唐蜀华教授辨治收缩性心力衰竭临证经验

Professor Tang Shuhua’s clinical experience in treatment of systolic heart failure by syndrome differentiation

介绍唐蜀华教授对于收缩性心力衰竭的理解与临床治疗经验。唐教授认为收缩性心力衰竭需在中西医结合的前提下进行治疗。中医治疗上需把握该病的基本病机(心肾气虚,血瘀水停),同时具体情况具体分析,根据患者的兼夹证,如阴虚、脾虚痰湿等,灵活遣方用药。中药选择可参考现代药理药剂学知识,明智用药。治疗的具体经验体会:运脾药使心衰病治疗效果相得益彰,温阳药物可短期使用。对于收缩性心力衰竭患者,常选用温性活血药物,并长期使用利水之法。该病的治疗需求本,故而肺肾两脏须重点治疗。通过系统地学习与总结唐蜀华教授辨治收缩性心力衰竭临证经验,明晰了收缩性心力衰竭的病机及治疗原则与方法,明确了临床诊疗思路,以期后学者有所收获与启发。

Professor Tang Shuhua’s understanding and clinical experience of systolic heart failure were introduced.Professor Tang believes that systolic heart failure should be treated under the premise of a combination of the integrated medicine.TCM treatment should grasp the basic pathogenesis of the disease[Xinshen Qixu(心肾气虚),Xueyu Shuiting(血瘀水停)],at the same time specific analysis,according to the patient’s syndrome,such as:Yinxu(阴虚),Pixu Tanshi(脾虚痰湿),flexible dispensation of medicine.The choice of TCM medicine can refer to the knowledge of modern pharmacology and pharmaceutics,use medicine wisely.Specific experience of treatment:Spleen-invigorating medicine bring out the best in each other in the treatment of heart failure,and warm-Yang(温阳)medicine can be used for a short time.For systolic heart failure patients,Professor Tang often choose warm blood drugs,and long-term use of Lishui(利水)method.This disease treatment needs consider Ben(本),so lung and kidney two viscera must focus on treatment.Through the systematic study and summary of Professor Tang Shuhua’s clinical experience in differentiating and treating systolic heart failure,the pathogenesis,treatment principles and methods of systolic heart failure were clarified,and the clinical diagnosis and treatment ideas were clarified,so as to gain and inspire the scholars in the future.