翁维良老师治疗酒精性心肌病经验

Clinical experience of professor Weng Weiliang in the treatment of Alcoholic Cardiomyopathy

翁维良教授从事中西医内科临床工作50余年,擅用活血化瘀治疗心血管病及各种慢性疑难疾病。结合多年临床经验,翁老认为酒精性心肌病病机多属以心气(阳)亏虚为主,湿热、瘀血、痰饮、毒热内蕴为标的虚实夹杂证。治疗时,在完全戒酒的基础上,配合中药益气温阳扶助正气,同时辨证应用健脾、祛湿、活血、祛痰、解毒等祛除实邪治法,疗效肯定。文章旨在介绍翁维良教授辨治酒精性心肌病的临证经验。

There are few reports about treatment of traditional Chinese medicine（ TCM） on Alcoholic Cardiomyopathy（ ACM）.Professor Weng Weiliang has been committed to the treatment of cardiovascular diseases and chronic diseases for decades. This article is to introduce the clinical experience of professor Weng Weiliang in treating ACM. In his opinion,the main TCM pathogenesis factor is heart-qi deficiency. Damp-heat,blood stasis,phlegm retention and toxin-heat are the pathological products. Therefore,traditional Chinese herbs can also be used as an auxiliary treatment,besides complete abstinence. The basic treatment strategy is to tonifying heart-qi and warming heart-yang. In addition,strengthening spleen,clearing damp,activating blood circulation,removing phlegm and detoxification should be taken into consideration on the basic theory of treatment based on syndrome differentiation.