温阳与滋阴对慢性心力衰竭长期预后可能的影响

Potential effects of the methods for warming yang and nourishing yin on long-term prognosisof chronic heart failure

温阳法是中医治疗慢性心力衰竭,尤其是晚期心力衰竭的重要方法。众多临床与实验研究证实,温阳法能明显改善心力衰竭患者血液动力学指标。目前对于心力衰竭的治疗,已从短期纠正血液动力学措施转变为长期的修复策略。因此,本文就中医温阳疗法对心力衰竭神经内分泌激活和心肌重塑可能产生的不利影响,以及滋阴或温阳佐以滋阴法可能的有益影响进行了探讨。

Warming yang, which is one of the treatment principles of traditional Chinese Medicine, is very important in treating chronic heart failure, especially late-stage heart failure. It has been proved in many experiments and clinical trials that warming yang can improve the hemodynamic parameters. The treatment strategy for heart failure has changed from short-term correction of hemodynamic parameters to long-term rehabilitation approaches. We discussed the possibe negative-effects of warming yang on neuroendocrine responses and myocardial remodeling. The potential benificial effects of treatment for nourishing yin or nourishing yin combined with warming yang on heart failure were also explored.