基于中医“治未病”思想探讨从痰论治冠心病

Treatment of coronary heart disease from phlegm based on TCM Preventive Treatment Theory

中医对冠心病的辨治历来有重瘀轻痰的倾向。随着现代人生活水平提高,其中医证型谱发生改变,治疗上也有了从重瘀轻痰到治痰为先转变的趋势。痰湿作为一种致病因素可贯穿于胸痹一证发生发展的始终,痰湿阻滞可影响气血运行,导致气滞血瘀、心脉痹阻,又可进一步因实致虚,产生心气不足、心阳虚衰等证。将"痰"作为冠心病发生的基本病因病机,治痰为先,见微知著,发挥未病先防、早治防变、瘥后防复的作用是中医"治未病"思想的具体体现。运用消痰法辨治冠心病,对于减轻患者临床症状,阻止疾病发展有积极意义。

The tendency of TCM treatment of coronary heart disease focuses more on stasis than phlegm. With the improvement of modern living standards,TCM syndrome spectrum has changed. The treatment tendency has changed from focusing more on stasis than phlegm to focusing on phlegm. As a pathogenic factor,phlegmatic hygrosis plays a role in the occurrence and development of chest obstruction. Phlegm dampness and stagnation can affect of the circulation of Qi and blood. It leads to Qi stagnation and blood stasis,heart vessel blockage stasis,deficiency of heart Qi and heart Yang. TCM Preventive Treatment Theory is concretely embodied in the realization of the initial factor（ phlegm） of coronary heart disease,preventive treatment of disease,early treatment and prevention of recurrence after recovery. Sputum elimination method for coronary disease is of positive significance to relieve the clinical symptoms of patients and prevent disease development.