冠心病心绞痛58例辨证论治分析

Treatment Based on TCM Differentiation for Coronary Heart Disease & Angina Pectoris——Analysis of 58 Cases

冠心病心绞痛多发病于中、老年人,临床多呈本虚标实,虚实夹杂证候。针对本虚标实病机,以补本虚、祛血瘀标实的“益气活血”为基本原则。本文分别以益气通阳宣痹,益气活血化瘀,益气养阴通络,补肾固本通经等为治;补中寓通,通补兼施,标本兼顾。临床观察,不仅治标止痛而心电图及其他临床症状的改善疗效亦较满意。

The invasion of CHD and AP mostly happened in the patients of middle and old ages, with the syndrome of incidental—excess and fundamental—deficiecy, i.e. simultaneous occurrence of excess and deficiency. For this pathogenesis, the therapy of reinforcing deficiency and removing blood stasis with the method of strengthening Qi to promote blood circulation was used as the basic principle. In this article, the methods of strengthening Qi and activating Yang to remove obstruction, strengthening Qi and promoting blood circulation to remove stasis and reinforcing kidney fundamental to activate meridians were selected respectively, based on the rule of reinforcing with activating, reinforcing with conducing, and treating incidental and fundamental in combination. The observation showed that it was good for either stopping pain or improving E. C. G. and other symptoms.