史大卓治疗经皮冠状动脉介入后再狭窄经验

SHI Da-zhuo's experience for treatment of restenosis after percutaneous coronaryintervention

史大卓教授认为经皮冠状动脉介入后再狭窄的主要病机是心气(阳)虚损、脉络阻滞,在主张"病症结合"治疗的同时,注重正虚邪实的轻重和不同致病病邪的属性,施以相应的扶正祛邪、调和气血方药。发作期以芳香温通为主以通脉止痛,适当配合益气活血之品;缓解期当益气活血化痰为主。

Objective Professor SHI Da-zhuo holds the opinion that the main pathogenesis of restenosis after percutaneous coronary intervention is deficiency of heart qi, leading to blockage of pulse and channel. At the same time of proposing syndrome-disease treatment, he highly focuses on differences of deficient health and prevailing evil as well as attributes of different pathogenic factors, as a result, prescription of strengthening the health and eliminating the evil, regulation of qi and blood could be used. On the stage of attack, flavorful and warming-regulating are mainly selected to dredge pulse and relieve pain, in which tonifying qi and activating blood could be appropriately added. On the chronic stage, tonifying-qi, activating-blood and reducing-phlegm were mainly applied.