颜乾麟衡法论治冠状动脉斑块临证思维

Clinical Thinking of Treating Coronary Plaque with Balance Method by YAN Qianlin

总结颜乾麟教授以衡法稳定、逆转冠状动脉斑块临床经验。认为冠脉斑块发生发展的基本病机为气血失衡,同时肝失疏泄、脾虚失运亦为发病过程中的重要因素,故以衡法为基本治疗准则,力求恢复气血平衡为要。总结临证分期辨治思路,初期以肝气郁滞为主,治以疏肝解郁;中期气滞血瘀,治以清气活血;中后期气虚血瘀,治以益气活血;后期阳虚血瘀,治以温阳活血。

By summarizing the clinical experience of treating coronary plaque with balance method proposed by YAN Qianlin, this paper believed that the basic pathogenesis of coronary plaque development is qi and blood imbalance ,and dysfunction of liver in controlling conveyance and dysfunction of spleen in transportation are also important factors in the pathogenesis. Therefore, the use of the balance method is the basic treatment criteria for striving to restore the balance of qi and blood. This paper summarized the ideas of clinical syndrome differentiation. We believe that the main symptom in the initial stage is liver qi stagnation which should be treated with dispersing stagnated liver qi for relieving qi stagnation method, and the symptom of the middle stage is qi stagnation and blood stasis which should be treated with clearing qi for activating blood circulation method, and during the middle late stage, qi deficiency and blood stasis is the main symptom which should be treated with benefiting qi for activating blood circulation method, and in the late stage, the symptom is yang deficiency and blood stasis which should be treated with warming yang for activating blood method.