| 引用本文: |
胡秀清,黎鹏程,邓媛妮.基于痰瘀伏邪理论探讨冠心病的防治[J].湖南中医药大学学报,2018,38(8):889-892[点击复制] |
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| 基于痰瘀伏邪理论探讨冠心病的防治 |
| 胡秀清,黎鹏程,邓媛妮 |
| (湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 冠心病归属于中医学“胸痹”“心痛”等范畴，寒邪内侵、饮食不节、情志失调等均可导致痰瘀互结，痹阻心脉，发为冠心病。本文论述了伏邪理论的源流，通过伏痰、伏瘀与冠心病的相关性研究，提出了伏痰、伏瘀阻于心络是冠心病发生的主要病机。因此，在邪气伏而未发的未病阶段应积极通过调理饮食，调畅情志，提高人体正气，早期筛查预防冠心病的发生；在邪气伏而已发的已病阶段应根据伏痰、伏瘀的临床表现进行辨证论治；在邪气伏藏的“瘥”后阶段应继续调理脏腑，杜绝伏痰、伏瘀的产生。 |
| 关键词: 冠心病 伏痰 伏瘀 未病先防 既病防变 瘥后防复 |
| DOI：10.3969/j.issn.1674-070X.2018.08.011 |
| 投稿时间：2018-05-22 |
| 基金项目:湖南省中医药管理局重点项目（201208）。 |
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| Discussion on Prevention and Treatment of Coronary Heart Disease Based on Theory of “Phlegm Stasis and Latent Pathogen” |
| HU Xiuqing,LI Pengcheng,DENG Yuanni |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Coronary heart disease belongs to the category of "chest stuffiness","precordial pain", and so on. Cold pathogen invasion, improper diet, emotional disorders, and other causes could lead to intermingled phlegm and blood stasis and blockage of heart vessels, resulting incoronary heart disease. This paper discusses the origin of the theory of "latentpathogen" and proposes that latent phlegm and latent blood stasis in the cardiac collaterals are the main pathogenesis of coronary heart disease based on the review of studies on the association of coronary heart disease with latent phlegm and latent blood stasis. Therefore, coronary heart disease should be actively prevented in the undeveloped stage with phlegm stasis and latent pathogen. Treatments should be based on the clinical manifestations of latent phlegm and latent blood stasis in the diseased stage with latent pathogen. In the stage of "recovery" with latent pathogen, we should continue to regulate the viscera and bowels and to prevent the generation of latent phlegm and latent blood stasis. |
| Key words: coronary heart disease latent phlegm latent blood stasis prevention before disease onset preventing disease from exacerbating prevention of recurrence after disease |
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