摘要
动脉粥样硬化"络风内动"学说是根据急性心血管事件起病急骤、临床表现变化多端等特点提出的病机理论。"络风内动"是在气血失常的基础上,进一步形成热毒生风,或络虚风动,或外风引动内风,导致脉络受损、血脉挛急不通或不荣,引动伏风而猝然心痛。治疗时当合理安排好"治风"与"调气血"的主次关系,根据病情缓急分而治之,热毒生风证当急则治标以风药治风为先,络虚风动证当缓则治本以调理气血为要,外风引动内风证则标本兼顾,表里同治以防传变。将气血相关理论与"络风内动"学说有机结合,对指导动脉粥样硬化性疾病的防治具有重要意义。
Atherosclerosis ＂Endogenous Collateral Wind＂doctrine is a pathogenesis theory put forward on the basis of acute cardiovascular events characteristics,such as sudden onset,varied clinical manifestation,etc. On the basis of the disorder of Qi and blood,＂Endogenous Collateral Wind＂is formed. ＂Toxic Heat Producing Wind ＂,＂Collateral Deficiency Producing Wind＂or ＂Outer Wind Producing Endogenous Wind＂,leading to damaging veins,stagnating veins or unnourished veins,then actuating perdu wind to cause cardiac pain suddenly. The treatment strategy should be reasonably arrange the priority between ＂treat wind＂and ＂regulate Qi and blood＂,according to degree of acute and seriousness of disease. Toxic Heat Producing Wind syndrome is acute,thus treating wind with expelling wind medicine should be to taken firstly as a temporary solution. ＂Collateral Deficiency Producing Wind syndrome is not so acute,thus regulating Qi and blood should be applied to achieve a permanent cure. For Outer Wind Producing Endogenous Wind syndrome,treatment should be relieving both primary and secondary symptoms and treat both exterior and interior to avoid progression of the disease. Qi-blood relation theory organically combining with＂Endogenous Collateral Wind＂doctrine had great significance to guide prevention and control of atherosclerosis disease.
出处
《中医杂志》
CSCD
北大核心
2015年第12期999-1002,共4页
Journal of Traditional Chinese Medicine
关键词
气血相关
络风内动
调和气血
Qi-blood relation theory
endogenous collateral wind
regulate Qi and blood
