李果烈补心运脾和化痰逐瘀治疗胸痹经验

Experience of Professor LI Guo-Lie in Treating Chest Qi-blockage by Therapy of Tonifying Heart and Regulating Spleen,Resolving Phlegm and Removing Blood-stasis

李果烈教授认为胸痹的病机为本虚标实,同时各有侧重,本虚尤重心脾,标实尤重痰瘀。临床治疗以补心运脾、化痰逐瘀为大法,同时随症灵活加减用药,重视生活调摄。中药采用黄芪、太子参、麦冬配合陈皮、半夏、白术以心脾同调,正气得复;瓜蒌皮、瓜蒌仁配合丹参、川芎以痰瘀同治,浊邪得消。

Professor LI Guo-Lie believes that the pathogenesis of chest Qi-blockage is characterized by deficiency in the origin and excess in the superficiality, deficiency in the origin showing as deficiency of both heart and spleen, and excess in the superficiality showing as stagnation of phlegm and blood- stasis. The therapeutic principles are tonifying heart and regulating spleen, resolving phlegm and removing blood- stasis, and modification of herbs is necessary for the accompanying symptoms and signs. Meanwhile,well management of daily life is also vital for the prevention and treatment of chest Qi-blockage. The commonly-used herbs for simultaneous modulation of heart- spleen to restore the healthy Qi prescribed by Professor LI are Radix Astragali, Radix Pseudostellariae and Radix Ophiopogonis, assistant by Pericarpium Citri Reticulatae, Rhizoma Pinelliae and Rhizoma Atractylodis Macrocephalae. And the common-used herbs for simultaneous treatment of phlegm and blood stasis to resolve the turbidity are Pericarpium Trichosanthis and Fructus Trichosanthis,assistant by Radix Salviae Miltiorrhizae and Rhizoma Chuanxiong .