张伯礼教授基于“气血同治，痰瘀并调”辨治扩张型心肌病性心力衰竭验案

Professor ZHANG Boli’s clinical experience in treating dilated cardiomyopathy heart failure based on “treating qi and blood simultaneously，regulating phlegm and blood stasis”

关键词:  扩张型心肌病  心力衰竭  临床经验

Key words:  dilated cardiomyopathy  heart failure  clinical experience

摘要:

文章介绍张伯礼教授辨治扩张型心肌病性心力衰竭（DCM-HF）的经验。基于“阳微阴弦”核心病机，以“气血同治，痰瘀并调”为治则，构建分期动态治疗策略。既注重急性期标实证候的快速缓解，又强调稳定期脾肾阳气与气血生化的长期维系；形成标本兼治的动态治疗架构，实现补益不滞气机、祛邪不伤正气的治疗平衡。构建从病机阐释到临床转化的完整中医诊疗范式，为中医药干预DCM-HF提供创新的理论框架和实践路径。

Abstract:

This paper introduces Professor ZHANG Boli’s clinical experience in treating dilated cardiomyopathy heart failure（DCM-HF）. Based on the core pathogenesis of “yang deficiency and yin exces”，and taking “simultaneous regulation of qi and blood，resolving phlegm and blood stasis in parallel” as the treatment principle，a staged dynamic treatment strategy is constructed. It not only pays attention to the rapid remission of acute syndrome，but also emphasizes the long-term maintenance of spleen and kidney yang qi and blood biochemistry in stable stage. Form a dynamic treatment architecture that addresses both symptoms and signs，and achieve a therapeutic balance of tonifying qi without stagnation of qi and eliminating pathogens without damaging healthy qi. To construct a complete traditional Chinese medicine diagnosis and treatment paradigm from pathogenesis interpretation to clinical transformation，and provide an innovative theoretical framework and practical path for traditional Chinese medicine intervention in DCM-HF.