王庆国治疗冠状动脉粥样硬化性心脏病的临证经验

WANG Qing-guo’s clinical experience in treating coronary heart disease

王庆国教授临证擅用经方,同时又不囿于经方,故面对复杂病症,屡屡应手可得。文章通过对4个典型病案的针对性分析,得出王教授对于冠状动脉粥样硬化性心脏病(冠心病)的治疗主要以虚实为纲,以脏腑辨证为核心,同时又指出冠心病发病多因虚致实,虚实夹杂。具体而言,主要包括心脾两虚、痰饮内停,肝郁脾虚、气虚血瘀,心阳不振、痰浊痹阻和气阴不足、瘀阻心脉4个证型。同时,文章对王教授临证善用对药、角药,注重药理的用药经验亦进行了总结,以期对后学者有所裨益。

Professor WANG Qing-guo excels in using classical prescriptions,while not limited to them.Therefore,when dealing with complex conditions,he can always solve effectively.Through the targeted analysis of 4 typical medical records,it is concluded that professor WANG’s treatment of coronary heart disease is mainly based on deficiency and excessiveness,and syndrome differentiation based on viscera status is the core.At the same time,it points out that the incidence of coronary heart disease is mostly due to excessiveness resulting from deficiency,and intermingled deficiency and excessiveness.Specifically,it mainly includes heart and spleen deficiency,sputum and fluid retention,stagnation of liver qi and spleen deficiency,qi deficiency and blood stasis,devitalized heart yang,turbid phlegm blockage,qi and yin deficiency,and stasis obstructing heart vessels.In addition to that,this article also summarizes professor WANG’s experience in using pair medicines,triplet medicines and emphasis on pharmacology.Through the summary of professor WANG’s experience in the diagnosis and treatment of coronary heart disease,it is expected to be helpful to later scholars.