对“络脉、病络与络病”的思考与求证

Discussion and clinical verification for collateral vessels,diseases collateral and collateral diseases

络脉是气络、血络和络脉缠绊结构与功能的统一。从络脉、病络到络病的病理生理过程称为"络脉为病",络脉为病出现动风征象称之"络风内动"。络风内动是"病络"的表达形式,包括络虚动风、热毒生风及外风引动3种。络风内动术语本身体现出络脉形质的易变性,络风内动与肝风内动含义既有交叉又有区别。目前,络风内动理论已用于经皮冠状动脉治疗术后、心衰急性发作或心肾综合征、快速性心律失常。以络风内动理论指导多种疑难或急危病证诊治的研究将成为中医药科研的方向。

It is well known that the collateral vessels, in TCM, is the unity of structures and functions of qi collaterals, blood collaterals and collateral loops.The term of “collateral vasculopathy” refers to the process of the normal collateral vessels turning into the diseased collateral vessels and leading to the col-lateral vessel diseases at last.And the syndrome of stirring wind arising from“collateral vasculopathy” is defined as“endogenous collateral-wind”, the presentation form of diseased collateral vessels, reflecting the mutability of shapes and characters of collateral vessels.The syndrome of “endogenous collateral-wind” is due to collateral deficiency, heat-toxin stagnation or exogenous wind.Furthermore, the concepts of “endogenous collateral-wind” and“endogenous liver-wind” have something in common, but not really the same.The theory of endogenous collateral-wind have been successfully applied to percutaneous coro-nary intervention （ PCI） post-operation, acute exacerbation of heart failure or cardiorenal syndrome, and tachyarrhythmias.It will become one of directions of TCM scientific research, we believe, that the study for the theory of endogenous collateral-wind to treat collateral vessel diseases guiding the treatment and diagnosis of multiple difficult and complicated diseases.