An analysis of treating coronary heart disease in TCM based on the theory of heart and spleen correlation
Coronary heart disease is one of the diseases with the highest incidence rate in China.Based on the overall pathogenesis of phlegm turbidity-phlegm coagulation-phlegm stasis and the theory of heart and spleen correlation,traditional Chinese medicine proposes that although coronary heart disease is located in the heart,its formation is closely related to the spleen.The heart is connected to the spleen meridians,the five elements are interdependent,and Qi(气)and blood biochemistry are interdependent.Abnormal function of one side often leads to abnormalities in the other.Therefore,traditional Chinese medicine treatment of coronary heart disease often starts not only from the heart,but also from the spleen.The treatment of coronary heart disease from the spleen is mainly based on the two aspects of spleen governing transportation and transformation and spleen governing blood circulation.The function of spleen governing transportation and transformation mainly induces the occurrence of atherosclerosis by affecting blood lipids,blood glucose levels,etc.,thus leading to the occurrence and development of coronary heart disease.Elderly people with insufficient spleen Qi and endogenous phlegm turbidity can be treated by methods such as nourishing Qi and strengthening the spleen,dispelling phlegm and resolving turbidity.For example,in the Sijunzi decoction(四君子汤),Renshen(Radix Ginseng)can lower blood spleen Qi,blood lipids,and resist myocardial ischemia,Fuling(Poria)can enhance myocardial contraction and lower blood spleen Qi,while Baizhu(Rhizoma Atractylodis Macrocephalae)and Gancao(Radix Glycyrrhizae)can lower blood spleen Qi and blood lipids,respectively.The spleen's function of regulating blood flow affects the incidence of cardiovascular events in coronary heart disease by affecting the levels of coagulation factors such as D-dimer and Fibrinogen.Phlegm turbidity for a long time affects blood circulation,resulting in phlegm and blood stasis coexisting.Treatment methods such as strengthening the spleen,removing phlegm and resolving blood stasis,taking the Gualou Xiebai Banxia decoction(瓜蒌薤白半夏汤)with the Erchen decoction(二陈汤)as the representative prescription,can effectively improve myocardial microcirculation.Traditional Chinese medicine can effectively elieve the clinical symptoms and improve quality of life of patients with coronary heart disease by treating it from the two aspects of spleen governing circulation and spleen governing blood circulation based on the theory of the heart and spleen correlation,and delay the development of coronary heart disease to a certain extent.
The theory of heart and spleen correlationCoronary heart diseaseTraditional Chinese medicine
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NSTL
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