扶阳法治疗慢性心力衰竭

Strengthening Yang-qi Therapy in the Treatment of Chronic Heart Failure

慢性心力衰竭(简称"心衰",CHF)为各种心脏病导致心功能不全的综合征,是一种复杂的临床症状群。绝大多数情况下是指心肌收缩力下降使心排血量不能满足机体代谢需要,器官、组织血液灌注不足,同时出现肺循环和(或)体循环淤血的表现,主要表现为呼吸困难、疲乏、液体潴留。在治疗CHF时当注重扶阳气。重视阳气的思想在历代中医经典著作中多有体现,从《黄帝内经》、《伤寒杂病论》,再到温补学派、扶阳学派。慢性心衰扶阳之法包括温阳、通阳、潜阳,同时佐以"引降""纳归""酸敛""调中""反佐"。

Chronic cardiac failure(be called for short"CHF")is a variety of heart disease lead to cardiac insufficiency syndrome,is complex Clinical symptom cluster.This disease can appear pulmonary circulation and(or)systemic congestion.Its clinical manifestations include dyspnea,fatigue,and fluid retention.When treating CHF,we should lay emphasis on strengthening yang-qi.Laying emphasis on yang-qi is embodied in the classics of traditional Chinese medicine,form Huangdi Neijing,Treatise on Cold Damage to warming-recuperation school and strengthening-yang school.The method of strengthening yang-qi include warming yang,activating yang and suppressing yang,when we treat CHF,with therapeutic methods"Yinjiang","Guina","Suanlian","Tiaozhong"and"Fanzuo"at the same time.