摘要
梁君昭教授认为冠状动脉粥样硬化性心脏病(简称冠心病)发作的最主要病机为痰瘀交阻,提出"痰瘀同治、标本兼顾"的理念,以"祛瘀化浊、扶正通络、调畅气机、注重兼症"为治疗法则。诊断要点为追病史,抓舌脉;病症结合,中西互参。治疗要点为痰瘀同治,不忘治本;调畅气机,注重兼症;用药力求精专。常用药对:黄芪、莪术,丹参、山楂,石菖蒲、郁金。梁教授认为临床上不能只拘泥于痰瘀交阻证,常见的还有肝郁气滞、气阴两虚、心肾阳虚等证型。要根据实际症状和舌脉象酌情分析,做到病、证、药三者相统一,方可收到满意的疗效。
Professor Liang Jun-zhao believes that the main pathogenesis of coronary atherosclerotic heart disease(CAHD) is intermingled phlegm and blood stasis stagnation. He puts forward the concept of "treating phlegm and blood stasis together, giving consideration to both the primary and second aspects" and takes "eliminating blood stasis and removing turbidity, strengthening healthy qi and dredging collaterals, regulating qi movement and paying attention to second symptoms" as the treatment principle. His drug use strives for excellence. The commonly-used pair-drugs are as follows:Huangqi(Radix Astragali)-Ezhu(Rhizoma Curcumae);Danshen(Radix et Rhizoma Salviae Miltiorrhizae)-Shanzha(Fructus Crataegi);Shichangpu(Rhizoma Acori Tatarinowii)-Yujin(Radix Curcumae). Professor Liang believes that clinical symptoms can not only be confined to intermingled phlegm and blood stasis stagnation, but also include liver depression and qi stagnation, deficiency of both qi and yin, deficiency of heart and kidney yang, etc. According to the actual symptoms and tongue and pulse conditions, we should analyze them appropriately, and achieve the unity of diseases, syndromes and medicines, so as to achieve satisfactory curative effect.
作者
徐洋
梁君昭
郭龙龙
刘鑫
赵中秋
谭毅
XU Yang;LIANG Jun-zhao;GUO Long-long;LIU Xin;ZHAO Zhong-qiu;TAN Yi(Shaanxi University of TCM,Xianyang,Shaanxi,China,712046;Xi'an Hospital of TCM,Xi'an,Shaanxi,China,710000)
出处
《河南中医》
2019年第9期1342-1345,共4页
Henan Traditional Chinese Medicine
基金
陕西省中医药管理局“名中医梁君昭传承工作室建设项目”(2019034)
关键词
冠状动脉粥样硬化性心脏病
心绞痛
从痰瘀论治
痰瘀交阻证
梁君昭
coronary atherosclerotic heart disease
angina pectoris
treatment from phlegm and blood stasis
intermingled phlegm and blood stasis syndrome
Liang Jun-zhao