从冠心病诊疗谈陈可冀院士中西医整合思想

Academician Chen Keji’s thoughts of holistic integrative traditional Chinese and western medicine in diagnosis and treatment of coronary heart disease

本文从冠心病病因病理、瘀血证和活血化瘀药的分类、诊断标准的量化、治疗及疗效评价等五个方面,探讨陈可冀院士通过活血化瘀治疗冠心病的中西医整合思想。陈院士在将冠心病理化指标归属"血脉瘀阻"范畴的基础上,进一步量化诊断标准,并依据理化指标细分活血化瘀药,最终实现冠心病治疗中的中西医协同,充分体现了陈院士应用活血化瘀法诊治冠心病的中西医整合思想。

This article discussed academician Chen Keji’s thoughts of holistic integrative traditional Chinese and western medicine in treating coronary heart disease from five aspects:etiology and pathology of coronary heart disease,classification of blood stasis syndrome and drugs for activating blood circulation and removing blood stasis,quantification of diagnostic criteria,evaluation of treatment and curative effect.On the basis of ascribing the physicochemical indexes of coronary heart disease to the category of“blood vessel stasis”,academician Chen further quantified the diagnostic criteria,subdivided the drugs for activating blood circulation and removing stasis according to the physical and chemical indexes,and finally realized the coordination of traditional Chinese medicine and western medicine in the treatment of coronary heart disease.It fully embodied the thoughts of holistic integrative traditional Chinese medicine and western medicine in the diagnosis and treatment of coronary heart disease by promoting blood circulation and removing blood stasis.