基于“阳明为阖”浅析易损斑块辨治

Research on the treatment of vulnerable plaques with Traditional Chinese Medicine based on the theory of“Yangmingweihe”

通过梳理《黄帝内经》阴阳离合及三阴三阳理论,提出阳明为阖是指人体手足阳明经脉系统具有阖聚气化、阖降代谢功能。“阳明”多气多血、易化热化火。“阖”亢不降,亢则为害,化热致损、毒损络伤则导致斑块易损。以阴阳为本,基于“阳明为阖”理论,探析动脉粥样硬化易损斑块不稳定性的“化热致损”病机特点,从痰瘀化热、阖亢不降论治易损斑块,为临床治疗提供新的思路和方法。

By combing the original text of the theory of Separation and Aggregation of yin-yang(阴阳离合)and Three yin three yang(三阴三阳)in the Inner Canon of Huangdi(《黄帝内经》),it is believed that“Yangming weihe”means that the yangming meridian system of hand and foot has the functions of aggregation of Yang qi,digestion of food and metabolism.“Yangming”has the physiological characteristics of Qi and blood filling,and it is easy to suffer from Heat Syndrome pathologically.Excessive aggregation of“Yang qi”is harmful,producing heat toxicity and inflammation,and forming atherosclerotic vulnerable plaques.Research the pathogenesis and treatment of“heat-toxicity”based on the theory of“Yangming weihe”in the vulnerability of carotid plaques under the guidance of the theory of Yin-yang,so as to provide a new approach to clinical treatment.