基于张伯礼"湿浊痰饮类病"学说浅析射血分数保留的心力衰竭治疗策略
Treatment Strategy of Heart Failure with Preserved Ejection Fraction Based on ZHANG Boli's Theory of"Damp-turbidity and Phlegm-rheum Type of Diseases
秦广宁 1金鑫瑶 1刘耀远 2王凯 3江丰 1黄明1
作者信息
- 1. 天津中医药大学,天津市静海区团泊新城西区鄱阳湖路10号,301617
- 2. 天津中医药大学,天津市静海区团泊新城西区鄱阳湖路10号,301617;天津中医药大学第一附属医院/国家中医针灸临床医学研究中心
- 3. 天津中医药大学第二附属医院
- 折叠
摘要
张伯礼教授认为射血分数保留的心力衰竭(HFpEF)的核心病机为阳微阴弦,结合"湿浊痰饮类病"学说提出湿浊痰饮类阴邪在HFpEF的各个阶段都能损伤阳气,从而加重阳微阴弦之势,而湿、浊、痰、饮在HFpEF进展恶化过程中发挥了重要的促进作用.故张伯礼教授主张在HFpEF的各阶段重视祛除阴邪、固护阳气,以起延缓阳微阴弦加重之效;提出了"阴邪得祛,阳气得昭"的分期治疗思路;制定了治病求早、祛邪护阳、截断病势、药不远温、兼顾活血的治疗策略,以期丰富中医学治疗HFpEF的理论体系.
Abstract
Professor ZHANG Boli believed that the core pathogenesis of heart failure with preserved ejection frac-tion(HFpEF)is weak pulse at yang and wiry pulse at yin.By referring to the theory of"damp-turbidity and phlegm-rheum type of diseases",he proposed that yin pathogens of damp-turbidity and phlegm-rheum may damage yang qi in each stage of HFpEF,thus aggravating the trend of weak pulse at yang and wiry pulse at yin,which played an impor-tant role in the deterioration of HFpEF.Therefore,Professor ZHANG Boli advocated that importance should be attached to the elimination of yin pathogen and the protection of yang qi during the various stages of HFpEF in order to delay the aggravation of weak pulse at yang and wiry pulse at yin;he put forward the idea of staged treatment that"yin pathogen should be dispelled and yang qi should be demonstrated";and he formulated the treatment strategy of treat-ing the disease as early as possible,eliminating pathogens and protecting yang,interrupting the disease trend,using warm-like medicinals,and activating blood circulation,to enrich the theoretical system of traditional Chinese medicine in the treatment of HFpEF.
关键词
心力衰竭/射血分数/湿浊/痰饮/阳微阴弦/张伯礼Key words
heart failure/ejection fraction/damp-turbidity/phlegm-rheum/weak pulse at yang and wiry pulse at yin/ZHANG Boli引用本文复制引用
基金项目
第四届国医大师工作室项目()
中国中医科学院科技创新工程学部委员学术传承与传播专项(CI2022E025XB)
天津市教委科研计划项目(2022KJ146)
出版年
2024
国家科技期刊平台
NSTL
万方数据