证古今因机症治的理论体系和研究进展,探讨潜在作用机制。冠心病热证与情志、饮食、气候、基础病等多种因素有关,以热邪内犯为关键,与机体气血阴阳互为影响,导致痹阻心脉,发为胸痹。冠心病热证的证候特点与热扰、气乱、伤津等有关,进而形成热、黄、赤、稠、燥、动的证候特点。冠心病热证的治疗多以清散为用,兼以调理气血、虚实相兼为治。冠心病的发病机制与交感神经兴奋、炎性反应、氧化应激、脂质代谢等多种生理病理反应相关,治疗用药的药理作用与其机制相符。因此,从中医辨证论治体系探究冠心病热证的诊疗具有独特优势,其理论的溯源和现今的临床研究可为"从热论治"冠心病热证提供理论框架与科学依据,为临床防治冠心病热证提供思路,以达临证权衡,病证结合。
Discussion on Ancient and Modern Development of Heat Syndrome of Coronary Heart Disease Based on Treatment of Pathogenesis
In this paper,by exploring the previous discussion on heat syndrome of coronary heart disease and tracing the source,it clarified the theoretical system and research progress of heat syndrome of coronary heart disease in ancient and modern times and explored the potential mechanism of action.The heat syndrome of coronary heart disease is related to many factors such as emotion,diet,climate and basic diseases.The key is the internal invasion of heat evil,which is influenced by Qi,blood,Yin and Yang of the body,resulting in obstruction of heart vessels and chest obstruction.The syndrome characteristics of heat syn-drome of coronary heart disease are related to heat disturbance,Qi disorder and fluid injury,and then form the heat,yellow,red,thick,dry and dynamic syndrome characteristics.The treatment of coronary heart disease with heat syndrome is mostly based on clearing and dispersing,combined with regulating Qi and blood as well as deficiency and excess.The pathogenesis of coronary heart disease is related to various physiological and pathological reactions such as sympathetic nerve excitation,inflammatory re-sponse,oxidative stress and lipid metabolism.The pharmacological effects of therapeutic drugs are consistent with their mecha-nisms.Therefore,it has unique advantages to explore the diagnosis and treatment of heat syndrome of coronary heart disease from the syndrome differentiation and treatment system of traditional Chinese medicine.The traceability of its theory and the current clinical research can provide a theoretical framework and scientific basis for the treatment of heat syndrome of coronary heart dis-ease from heat,and provide ideas for clinical prevention and treatment of coronary heart disease heat syndrome,so as to achieve clinical balance and combination of disease and syndrome.

coronary heart diseaseheat syndrometreatment based on pathogenesis

王一名、张明雪

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

冠心病 热证 因机症治

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(12)