国医大师段富津运用“三参丹饮”治疗气虚血瘀型胸痹经验撷要

Clinical Experience Summary of Master of Traditional Chinese Medicine DUAN Fujin Using Sanshendan Drink toTreat Qi Deficiency and Blood Stasis Syndrome Chest Arthralgia

胸痹是一种常见的临床疾病,其主要症状为胸部闷痛,甚则胸痛彻背,喘息不得卧。段富津教授认为胸痹为本虚标实、虚实夹杂之证,临床上本虚多为气虚、标实多为血瘀,所以临床上胸痹最常见的证型为气虚血瘀证。段富津教授临证60余载,治疗胸痹之气虚血瘀证数千例,该文对其辨证思路及运用"三参丹饮"加减的经验进行总结。

Chest arthralgia is a common clinical disease,whose main symptoms are chest tightness and pain,even chest pain,then can not lying breath. Professor DUAN Fujin believes that chest arthralgia is the evidence of the false standard and the mixed fact,and most of the deficiency is Qi deficiency and most of the marked solid is blood stasis in clinical practice. Therefore,the most common clinical pattern of chest arthralgia is qi deficiency and blood stasis syndrome. Having been in clinical trial for more than 60 years,professor DUAN Fujin treated thousands of cases of Qi deficiency and blood stasis syndrome chest arthralgia. This article summarizes his sense of dialectics and the experience of using the Sanshendan drink.