摘要
经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后大血管已通,但心绞痛再发,中医根据PCI术后心绞痛的症状特点、临床表现,将其纳入中医"胸痹"范畴。本文主要介绍程晓昱教授治疗PCI术后心绞痛气虚血瘀、气滞血瘀证的临证经验,认为PCI术后心绞痛以本虚标实、虚实错杂为病理基础,辨证关键在于正气不足或气机郁滞,血运无力则瘀结于胸中,提出以补气理气、活血祛瘀法论治,采用补气药配合理气药,以使正气足且运行于胸中,气行血行,通则不痛。
After percutaneous coronary intervention (PCI),the large blood vessels have been opened,but angina recurs.According to the symptoms and clinical manifestations of angina pectoris after PCI,TCM has included it into the category of "thoracic paralysis" in TCM.This article mainly introduces the clinical experience of Professor Cheng Xiaoyu in treating angina pectoris with qi deficiency and blood stasis,and qi stagnation and blood stasis syndrome.The author believes that the pathological basis for angina pectoris after PCI is based on asthenia in origin and asthenia in superficiality,intermingled deficiency and excess.The key of syndrome differentiation is deficiency of vital qi or stagnation of qi engine,weak blood flow can be stasis in the chest,put forward the method of tonifying qi and activating blood circulation and removing blood stasis,use gas tonic medicine with gas control medicine,in order to make zhengqi sufficient and run in the chest,qi line blood line,generally no pain.
作者
李凤
程晓昱
LI Feng;CHENG Xiaoyu(Anhui University of Chinese Medicine,Hefei 230038,China;不详)
出处
《中外医学研究》
2020年第16期112-114,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
国家自然科学基金项目(8137774)
安徽省卫生和计划生育委员会中医药领军人才培养对象专项项目(中医药发展秘〔2018〕23号)。
关键词
冠心病
PCI术后心绞痛
程晓昱
临证经验
Coronary heart disease
Angina pectoris after PCI
Cheng Xiaoyu
Clinical experience
