| 摘要: |
| 冠心病西医药物治疗虽可控制发作，但有时不能延缓病情发展，非药物治疗过程中围手术期多风险，易病情反复。中医辨证治疗存在证型不统一且证候消失后难根治的问题。倪诚教授秉承王琦国医大师"体病相关""体质可调"理论，认为血瘀体质、痰湿体质、气虚体质是冠心病的发病基础，瘀阻阴维是冠心病的病机要点，祛瘀化痰、补气通维是冠心病的主要治法，临床上自创通维止痛汤，取得良好疗效。 |
| 关键词: 冠心病 气虚体质 痰湿体质 血瘀体质 阴维 |
| DOI：10.11656/j.issn.1672-1519.2019.08.03 |
| 分类号:R541.4 |
| 基金项目:国家自然科学基金项目（81673836）；北京市自然科学基金项目（7172125）；国家中医药管理局王琦国医大师传承工作室、王琦名老中医药专家传承工作室建设项目；北京中医药薪火传承"3+3"工程王琦名医传承工作站建设项目；北京中医药大学名医工程王琦学术传承工作室建设项目。 |
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| Treating coronary heart disease from constitution intervention and opening and coordinating yin link channel |
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YUAN Wenlin, NI Cheng
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Traditional Chinese Medicine Constitution and Reproductive Medicine Research Center, Beijing University of Chinese Medicine, Beijing 100029, China
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| Abstract: |
| Although medication in western medicine treatment can control the onset of coronary heart disease (CHD),sometimes it cannot delay the development of the disease. There may be many risks in the perioperative period of non-drug treatment,and it may relapse. Traditional Chinese medicine syndrome differentiation treatment has the problem that syndrome type is not unified,and it is difficult to treat CHD fundamentally after the syndrome disappears. Based on the theories of "interactive body constituent and diseases" and "controllable body constituents",Professor NI Cheng proposed the opinion that the body constituents of blood stasis and phlegm-dampness and qi deficiency constitution are the pathological foundation,and the pathological mechanism was that the stasis obstructs yin link channel. So removing the stasis and phlegm wet,benefiting qi and coordinating yin link channel are the principal therapies for CHD. Professor NI formulated Tongwei Zhitong Decoction for the disease,which has shown favorable efficacy. |
| Key words: coronary heart disease qi deficiency constitution phlegm-dampness constitution blood stasis constitution yin link channel |
