李延教授治疗X综合征思路探讨

Discussion on professor Li Yan's thought of treating X syndrome

X综合征又称微血管型心绞痛,中医古籍中并无X综合征这一病名,但根据其临床症状的特点,多数医家将其归为"胸痹心痛"范畴,其是一种病因尚不明确的综合征,通常虽预后良好,但由于症状反复发作,极大影响了患者的生活质量。近年来随着医学科技的发展,使得本病得到越来越多的关注。对于本病,现代医学多采用硝酸酯类药物、β受体阻滞剂、钙离子拮抗剂和血管紧张素转化酶抑制剂(ACEI)来治疗,但疗效往往不尽如人意。李延教授运用中医中药治疗本病疗效显著,李教授认为本病主要病机为心脉闭阻,病位在心,与肝脾肾密切相关。治疗上应分期治疗,发作期以去标实为主,缓解期以补益为要。同时李教授对患者的饮食情志调控尤为重视。笔者从病因病机、辨证论治、加强情志及饮食的调护、典型医案举例几个方面入手,探讨李延教授运用中医中药治疗X综合征的思路。

Syndrome X is also called microangina pectoris.There is no name of syndrome X in ancient books of Chinese medicine.However,according to the characteristics of its clinical symptoms,most doctors classify it as“chest pain and heart pain”.Syndrome X is a syndrome whose etiology is still unclear,and it has attracted more and more attention in recent years.Professor Li Yan has a remarkable curative effect in treating this disease with traditional Chinese medicine.Professor Li believes that the main pathogenesis of this disease is heart-pulse occlusion,which is closely related to liver,spleen and kidney.The treatment should be divided into stages.In the stage of attack,de-labeling is the main method,while in the stage of remission,supplementation is the main method.At the same time,Professor Li attaches great importance to the regulation of patients’dietary mood.From the aspects of etiology and pathogenesis,syndrome differentiation and treatment,strengthening emotional and dietary care,typical medical cases and so on,the author discusses Professor Li Yan’s thinking of treating X syndrome with traditional Chinese medicine.