摘要
“阳微阴弦”理论由张仲景在《金匮要略·胸痹心痛短气病脉证并治》中提出,其高度概括了冠心病的病机要点为本虚标实、虚实夹杂。后世医家不断沿袭创新,将该理论用于治疗气血运行不畅、脏腑失于温养导致的冠心病、胃溃疡等多种疾病。冠心病的基本病因病机为心气血阴阳不足,心脉失于温养,导致气滞、寒凝、痰浊、血瘀等乘虚而入,阻滞心脉,进一步耗损正气。文章通过探讨基于“阳微阴弦”理论辨证治疗冠心病,以期为临床治疗冠心病提供新的诊疗思路。
The“weak pulse at yang and wiry pulse at yin”theory,proposed by ZHANG Zhongjing in Synopsis of the Golden Chamber:Chest Impediment,Heartache,Shortness of Breath,Pulse Evidence and Treatment,succinctly captures the pathogenesis of coronary heart disease(CHD)as asthenia in origin and sthenia in superficiality,as well as deficiency-excess in complexity.Subsequent physicians have innovatively adapted this theory to treat various conditions,including CHD and gastric ulcers,caused by poor circulation of qi and blood,as well as the loss of nourishment in zang-fu organs.The core pathogenesis of CHD involves insufficient heart qi,blood,yin,and yang,leading to the loss of heart vessel nourishment.This allows qi stagnation,congealing cold,phlegm-turbidity,and blood stasis to invade,obstructing heart vessel and further depleting healthy qi.This article explores syndrome differentiation and treatment of CHD based on the“weak pulse at yang and wiry pulse at yin”theory,aiming to provide novel ideas for clinical management.
作者
王贤彪
郝学增
WANG Xian-biao;HAO Xue-zeng(Department of Cardiology I,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Beijing University of Chinese Medicine,Beijing 100029)
出处
《世界中西医结合杂志》
2025年第12期2509-2514,共6页
World Journal of Integrated Traditional and Western Medicine
基金
首都临床特色诊疗技术研究及转化应用基金(Z221100007422095)。
关键词
“阳微阴弦”
辨证
冠心病
本虚标实
虚实夹杂
“Weak Pulse at Yang and Wiry Pulse at Yin”
Syndrome Differentiation
Coronary Heart Disease
Asthenia in Origin and Sthenia in Superficiality
Deficiency-Excess in Complexity
