陈镜合教授论治心衰学术思想撷菁

Professor CHEN Jinghe's Experience for the Treatment of Heart Failure

目的介绍全国名老中医陈镜合教授论治心衰学术思想及临证思路。方法通过跟师出诊,总结导师教学查房讲述及拟方用药,对相关医案进行总结,并举验案加以说明。结论陈教授认为论治心衰应以"心衰"为病名,分急缓二期施治;先中后西,能中不西,中西结合;辨主证,分虚实,察顺逆;急性期泻肺平喘,缓解期健脾疏肝;注重药膳食疗及个体化护理。对提高心衰病的临床诊治水平具有参考作用。

Objective Professor CHEN Jinghe＇s experience in the treatment of heart failure have been introduced. Methods from clinical considerations and cite proven case to illustrated by combining with the teacher by learning and summarizing the clinical medical records. Conclusion the treatment of heart failure should be guided by the ＂modem Chinese medicine＂ thought;differentiated acute and chronic phase and sequential transmission;removing heat from lung and relieving asthma should be used in the acute phase, while invigorating spleen and soothing liver in the relieving stages. Pay much attention to diet therapy and individualized nursing, which can provide reference for improving clinical diagnosis and treatment of heart failure.