运用络病理论探讨慢性稳定性心绞痛发病机制及针灸治疗原则

Pathogenesis and principles of acupuncture therapy on SAP in Luobing theory

络病学说是祖国医学的重要有机组成部分,然而由于历代以来祖国医学重经轻络的学术思想盛行,以及络脉理论的纷繁复杂难以掌握,使得络病学说未能形成完整的理论体系,纵向研究欠缺。慢性稳定性心绞痛(SAP)是冠心病的最常见类型,对于SAP的西医病因病机研究已经取得了长足的进展,然而对于相关的络病研究却未能尽数阐明。通过对古代文献的收集整理和对中医络病理论的学习,结合现代医家对慢性稳定性心绞痛的病机认识从而认为慢性稳定性心绞痛符合络病学理论的病理特性,认识到该病的病位、病理变化为心之气络、心之脉络。本文从络病理论角度探讨慢性稳定性心绞痛的中医病理机制及针灸治疗原则,旨在完善和丰富SAP的中医病机理论,为SAP的治疗提供新的思路和途径。

Luobing theory is an important part of TCM, however, this theory haven＇t formed complete theoretical systems and lacked of longitudinal studies. Chronic stable angina pectoris （SAP） is the most common in coronary heart diseases, pathogenesis studies of which has made considerable progress in western medicine, while there are fewer illuminations on relevant Luobing researches. Through collecting ancient documents about Luobing theory, studying on the Jingluo theory and combining with the cognition on the etiology and pathogenesis of SAP from modern doctors, we have known location and Changes of the disease are Xin Zhi Qiluo and Xin Zhi Mailuo. In this paper, pathogenesis and principles of acupuncture therapy on SAP in Luobing theory were discussed, in order to improve and enrich TCM theory and provide new ideas and approaches for SAP.