| 摘要: |
| “心胀”语出《灵枢·胀论》“夫心胀者，烦心短气，卧不安”，与扩张型心肌病在病因病机及临床表现上极其相似。心胀病位在心，与肺脾肾三脏密切相关，其发病责之于内外两端，病性虚实夹杂，以虚证较为多见。在治疗上分别采用温补心阳、益气养阴、补气行水、活血利水之法，辨证论治，临证选方，灵活用药在临床中往往疗效显着。为扩张型心肌病的中医规范化治疗提供参考，也为其中西医临床诊治提供新思路。 |
| 关键词: 心胀 扩张型心肌病 辨证论治 |
| DOI：10.11656/j.issn.1672-1519.2017.04.09 |
| 分类号: |
| 基金项目:“泰山学者”岗位建设资金资助（2012-55）；山东省科技发展计划项目（2014GSF119011）. |
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| Analysis of “Xinzhang” in traditional Chinese medicine syndrome differentiation and treatment |
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YANG Bao1, ZHANG Hang2, YANG Chuan-hua3
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1.College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China;2.The First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan 250014, China;3.Department of Cardiology, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Hypertension National Clinical Research Base of Traditional Chinese Medicine, Jinan 250011, China
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| Abstract: |
| “Xinzhang” phrase comes from Lingshu·Expansion Theory, “Husband heart swell, upset and shortness of breath, insomnia”, and its etiology, pathogenesis and clinical manifestations are very similar with dilated cardiomyopathy. Xinzhang, a disease located in heart, is closely related to lung, spleen and kidney. The cause of “Xingzhang” is on both inner and outer, and the quality is asthenia-sthenia zheng complications. Deficiency zheng is more common. The treatment based on syndrome differentiation uses methods of warm reinforcing heart yang, supplementing Qi and nourishing Yin, strengthening spleen and benefiting Qi, activating blood circulation and alleviating water retention. The prescription is chosen by syndromes and the use of drugs is flexble, so the clinical effect is significantly. It provides reference for the standard treatment of dilated cardiomyopathy in traditional Chinese medicine, and provides new ideas for clinical diagnosis and treatment in traditional Chinese medicine and western medicine. |
| Key words: Xinzhang dilated cardiomyopathy treatment based on syndrome differentiation |
