李庆海教授以益气温阳、化瘀利水法治疗难治性心力衰竭的临床经验

Professor Li Qinghai's clinical experience in treating refractory heart failure by benefiting Qi and warming Yang,removing blood stasis and promoting water

难治性心力衰竭是各种心血管疾病的终末期,其临床表现复杂,有着高发病率与高病死率的特点,现代医学治疗过程中存在应用利尿剂后离子紊乱、利尿剂抵抗、生活质量下降、心力衰竭病情反复等现象,一直是现代医学难治性心力衰竭治疗及研究的难点和焦点。李庆海教授从医40余年,长期工作于临床一线,积累了丰富的临床经验,形成了自己的学术思想。李庆海教授认为,本病的发生主要是由于素体虚弱或久病体虚,致心气不足,无力运化血液,血积成瘀,血瘀日久,化而为水,水为阴邪,泛滥而伤肾阳,阳虚耗气,如此恶性循环。对此李庆海教授提出“益气温阳、化瘀利水”治法,拟方“参附强心方”,以此方为基础,加减化裁,用于临床疗效满意。

Refractory heart failure is the end-stage of various cardiovascular diseases,and its clinical manifestations are complex.It has the characteristics of high morbidity and mortality.In the course of modern medical treatment,there are some problems,such as ion disorder,diuretic resistance,decline of quality of life and refractory heart failure,which have been the difficulty and focus of modern medical treatment and research on chronic heart failure.Professor Li Qinghai has been working in the clinical front line for more than 40 years and he has accumulated abundant clinical experience and formed a certain academic thought.Professor Li believes that the occurrence of this disease is mainly due to the weakness of the body or chronic deficiency of the body,resulting in insufficient heart Qi,and inability to transport blood,which causes blood stasis,blood stasis lasts for a long time,and turns into water.Water is Yin evil,overflowing and damaging kidney-Yang,Yang deficiency consumes Qi,and so on.Professor Li proposes the treatment of"benefiting Qi and Yang,removing blood stasis and diversifying water"by prescribing modified Shenfu Qiangxin formula(参附强心方),which achieves significant effect.