| 引用本文: |
耿金珠, 王秋铭, 蔡泳源, 张心爱, 刘志明, 刘如秀.基于“开阖枢”理论探析刘如秀辨治早期VHD经验[J].湖南中医药大学学报,2025,45(11):2214-2219[点击复制] |
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| 基于“开阖枢”理论探析刘如秀辨治早期VHD经验 |
| 耿金珠,王秋铭,蔡泳源,张心爱,刘志明,刘如秀 |
| (中国中医科学院广安门医院 北京 100053;中国中医科学院 北京 100700) |
| 摘要: |
| 心脏瓣膜病（VHD）是心脏瓣膜结构或功能异常的一种心血管疾病，病情进展隐匿，早期治疗是关键，晚期重症阶段需手术治疗。刘如秀教授认为，在VHD早期阶段中医药治疗具有优势，并基于“开阖枢”理论指出气血津（精）亏虚、痰瘀阻窍为VHD发病的根本原因；治疗时谨守病机，攻补兼施，总结出益气养血、填精培元、化瘀泄浊的治则，使瓣膜得滋、得利。本文对刘如秀教授治疗VHD的经验进行介绍，并附验案一则。 |
| 关键词: 早期心脏瓣膜病 开阖枢 气血津(精)亏虚 痰瘀阻窍 刘如秀 |
| DOI：10.3969/j.issn.1674-070X.2025.11.027 |
| 投稿时间：2025-07-28 |
| 基金项目:中国中医科学院学部委员学术传承与传播专项项目(CI2022E012XB); 北京中医药薪火传承“新3+3”工程刘志明“三名”传承工作室(2023-SZ-F-06); 北京中医药薪火传承“新3+3”工程刘志明门人(刘如秀)传承工作站(2023-SZ-G-02); 基于名老中医经验的院内制剂项目(HLCMHPP2023053)。 |
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| Exploring LIU Ruxiu’s experience in differentiating and treating early-stage valvular heart disease based on the “opening-closing-pivoting” theory |
| GENG Jinzhu, WANG Qiuming, CAI Yongyuan, ZHANG Xin'ai, LIU Zhiming, LIU Ruxiu |
| (Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;China Academy of Chinese Medical Sciences, Beijing 100700, China) |
| Abstract: |
| Valvular heart disease（VHD） is a cardiovascular disease characterized by structural or functional abnormalities of the heart valves. The disease progresses insidiously, making early intervention crucial, while surgical treatment is necessary in advanced and severe stage. Professor LIU Ruxiu believes that Chinese medicine holds significant advantages in the early stage of VHD management. Based on the "opening-closing-pivoting" theory, she identifies the root pathogenesis of VHD as deficiency of qi,blood, and body fluids（essence）, coupled with phlegm and blood stasis obstructing the orifices. In treatment, she adheres strictly to the pathogenesis, applying a combination of reinforcing healthy qi and removing pathogenic factors simultaneously. She has established therapeutic principles of supplementing qi and nourishing blood, replenishing essence and consolidating the root, as well as transforming stasis and turbidity, thereby benefiting and improving the function of the valves. This article introduces Prof. LIU Ruxiu’s experience in treating VHD, accompanied by a verified medical record. |
| Key words: early-stage valvular heart disease opening-closing-pivoting deficiency of qi,blood,and body fluids（essence） phlegm and blood stasis obstructing the orifices LIU Ruxiu |
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