刘中勇从浊论治经皮冠状动脉介入术后再狭窄

Treating ISR after PCI by LIU Zhong-yong from Turbidity Syndrome

经皮冠状动脉介入(PCI)后支架内再狭窄是现代医学面临的一个棘手问题。刘中勇教授结合中医病因病机,认为导致PCI后再狭窄的根本原因是本虚,即天癸渐竭,心阳气虚;直接原因是标实,即实浊内生,痹阻心脉。形成实浊的病理因素是寒、痰、瘀、毒、湿,根据其临床表现,可分为寒浊凝滞、痰浊闭阻、瘀浊阻脉、毒浊壅盛、湿浊困阻5种证型,并提出相应治法,标本兼治,为中西医结合治疗PCI术后再狭窄提供新思路和经验。

It is a thorny problem of modern medicine that the in-stent restenosis(ISR)after percutaneous coronary intervention(PCI).Combining with the etiology and pathogenesis of TCM,Professor LIU Zhong-yong believes that the root cause of ISR after PCI is the deficiency syndrome:menstruation gradually dying up,the heart yang qi deficiency;and the direct cause is excess syndrome:endogenous turbidity syndrome,heart vessel blockage.The cause for the formation of turbidity syndrome is cold,phlegm,blood stasis,poison,and dampness.Depending on the clinical manifestations,five kinds of syndromes were divided:cold turbidity stagnation,phlegm turbidity resistance,blood stasis blockage veins,poison turbidity,and dampness turbidity resistance.Professor LIU Zhong-yong also proposed relevant treatment for both symptoms and root causes,which provided new ideas and experience in the integrated TCM and Western medicine for ISR after PCI.