非冠状动脉阻塞性心肌梗死中西医病因病机研究

Study on etiology and pathogenesis of non-obstructive coronary arteries myocardial infarction in Chinese and western medicine

非冠状动脉阻塞性心肌梗死是临床上特殊的心肌梗死的类型,中西医病因病机研究复杂,与多种因素相关:现代医学表明病因机制可分为心源性和非心源性两大类,其中心源性原因又可分为冠脉血管源性、心肌源性、血栓栓塞倾向性病因;而中医药对其病因病机则认为虚是其发病的基础,气郁是发病的始动因素,瘀阻脉络是发病的关键环节,痰浊黏凝是反复发作的重要因素,内毒损络是加重的内在机制。在临床上需重视寻因,针对其具体病机而对证施治。

Non-obstructive coronary arteries myocardial infarction is a special clinical type of myocardial infarction. The etiology and pathogenesis of traditional Chinese and western medicine are complex and related to many factors. Modern medicine shows that the etiology mechanism can be divided into cardiogenic and non-cardiogenic, and cardiogenic causes can be divided into coronary artery origin, myocardial origin and thromboembolism tendency. The pathogenesis of traditional Chinese medicine is that deficiency is the basis of the disease, qi stagnation is the initial factor of the disease, stasis and obstruction of vessel and collateral is the key link of the disease, phlegm sticky coagulation is an important factor of repeated attacks, internal toxic damaging collateral is the internal mechanism of aggravating. Therefore, we should pay attention to the treatment of syndrome in clinical practice.