李文杰教授从气虚血瘀论治老年冠心病经验总结

发布时间：2018-04-16 04:09

  本文选题：冠心病 + 胸痹心痛　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：冠心病,即指以心前区憋闷、疼痛为主的心系疾病。轻则胸闷隐痛不适,重则胸部剧烈疼痛,心痛彻背,多呈压榨性。常常伴随着心悸、气短、呼吸欠畅如窒、乏力汗出症状,大多情况下由于寒邪、饱食、过劳或者情绪波动所引发。而冠心病的发病率以老年人为最高。现代医学中所说的冠心病属于中医学“胸痹心痛”范畴。冠心病的主要临床表现,在祖国医学文献上已有诸多记载。《金匮要略》有云:“胸痹之病,喘息咳唾。胸背痛,短气。寸口脉沉而迟,关上小紧数。”葛洪的《肘后备急方》:“胸痹之病,令人心中坚痞忽痛。肌中苦痹,绞急如刺……不得手犯。胸满短气,咳嗽引痛……或彻引背膂,不即治之。”由此可见,历代医家对于冠心病的研究较为深入,也留下了很多宝贵的医学文化遗产。本文通过阅览历代中医大家治疗冠心病的理论资料文献,结合临床实践,总结吾师治疗老年冠心病之临证经验。冠心病的基本病机为本虚标实。虚则气血不足,实为寒凝、痰浊、血瘀等。吾师认为老年人易出现气血亏耗,气虚推动无力,导致血瘀,因此气虚血瘀在老年冠心病的发展过程中起到了非常重要的作用。故而治疗上以益气活血为主,每收良效。
[Abstract]:Coronary heart disease (CHD) refers to a disease of the heart in which the heart is suffocated and painful.Mild chest pain discomfort, severe chest pain, heart pain through the back, more press.Often accompanied by palpitations, shortness of breath, lack of breath, fatigue, sweating symptoms, in most cases due to cold evil, satiety, overwork or emotional fluctuations.The incidence of coronary heart disease is the highest in the elderly.The coronary heart disease in modern medicine belongs to the category of "chest obstruction and heartache pain" in traditional Chinese medicine.The main clinical manifestations of coronary heart disease have been recorded in the medical literature of the motherland. The synopsis of synopsis of the Golden Chamber has a cloud: "chest obstruction, wheezing cough saliva."Chest and back pain, shortness of breath.The mouth pulse is heavy and late, close the small tight count. "GE Hong's "elbow reserve emergency": "chest arthralgia, people's hearts stumpy sudden pain."Bitter arthralgia in the muscle, burning like thorns.No success.The chest is full of shortness of breath and the cough causes pain."It can be seen that physicians of all dynasties studied coronary heart disease more deeply and left a lot of valuable medical cultural heritage.In this paper, the clinical experience of our teacher in the treatment of senile coronary heart disease was summarized by reviewing the theoretical data and clinical practice of treating coronary heart disease in the past dynasties.The basic pathogenesis of coronary heart disease is the basic deficiency.Deficiency is insufficient qi and blood, cold coagulation, phlegm, blood stasis and so on.My teacher thinks that old people are apt to suffer from deficiency of qi and blood, which leads to blood stasis, so Qi deficiency and blood stasis play an important role in the development of senile coronary heart disease.Therefore, on the treatment of Qi-promoting blood-based, each good effect.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R249
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本文编号：1757227