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周凤华, 金瑶, 刁慧玲, 赵华杉, 李钊泳, 孙晓敏, 贾钰华.贾钰华教授论治冠心病临证经验精粹[J].湖南中医药大学学报英文版,2025,45(9):1786-1793.[Click to copy
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| 贾钰华教授论治冠心病临证经验精粹 |
| 周凤华,金瑶,刁慧玲,赵华杉,李钊泳,孙晓敏,贾钰华 |
| (南方医科大学中医药学院, 广东 广州 510515;南方医科大学南方医院, 广东 广州 510515) |
| 摘要: |
| 广东省名中医贾钰华教授基于“肝郁脾虚-湿热酿痰-痰瘀毒互结”的冠心病病机理论，提出该病核心病机为虚、瘀、痰、热交错互结，闭阻心脉。治疗应以活血化瘀、清热解毒为主，兼以益气祛痰、调畅情志，并创立定心方Ⅲ号、益气活血通络方、理气宣痹汤、回阳振心汤等系列方剂，针对7种临床证型辨证施治，随证加减，临床疗效显著。 |
| 关键词: 冠心病 肝郁脾虚 湿热酿痰 痰瘀毒互结 定心方Ⅲ号 临证经验 贾钰华 |
| DOI：10.3969/j.issn.1674-070X.2025.09.029 |
| Received:October 20, 2024 |
| 基金项目:国家自然科学基金项目(82174299,82374192); 贾钰华广东省名中医传承工作室建设项目(粤中医办函[2023]108号)。 |
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| Clinical experience of Professor JIA Yuhua in treating coronary heart disease |
| ZHOU Fenghua, JIN Yao, DIAO Huiling, ZHAO Huashan, LI Zhaoyong, SUN Xiaomin, JIA Yuhua |
| (School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China;Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China) |
| Abstract: |
| Professor JIA Yuhua, a famous Chinese medicine practitioner of Guangdong Province, proposes the pathogenesis theory of coronary heart disease as "liver depression and spleen deficiency—damp-heat generating phlegm—intertwined phlegm,stasis, and toxins," with the core pathogenesis being the intermingled deficiency, stasis, phlegm, and heat obstructing the heart vessels. He holds that the treatment should focus on circulating blood and transforming stasis, as well as clearing heat and removing toxins, supplemented by replenishing qi to eliminate phlegm and regulating emotional states. Based on this, he has developed a series of formulas including Dingxin Formula Ⅲ, Yiqi Huoxue Tongluo Formula, Liqi Xuanbi Decoction, and Huiyang Zhenxin Decoction. These formulas are used to treat seven clinical patterns through pattern differentiation, with modifications made according to specific symptoms, demonstrating significant clinical efficacy. |
| Key words: coronary heart disease liver depression and spleen deficiency dampness-heat generating phlegm intertwined phlegm,stasis,and toxins Dingxin Formula Ⅲ clinical experience JIA Yuhua |
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