从肾论治冠心病经验举隅

Experience in treating coronary heart disease from the kidney

冠心病(胸痹心痛)主要病机为"阳微阴弦",吾师以为心肾阳虚为初,血瘀、痰浊凑之,肾为先天之源,五脏阴阳之本,与心关系密切,心肾不交,水火失济,则表现为心病。治则应补肾益气为本,以充先天之不足,从根本治病苛,源头活则五脏皆荣,兼顾活血化痰去标实,标本兼治,寓通于补。并附以临床典型验案,不拘于一方一证,灵活辨证用药。

The main pathogenesis of coronary heart disease(chest painful impediment)is "Yang wei Yin xian". Master thought that Heart and kidney yang deficiency is the beginning,blood stasis,phlegm followed.The kidney is the innate origin,the original of the five internal organs,and has a close relationship with the heart,If the heart and the kidney can’t cooperate with each other,it means that the fire is not allowed,it will manifest as a heart disease. The rule of treatment should be to nourish the vitality of the kidney to supplement the innate deficiency,from the fundamental treatment of the disease,the source of vitality of the other five organs can be moistened,considering therapies that promote blood circulation and eliminate convulsions,treating the manifestations and underlying causes of the disease,combining the methods of replenishing and the methods of clearing the blood vessels. And attached to the typical experience of clinical treatment of coronary heart disease,used traditional Chinese medicine without sticking to a certain prescription or a clinical symptom,and then used the drug to flexibly identify the symptoms.