针药并用治疗慢性心衰的临床体会

Clinical experience in treating chronic heart failure by acupuncture with Chinese herbs

笔者在临床实践中运用针药并用的思路治疗慢性心衰,经过不断探索改进,取得显著疗效。本文主要通过慢性心衰不同的病因病机,根据辨证论治的原则,分别从临床常见分型:心肾阳虚型、气虚血瘀型及气阴两虚型慢性心衰进行辨证选穴,给予针刺内关、太渊、阴陵泉、足三里及太溪等穴位,并艾灸水分、关元及气海等穴位进行治疗;同时联合真武汤、桃红四物汤及生脉饮加减的中药方剂的应用,临证取到显著的治疗效果。从而体现了针药并用思想在临床的有效实用性。

The author treated the chronic heart failure by applying acupuncture with Chinese herbs in the clinical practice,and through continuous exploration and improvement,significant effects were obtained.This paper studies different etiology and pathogenesis of chronic heart failure,patients were treated with acupuncture and moxibustion based on the principle of syndrome differentiation,acupoints such as Neiguan(内关),Taiyuan(太渊),Yinlingquan(阴陵泉),Zusanli(足三里)and Taixi(太溪)were selected for acupuncture treatment,and acupoints such as Shuifen(水分),Guanyuan(关元),Qihai(气海)were selected for moxibustion treatment.Meantime,Chinese herbs such as the Zhenwu decoction(真武汤),Taohong Siwu decoction(桃红四物汤)and Shengmai decoction(生脉饮)were applied in treating heart-kidney yang deficiency,qi deficiency resulted in blood stasis and qi-yin deficiency syndromes of chronic heart failure,which achieved significant treatment effects.Simultaneously,this study also revealed the effective practicability of acupuncture combined with Chinese herbs in clinic.