从理法方药论治慢性心力衰竭

Treatment of Chronic Heart Failure Based on the Theory of Principle-Method-Recipe-Medicines

心气虚乃慢性心衰发病之根本。心气虚而致瘀,瘀血不行而化水、化痰,痰、瘀、水等病理产物反过来进一步耗损心气。痰由瘀来,瘀因痰生,在心衰后期痰瘀互结与心之气虚阳虚相互交错。针对虚、瘀、痰等复杂的病机特点应以补心气为根本,在慢性心衰3期分治过程中灵活运用活血化瘀、祛痰化浊药物。心气虚贯穿整个慢性心力衰竭全程,以补阳还五汤为基础方,在慢性心衰的不同时期运用益气温阳、活血祛痰法治疗。

The heart qi deficiency is the root of the incidence of chronic heart failure.The heart qi deficiency and blood stasis,blood stasis forms fluid retention and phlegm.Phlegm and blood stasis,fluid retention and other pathological products in turn further erode the heart qi.The phlegm is caused by blood stasis,the blood stasis is caused by phlegm,and the mutual knot of phlegm and blood stasis in the late stage of heart failure interlaced with the deficiency of heart qi deficiency and yang deficiency.According to the characteristics of the pathogenesis of phlegm,deficiency and stasis complex it is necessary to tonifying heart qi as a fundamental,flexible use of activating blood and removing stasis medicine and dispelling phlegm and eliminating turbid medicine in chronic heart failure in the process of three stage partition.Heart qi deficiency throughout the whole course of chronic heart failure,on the basis of Buyang Huanwu decoction,in the different stages of chronic heart failure,the treatment of warming yang,activating blood and eliminating phlegm is very effective.