摘要
介绍叶氏心科以通补立论的常用药对。心病多虚多瘀,叶氏提出“以通为补”思想,临证除虚则补之之外,尚须通利脉道,令气血条达而致和平。补,包括补益心气、温补心阳、健脾和胃、心肺同治之法,通,包括散寒温通、破血化瘀、行气化滞、逐饮化痰之法,总结常用药对分而论之。同时,辨病与辨证相结合,亦有针对高血压、糖尿病、高脂血症、心房颤动、心力衰竭、颈源性心脏病的特色药对,随证施用,常获良效。
This paper introduces the common herbal pairs in YE's cardiology based on the theory of dredging and tonification.Cardiovascular diseases are mostly characterized by deficiency and stasis.YE proposed the academic thought of"achieving tonification through dredging":in clinical practice,besides tonifying for deficiency,it is essential to dredge the meridians and collaterals to ensure the smooth flow of qi and blood,thereby restoring physical harmony.Tonification includes methods such as tonifying and boosting heart qi,warming and tonifying heart yang,invigorating the spleen and harmonizing the stomach,and simultaneous treatment of heart and lung.Dredging covers methods such as dispelling cold to warm collaterals,breaking blood and resolving stasis,promoting qi circulation to relieve stagnation,and eliminating fluid retention and phlegm.Common herbal pairs are summarized and elaborated separately.Additionally,integrating disease differentiation with syndrome differentiation,there are characteristic herbal pairs targeting hypertension,diabetes mellitus,hyperlipidemia,atrial fibrillation,heart failure,and cervical spondylosis-related heart disease.These herbal pairs are flexibly administered according to clinical syndromes and often achieve favorable therapeutic effects.
作者
孔燕妮
周倩茹
KONG Yanni;ZHOU Qianru(Department of Traditional Chinese Medicine,Zhejiang Provincial People's Hospital/People's Hospital of Hangzhou Medical College,Hangzhou Zhejiang 310014,China)
出处
《新中医》
2026年第4期151-156,共6页
New Chinese Medicine
基金
浙江省医药卫生科技计划项目(2025KY601)
浙江省中医药科技计划项目(2025ZR006)。
关键词
叶氏中医
心病
以通为补
健脾和胃
心肺同治
药对
YE's traditional Chinese medicine school
Cardiovascular diseases
Achieving tonification through dredging
Invigorating the spleen and harmonizing the stomach
Simultaneous treatment of heart and lung
Herbal pairs
