从“虚、瘀、毒”论治慢性心衰的经验总结

发布时间：2018-10-19 09:15

【摘要】：心力衰竭是一组具有相似临床表现的综合征,是各种心血管疾病的终点事件。随着社会的发展、人口老龄化的加快,冠心病、高血压、糖尿病等发病率不断增加,其发病率、再入院率也在不断升高,严重威胁了患者的生命健康,影响了患者的生存质量,因此引起了医学界的广泛关注与重视。现代医学对心力衰竭病理生理的认识,在神经内分泌系统、血流动力学,分子生物学等方面均不断取得新的突破,但也的确存在一些弊端。祖国医学对心力衰竭病因病机、证候表现的认识源远流长,并不断形成了自己独特的理论体系,积累了丰富的临床经验,在心力衰竭的治疗上有着一定的优势。张艳教授从事心血管临床、科研、教学工作30余年,尤其对心力衰竭的病因病机的认识及治疗上积累了丰富的经验。吾师博览古籍,对中医学理论深刻理解的基础上,结合自己长期的临床经验提出,慢性心衰的病因病机可以用“虚、瘀、毒”来概括,“虚、瘀、毒”贯穿慢性心衰的发病、病理变化、以及并发症全过程当中。因此在治疗上根据心衰不同时期的主要矛盾及“毒”邪的主要表现形式,通过辨别“毒”邪的性质而分别施以化瘀解毒,清热解毒,利水解毒等不同解毒之法,构建了以“益气扶正,活血化瘀,除毒防变”为主的治疗原则,吾师潜心研究自拟强心通脉汤作为基础方,随证加减,中西医互补,临床上多获良效。
[Abstract]:Heart failure is a group of syndromes with similar clinical manifestations, which is the endpoint of various cardiovascular diseases. With the development of society and the acceleration of population aging, the incidence of coronary heart disease, hypertension and diabetes is increasing. The incidence rate and readmission rate are also increasing, which seriously threatens the life and health of patients and affects the quality of life of patients. As a result, it has aroused widespread concern and attention in the medical field. In modern medicine, new breakthroughs have been made in neuroendocrine system, hemodynamics, molecular biology and so on, but there are some drawbacks in the understanding of pathophysiology of heart failure. Chinese medicine has a long history of understanding the etiology and pathogenesis of heart failure and syndromes, and has formed its own unique theoretical system, accumulated rich clinical experience, and has certain advantages in the treatment of heart failure. Professor Zhang Yan has been engaged in cardiovascular clinical, scientific research and teaching for more than 30 years. He has accumulated rich experience in the understanding and treatment of the etiology and pathogenesis of heart failure. On the basis of our profound understanding of the theory of traditional Chinese medicine and our own long-term clinical experience, my teacher reviewed the ancient books and put forward that the etiology and pathogenesis of chronic heart failure can be summed up by "deficiency, blood stasis, and poison", and that "deficiency, stasis, poison" runs through the pathogenesis of chronic heart failure. Pathological changes, and complications throughout the process. Therefore, according to the principal contradiction in different periods of heart failure and the main manifestations of "toxin" evil, different detoxification methods such as removing blood stasis, clearing away heat and detoxifying poison are applied respectively by distinguishing the nature of "toxin" evil, such as removing toxin from blood stasis, clearing away heat and detoxifying toxin, and promoting water and detoxification. Based on the principle of "invigorating Qi, promoting blood circulation, removing blood stasis, removing toxin and preventing change", my teacher has studied the prescription of QXT as a basic prescription, which is added and subtracted with syndrome, complementary of traditional Chinese and western medicine, and has more good effects in clinic.
【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】：R249;R259

【相似文献】