| 摘要: |
| 欧洲心脏病学会发布的《2019 ESC慢性冠状动脉综合征诊治指南》提出了慢性冠状动脉综合征（CCS）的新概念，中医认为CCS可归属于“胸痹”“心痛”等范畴。通过追溯痰瘀互结的起源与进展，发现CCS与痰瘀互结在病因病机及发病特点上存在较强的相关性，具有隐袭、缠绵、广泛、多变等特点，本质为本虚标实，痰浊、瘀血既是病理产物，也是致病因素，基于此提出顾护心、脾、肾3脏，温阳益气以治本，豁痰化瘀以治标的治法，为临床研究与治疗提供参考。 |
| 关键词: 慢性冠状动脉综合征 痰瘀互结 中医治疗 病因病机 |
| DOI：10.11656/j.issn.1673-9043.2021.01.07 |
| 分类号:R541.4 |
| 基金项目:国家自然科学基金项目（81774247）。 |
|
| Treating chronic coronary syndrome from phlegm and blood stasis |
|
YUAN Huajing1, XUE Yitao2
|
|
1.School of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China;2.Department of Cardiology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250011, China
|
| Abstract: |
| The 2019 ESC Guidelines for the Diagnosis and Treatment of Chronic Coronary Syndrome published by the European Society of Cardiology proposes a new concept of chronic coronary syndrome (CCS). CCS can be classified into "chest paralysis","heartache" and other categories. By tracing the origin and progress of phlegm and blood stasis,CCS and phlegm and blood stasis have a strong correlation in the etiology,pathogenesis and morbidity characteristics,with the characteristics of hidden attack,lingering,extensive and variable. Its essence is based on false standards,phlegm and blood stasis are both pathological products and pathogenic factors. Based on this,the treatment methods of protecting the heart,spleen and kidney,warming Yang and benefiting qi to cure the root,and phlegm and stasis to cure the symptoms are proposed. Provide reference for clinical research and treatment. |
| Key words: chronic coronary syndrome phlegm and blood stasis traditional Chinese medicine treatment etiology and pathogenesis |
