摘要
胸痹心痛是以胸部闷痛,重者心痛彻背,气短,喘息不得平卧为主要症状的一种疾病。张仲景在《伤寒杂病论》中运用酸甘化阴法创芍药甘草汤,该方具有敛津液、养阴血、柔肝舒挛、缓急止痛的功效;孙思邈在《备急千金要方·心脏·胸痹》中运用酸甘化阴思想创立治疗胸痹的前胡汤。张艳教授对胸痹心痛研究深入,注重酸甘化阴治法,强调其在胸痹心痛治疗中的应用,通过酸甘配伍可实现滋阴、固涩、缓急等效果。本文对张艳教授运用该理论治疗胸痹心痛的临床经验进行总结。
Chest impediment and heart pain is a disease characterized by symptoms such as chest distress and pain,severe cases involving pain radiating to the back,shortness of breath,and difficulty lying flat due to labored breathing.In Treatise on Febrile and Miscellaneous Diseases,ZHANG Zhongjing utilized the therapeutic principle of sour-sweet harmonizing yin to create Shaoyao Gancao Decoction.This formula functions to astringe body fluids,nourish yin-blood,soften the liver to relieve spasms,and alleviate acute pain.In his book Beiji Qianjin Yao Fang·Heart·Chest Impediment,SUN Simiao created Qianhu Decoction for treating chest impediment by using the thought of sour-sweet harmonizing yin.Professor ZHANG Yan has conducted in-depth research on chest impediment and heart pain,emphasizing the sour-sweet harmonizing yin therapeutic approach.She highlights its clinical application in treating this condition,where the pairing of sour and sweet medicinal agents achieves effects such as nourishing yin,consolidating fluids,and relieving acute symptoms.This article summarizes Professor ZHANG Yan's clinical experience in applying this theory to manage chest impediment and heart pain.
作者
李理
卞蓉
张艳
LI Li;BIAN Rong;ZHANG Yan(Intervention Center,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China;Department of Medical Administration,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China;Expert Clinic(National Medicine Hall),Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China)
出处
《中国当代医药》
2025年第21期90-93,共4页
China Modern Medicine
基金
国家中医药管理局全国名老中医药专家传承工作室建设项目。
关键词
胸痹心痛
酸甘化阴
冠心病
心绞痛
心肌梗死
Chest impediment and heart pain
Sour-sweet harmonizing yin
Coronary heart disease
Angina pectoris
Myocardial infarction
