从《脾胃论》调脾胃安五脏理论论治冠心病心绞痛的影响

Discussion on the Effect of Regulating Spleen-Stomach and Calming Five Internal Organs in Piwei Lun in the Treatment of Angina Pectoris of Coronary Heart Disease

《脾胃论》对消化系统疾病的影响是大家所熟知的,而其对心系疾病治疗上的影响同样是不容忽视的。本文对其"调脾胃安五脏"的理论进行了剖析,同时将这一理论对冠心病心绞痛论治的影响进行了系统的论述。包括:⑴心与脾胃相关的理论基础(生理基础和病理基础)。⑵在这一理论指导下产生的对冠心病心绞痛的治疗法则。气机不畅,宗气不足型,采用补虚行气法;阴寒壅盛,寒邪上逆型,用温脾散寒法;脾虚痰盛,胸阳闭阻型,用健脾祛痰,通阳宣痹法;心血亏虚型,采用健补脾胃,滋阴养血法。

The effect of Piwei Lun on spleen and stomach diseases of the digestive system is well known, but its effect on heart dis- ease treatment of the same can not be ignored. The theory of ＂ regulating spleen-stomach and calming five internal organs＂ was an- alyzed, and the effect on angina pectoris of coronary heart disease was discussed, including： The theoretical basis of heart and spleen and stomach related （physiological and pathological basis, treatment law of coronary heart disease angina pectoris under the guid- ance of this theory. The disorder of qi movement and deficient pectoral qi used reinforcing deficiency and qi. Yin cold dampness and reverse cold evil applied warming spleen cold method. The spleen deficiency and phlegm, chest yang closed resistance used dis- pelling phlegm and activating yang dredging and channel blockade method. The deficiency of blood and heart used strengthening the spleen and stomach, nourishing yin and blood method.