充血性心力衰竭的中医病理实质

TCM Pathological Essence of Congestive Heart Failure

充血性心力衰竭属中医学心悸、血瘀、水肿等证范畴。根据"阴阳互根"的理论,心衰病机为"阳虚及阴、阴阳两虚,血瘀水停",其中正虚为本,瘀血水停为标;发生的部位虽在心,但关联五脏;心气不足,发病关键;瘀血阻滞,必然过程;水饮为患,最终结果;气血阴阳之虚与瘀血、水饮之实的标本虚实之间,表现为因果错杂的转化关系。

Congestive heart failure belongs to syndromes of palpitations, blood stasis and edema. According to the theory of yinyang interdependence, the pathogenesis of congestive heart failure is yang deficiency impairing yin, deficiency of both yin and yang, blood stasis and water stagnation, among which the deficiency of vital qi is the fundermental, while blood stasis and water stagnation are the secondary. Although the disease location is the heart, it is related to five zang organs. The key pathogenic factor is deficiency of heart-qi. The inevitable process is the stagnation of blood stasis. The final result is the disastered stagnation of body fluid. The deficiency of qi, blood, yin and yang and the excess of blood stasis and body fluid can be transformed.