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从脾主运化水湿角度论胸痹心痛的发病 被引量:16

Discussion on Etiology and Pathology of Chest Bi Syndrome Based on Perspective of Spleen Transporting and Transforming Water and Dampness
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摘要 探析胸痹心痛的病因病机与脾失运化水湿的关系。在病因中,认为寒邪内侵,困脾生湿;饮食失调,伤脾聚湿;情志失节,脾虚生湿;劳倦内伤,脾不化湿;年老体虚,脾虚湿停。在病机中,认为湿为阴邪,损伤心阳;湿邪弥漫,阻滞上焦;湿盛困脾,累及心络;湿阻经络,心脉滞涩。为临床从脾从痰湿论治胸痹心痛提供重要的理论依据。 The paper discusses the relationship between the etiology and the pathology of chest Bi syndrome and the spleen transporting and transforming water and dampness. In the etiology, the invasion of cold evil leads to the obstruction of yang qi and the production of water and dampness. The disorders of diet lead to the injury of the spleen and the gather of water and dampness. Poor mood leads to the weakness of the spleen and the production of water and dampness. Over exertion leads to the disability of transportation and transformation of water and dampness. Aged body empty leads to the weakness of the spleen and remain of water and dampness. In the pathology, the water and dampness belong to yin pathogen and damage yang qi of the heart. The pervasion of water and dampness leads to the obstruction of the upper energizer. Excessive water and dampness leads to the obstruction of the spleen and drags in the heart meridian. Water and dampness blocks the meridian, which leads to the obstruction of the heart meridian. The etiology and pathology above cause the disease. This paper provides an important theoretical basis for clinical treatment of chest Bi syndrome by the method of transportation and transformation of water and dampness.
出处 《中华中医药学刊》 CAS 北大核心 2017年第10期2541-2543,共3页 Chinese Archives of Traditional Chinese Medicine
基金 国家重点基础研究发展计划("973"计划)项目(2013CB531704) 辽宁省科学技术计划项目(2014225004)
关键词 胸痹心痛 病因 病机 痰湿 脾主运化 chest Bi syndrome etiology pathology phlegm and dampness transportation and transformation of spleen
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