毒邪学说与冠心病的证治探讨

Discussion on Pathogenic Toxin and the Syndromes and Treatment of Coronary Heart Disease

“毒”在中医学中有多种含义,作为病因可分为内生之毒与外感之毒。毒在冠心病的发生与发展过程中发挥重要的作用,冠心病之毒属于内生之毒,是伴随冠心病发生发展的重要病理因素,是不稳定病灶形成的决定因素。冠心病之毒乃正气从瘀化毒,根据临床表现之不同可分为显毒与隐毒,前者有明显的临床症状,而后者没有或仅有少量理化指标如高敏C反应蛋白的异常。扶正解毒是冠心病的基本治疗原则,临床应根据具体疾病并结合瘀、寒、热、痰等不同病理因素辨病与辨证相结合论治。

There are multiple meanings for"toxin"in Chinese medicine,which can be divided into endogenous toxin and exogenous toxin as causes of disease.Toxin plays an important role in the occurrence and development of coronary heart disease.The toxin of coronary heart disease is endogenous,which is an important pathological factor accompanying the development of coronary heart disease and a decisive factor in the formation of unstable lesions.The toxin of coronary heart disease is the toxin from blood stasis of vital qi,which can be divided into apparent toxin and hidden toxin according to the different clinical manifestations.The former includes obvious clinical symptoms,while the latter has no or only a small amount of physical and chemical indexes such as high sensitivity C-reactive protein abnormalities.Strengthening body resistance for removing toxins is the basic treatment principle of coronary heart disease.The clinical treatment should be based on the differentiation of diseases and differentiation of syndrome combined with different pathological factors of blood stasis,coldness,heat,phlegm and etc.