杨培君教授治疗心绞痛

YANG Peijun's experience in treating angina pectoris

杨培君教授认为,冠心病多发于老年前期及老年期,绝经后妇女随着年龄增长发病率也呈逐年增加趋势,表明该病发病与衰老关系密切。并提出:肾虚是冠心病心绞痛发病的始动病机。其内在机制为肾精亏损日久,致心血不充,心脉失养,不荣则痛;肾阳虚衰可进一步导致心阳不足,行血无力,导致他脏功能亦虚,共同作用于机体形成痰浊、血瘀、寒凝、气滞等病理产物和病理过程,最终导致心脉不通,不通则痛。在临证遣方用药时,注重在化痰、活血、行气等祛邪治标的基础上配伍补肾固本之品。

Prof. Yang Peijun that coronary heart disease happens in the early stage of the elderly and old age, in post- menopausal women also showed a trend of increase by age; indicates that the disease is closely related to aging. He put for- ward： kidney deficiency is initiating pathogenesis of angina pectoris. For its inherent mechanism is kidney-essence deficien- cy, lead to heart-blood deficiency, heart vessel lose maintenance, deficiency pain, so disease chest stuffiness and pains;defi- ciency of the kidney-yang can lead to further heart yang deficiency, blood flow to the weak; also lead to other viscera function deficiency, that it all work together in the body, and formation the pathological products and process, Such as turbid phlegm, blood stasis, cold coagulation, qi stagnation and so on, lead to hindering pain, and disease chest stuffiness and pains. When the clinical sent party drugs, the Professor pay attention to tonifying the kidney and strengthening the origin on the basis of phlegm, activating blood, promoting flow of qi.