国医大师雷忠义养心活血汤释义及临床应用

Interpretation and Clinical Application ofLEI Zhongyi Yangxin Huoxue Decoction

国医大师雷忠义教授善用自己独创的养心活血汤治疗胸痹心痛病属于气阴两虚、痰瘀互结证者,养心活血汤是由人参(西洋参、太子参)、麦冬、陈皮、丹参、三七粉、五味子等六味药组成,全方体现了补益气阴、活血祛痰虚实并用的治疗法则,主要用于胸痹心痛病气阴两虚、痰瘀互结的虚实夹杂证。雷教授在临床变通活用,把养心活血汤广泛的应用于心肌梗死、心律失常、心衰病、消渴病、水肿病、百合病等治疗中。现就其组方特点和方药药理进行合理分析及释义,从临床实例证实其合理性和有效性。

Professor LEI Zhongyi,a national master of traditional Chinese medicine,is good at using his original Yangxin Huoxue decoction to treat chest arthralgia and heartache,which belongs to the syndrome of deficiency of Qi and Yin and mutual accumulation of phlegm and blood stasis.Yangxin Huoxue decoction is composed of Ginseng(American Ginseng and Pseudostellaria Pseudostellaria),Ophiopogon japonicus,Tangerine peel,Salvia miltiorrhiza,Panax Notoginseng powder and Schisandra chinensis,which fully embodies the treatment principle of supplementing Qi and Yin,promoting blood circulation and eliminating phlegm.It is mainly used for deficiency and excess syndrome of Qi and Yin deficiency and phlegm and blood stasis in chest arthralgia and heartache.Master LEI used Yangxin Huoxue decoction widely in the treatment of myocardial infarction,arrhythmia,heart failure,diabetes,edema and Lily disease.This paper makes a reasonable analysis and interpretation on the characteristics of its formula and pharmacology,and proves its rationality and effectiveness from clinical examples.