从浊邪论治冠心病临证体会

Clinical experience of treating coronary heart disease from turbid pathogen

关键词:  冠心病  浊邪  病因病机  治法方药  医案举隅  王保和

Key words:  coronary heart disease  turbid pathogen  etiology and pathogenesis  prescriptions and medicines  examples of medical records  WANG Baohe

摘要:

浊邪是临床疾病常见的致病因素之一，浊邪理论是中医学术理论体系的重要组成部分，是研究浊邪发生、发展、变化与致病规律、治疗原则的应用理论，王保和教授善用浊邪理论指导临证诊疗，强调浊邪致病在疾病中的影响。提出浊邪是导致冠心病的重要病理因素，并根据浊邪的致病特点从浊、痰、瘀"三元论"解析冠心病的病机，以泄浊豁痰祛瘀为治则，治疗冠心病。阐明"浊邪"概念，解读浊邪理论主要内容，论述浊邪致病冠心病的病因病机和临床表现，介绍泄浊豁痰祛瘀治则指导下，泄浊化痰、泄浊祛瘀，泄浊化痰祛瘀等具体治法，阐述王保和教授临证经验，并附典型病案一则。

Abstract:

Turbid pathogen is one of the common pathogenic factors of clinical diseases,and the theory of turbid pathogen is an important part of the academic theoretical system of traditional Chinese medicine,and it is an applied theory to study the occurrence,development,change,pathogenic law and treatment principles of turbid pathogen. Professor WANG Baohe made good use of turbid evil theory to guide clinical diagnosis and treatment,emphasizing the influence of turbid pathogen in the disease. It is pointed out that turbid pathogen is an important pathological factor leading to coronary heart disease,and according to the pathogenic characteristics of turbid pathogen,the pathogenesis of coronary heart disease is analyzed from the "triple theory" of turbid,phlegm and blood stasis,and the treatment of coronary heart disease is based on eliminating phlegm,removing blood stasis and resolving turbid. This paper expounds the concept of "turbid evil",interprets the main contents of the theory of turbid evil,discusses the etiology,pathogenesis and clinical manifestations of coronary heart disease caused by turbid evil,and introduces the specific treatment methods,such as relieving turbid phlegm and removing blood stasis,relieving turbid phlegm and removing blood stasis,and so on. Professor WANG Baohe's clinical experience is expounded,and a typical medical record is attached.