“消”“托”“补”三法在治疗急性冠脉综合征中的应用探究

The Three Methods of Eliminating, Supporting and Supplementing are Applied in Acute Coronary Syndrome

急性冠脉综合征(Acute coronary syndrome,ACS)是一组高发病率、高致残及高致死率的临床综合征,该病病因复杂,尚缺乏无创且延缓病程的特效疗法,故属于临床疑难疾病。本文认为,"痰瘀热毒"是ACS的中医病因,该病可从"内痈"的角度进行分期论治。基于ACS的疾病特点,前期研究成果结合导师临床经验,本文将ACS分为三期,针对每个阶段病机与临床特点,提出分别采用"消""托""补"三法进行治疗。"消"法以祛邪为主,用于ACS的斑块形成期及易损期;"托"法以扶正祛邪并重,用于ACS斑块的破裂或糜烂期,;"补"法以扶正、健脾、益肾、保肺为主,用于ACS的好转恢复期。

Acute coronary syndrome(ACS) is a group of clinical syndromes with high incidence, high disability and high mortality. The cause of ACS is complex, and it is lack of non-invasive and specific therapy to delay the course of disease, so it is a difficult clinical disease. Based on the symptoms of Western medicine and the theory of traditional Chinese medicine, we can treat ACS by stages from the perspective of internal carbuncle. Combined with the disease characteristics of ACS, early research results and clinical experience, this paper divides ACS into three stages. According to the pathogenesis and clinical characteristics of each stage, three methods of "Xiao", "Tuo" and "bu" are proposed for treatment. The method of eliminating pathogenic factors is mainly used in the plaque formation and vulnerable period of ACS;the method of supporting vital energy and eliminating pathogenic factors is equally important in the plaque rupture or erosive period of ACS;the method of reinforcing vital energy, strengthening spleen, benefiting kidney and protecting lung is mainly used in the recovery period of ACS.