阮士怡运用软坚散结法治疗冠心病动脉粥样硬化经验

RUAN Shiyi's Experience in Treating Atherosclerosis of Coronary Heart Disease with Ruanjian Sanjie Method(Softening and Resolving Hard Mass,软坚散结)

益肾健脾、软坚散结法是阮士怡教授治疗冠心病动脉粥样硬化的重要方法,其中软坚散结是治疗的关键。认为临床运用软坚散结法不应拘泥于一证一方一药,应从所治之证的症状和病机入手,运用行气化痰、活血解毒、扶正补虚等多种治法;同时兼顾软坚之品的性味问题,处方用药也常常只取一到两味软坚之品,这样既应用了其软坚散结之功,又避免了其对心血管系统的副作用。

Yishen Jianpi （boosting the kidney and invigorating the spleen, 益肾健脾） and Ruanfian Sanfie （Softening and Resolving Hard Mass, 软坚散结） is an important method for the treatment of atherosclerosis in coronary heart disease by Professor RUAN Shiyi, among which Ruanjian Sanjie is the key to treatment. It is believed that the clinical application of the Ruanfian Sanjie method should not be rigidly adhered to one syndrome, one formula and one herb. It should start with the symptom and pathogenesis of the syndrome, and use various methods such as moving qi and dissolving phlegm, activating blood and detoxification, and reinforcing healthy qi and tonifying the deficiency. The nature and flavor of Ruanjian Sanjie herbs should be considered. The prescription herbs often only take one to two such herbs, which not only plays the function of Ruanfian Sanjie, but also avoids its side effects on the cardiovascular system.