李庆海教授治疗冠状动脉粥样硬化性心脏病经验

Professor Li Qinghai's Experience in Treating Coronary Atherosclerotic Heart Disease

李庆海教授认为冠状动脉粥样硬化性心脏病为本虚标实证,本虚有气虚、血虚、阳虚、阴虚等,其中以气阴两虚多见;标实为寒邪痹阻、痰饮水停、瘀血阻脉等,以痰瘀互结阻滞心脉多见。所以将本病的中医证型归纳为以"气阴两虚、痰瘀互结"为主。李教授坚持以"通补兼施、邪去正安"为原则,提出了"益气养阴、化痰祛瘀"的治疗大法,并自拟冠脉宁通方,在临床中不仅有效控制了冠状动脉粥样硬化所引起的心前区疼痛,对于长期坚持服药的患者可以达到逆转冠脉粥样斑块的效果。

Professor Li Qinghai viewed that coronary atherosclerotic heart disease was deficiency in root and excess in treetop. Deficiency in root can be classified into Qi deficiency,blood deficiency,Yin deficiency and Yang deficiency,of which symptom always performed by both Qi and Yin deficiency. Excess in treetop performed by cold pathogen stagnation,phlegm-retention stopping water and blood stasis blocking pulse,of which symptom always performed by heart vessel obstruction caused by mutual blocking of phlegm and blood stasis. Consequently,professor Li mainly classified this symptom into both Qi and Yin deficiency,mutual blocking of phlegm and blood stasis from TCM symptom type. Professor Li insisted the principle that combine supplement with purge,healthy Qi would be enough without pathogen Qi. He put out the clinical treatment by benefiting Qi and nourishing Yin,resolving phelgm and dispelling stasis. What’s more,he made Guanmai Ningtong Fang by himself,which was effective in controlling precordial pain caused by coronary atherosclerosis. For the patient who insist taking long-term medicine,it was effective in reversing coronary atherosclerotic plaque.