基于“络病-玄府”探讨糖尿病心肌病冠脉微循环病变

Discussion on The Coronary Microvascular Disease in DCM Based on"Luobing-Xuanfu"Theory

冠脉微循环障碍是糖尿病心肌病的最主要病理特点,是心肌梗死、心功能不全、心室重塑等心血管事件的危险因素,介入手术或西医药物治疗具有一定的局限性。微循环是人体最小的功能单位,与中医"络病"有相对应的生理基础。中医认为"玄府为络脉之门户",玄府闭塞不通最终形成冠脉微循环"虚、毒、瘀、滞、痰"等病理特点,顺应玄府"复其开阖,贵于通利"的特性,借风药论治或补虚通络或行气宣痹或荡涤络,发挥"1+1>2"的增效作用,以期为糖尿病心肌病冠脉微循环障碍的防治提供新思路。

Coronary microvascular disease is the most important pathological feature of diabetic cardiomyopathy,and it is a risk for cardiovascular events such as myocardial infarction,heart failure and cardiac modeling.Meanwhile,There are certain limitations for interventional surgery or western medicine.This article intends to explore the relationship between coronary microvascular disease in DCM and"Luo Bing-Xuan Fu"theory and to investigate the more effective of"1+1>2"in wind herbs,in order to provide a new thinking for coronary microvascular disease in DCM.