基于五脏病机理论探析心力衰竭辨治特点

Study on the characteristics of differentiation and treatment of heart failure based on the theory of five visceral pathogenesis

关键词:  心力衰竭  五脏病机  辨治

Key words:  heart failure  five visceral pathogenesis  differentiation and treatment

摘要:

以五脏病机理论分析心力衰竭发生发展，探讨其辨治特点，指出心力衰竭发病与五脏均相关，尤以心为主，病机以心之气血阴阳俱虚为本，展现由原发病传变至心，再向他脏传变的过程；治以养心为主，阴阳并治，气血同调，顺应传变，五脏兼顾，分期侧重。心力衰竭诊治亦需中西医结合，做到整体调节，以期缓解症状，改善预后。

Abstract:

The theory of five visceral pathogenesis is used to analyze the occurrence and development of heart failure,and to explore its characteristics of differentiation and treatment. It is pointed out that the incidence of heart failure is related to the five internal organs,especially the heart. The pathogenesis of this disease is based on the deficiency of qi,blood,yin and yang in heart,showing the process of transformation from the primary diseases to the heart,and then to other internal organs. The treatment of the disease,based on the therapy of invigorating heart,is coordinating yin and yang,harmonizing qi and blood,following the transformation,taking care of the five internal organs,and focusing on the stage. The diagnosis and treatment of heart failure also requires the integration of Chinese and Western medicine,so as to achieve overall adjustment,in order to alleviate symptoms and improve prognosis.