当归四逆汤治疗心衰的临床验案

Clinical Case of Danggui Sini Decoction(当归四逆汤)Treating Heart Failure

心衰是由于心脏结构或功能异常导致心室充盈或射血能力受损的一组复杂临床综合征,为各种心脏疾病的严重和终末阶段。心衰终末阶段可伴有冠心病三支病变,肾功能衰竭,消化道出血等现代医学治疗棘手的疾病。中医药治疗心衰可明显心衰诸多症状、减少再住院率、提高生存治疗等优势。当归四逆汤来源于《伤寒杂病论》,运用当归四逆汤治疗心衰终末阶段合并诸多治疗棘手疾病的患者后,患者的心衰症状及指标明显改善,结合现代文献药理研究,证明经方治疗心衰终末期合并诸多疾病的优势所在。以当归四逆汤治疗心衰终末期患者为例,根据心衰临床演变的规律,从六经角度阐述心衰发病的机制及心衰治疗的原则,为临床防治心衰的进展提供一定的参考。

Heart failure was a complex group of clinical syndromes that led to impaired ventricular filling or impaired ejection ability due to abnormal heart structure or function.It was a serious and end stage of various heart diseases.The end stage of heart failure could be accompanied by three branches of coronary heart disease, renal failure, gastrointestinal bleeding and other modern medical treatments for difficult diseases.The treatment of heart failure with traditional Chinese medicine could significantly improve the symptoms of heart failure, reduce rehospitalization rates and improve the survival rates.Danggui Sini Decoction(当归四逆汤) is derived from Treatise on Febrile and Miscellaneous Diseases.After using Danggui Sini Decoction to treat patients with end-stage heart failure combined with many treatments for thorny diseases, the patients′ heart failure symptoms and indicators had been significantly improved.Combined with modern literature pharmacological research, it proved the advantages of classical prescriptions treating end-stage heart failure with many diseases.Taking Danggui Sini Decoction for the treatment of patients with end-stage heart failure as an example, according to the clinical evolution of heart failure, the mechanism of heart failure and the principles of heart failure treatment were explained from the perspective of the six meridians, providing a certain reference for the progress of clinical prevention and treatment of heart failure.