基于脉络学说对动脉粥样硬化病因病机的认识

发布时间：2018-05-13 01:14

本文选题：动脉粥样硬化 + 络病理论　；参考：《中医杂志》2017年16期

【摘要】：根据中医络病理论,提出西医病理学概念动脉粥样硬化属于"脉络血管系统病"。动脉粥样硬化的发生发展是一个动态演变过程,络气郁滞/虚滞是血管病变的始动病机并贯穿病变全过程;脉络瘀阻与动脉粥样硬化斑块形成的病理变化相一致;脉络瘀阻易引起脉络绌急,而脉络绌急可进一步加重脉络瘀阻;脉络瘀阻或绌急发展加重可导致脉络完全性阻塞而使血流中断,脏腑组织由于血气供应中断而发生严重损伤,形成脉络瘀塞、络息成积。各种致病因素伤及脉络所致病机变化的实质是"不通",络病治疗的根本目的在于保持脉络通畅。"络以通为用"是"脉络血管系统病"的治疗总则,通络方药对于该系统病具有显著疗效。
[Abstract]:According to the theory of collaterals disease in traditional Chinese medicine, this paper puts forward the concept of pathology of western medicine, atherosclerosis belongs to "choroidal vascular disease". The occurrence and development of atherosclerosis is a dynamic process, the stagnation of collaterals and qi is the origin of vascular diseases and runs through the whole process of atherosclerosis, the choroid stasis is consistent with the pathological changes of atherosclerotic plaques. Choroid stasis can easily cause choroidal congestion, which can be further aggravated by choroidal stasis. Choroidal stasis or rapid development can lead to complete choroid obstruction and lead to blood flow disruption, and the viscera tissues are seriously damaged by the interruption of blood gas supply. The formation of choroid stasis plug, collaterals and information into a product. The essence of pathogenesis change caused by various pathogenic factors and choroid is "impassable", the fundamental purpose of collateral disease treatment is to keep the vein unobstructed. " It is the general principle of treating choroidal vascular system disease. The prescriptions of Tongluo prescription have remarkable curative effect on the disease.
【作者单位】：河北医科大学研究生学院;国家中医药管理局重点研究室(心脑血管络病);河北省络病重点实验室;山东省泰安市中医医院;国家中医药管理局中医络病学重点学科;
【基金】：国家重点基础研究发展计划(“973”计划)(2012CB518600)
【分类号】：R259

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