黄丽娟教授诊治冠心病经验管窥

Professor Huang Lijuan’s experience in diagnosis and treatment of coronary heart disease

冠心病是目前比较常见的疾病之一,具有较高的致死率,中医多认为其属于“心痛病”。黄丽娟教授是国家级名老中医,根据患者不同时期病情虚实变化,治病求本,辨证施治。指出该病多为“本虚标实”,急性发作时以邪实为主,“痰瘀互结”,缓解期以正虚为主,且介入后再发心绞痛之本多为“阳虚阴凝”,治疗时应“整体观念贯穿始终”,“调肝理脾与时俱进”,坚持用“益气温阳”“活血通脉”“理气化痰”之法治之。

Coronary heart disease is one of the most common diseases with high fatality rate.Traditional Chinese medicine mostly thinks that it belongs to“heart pain”.Professor Huang Lijuan is a famous national traditional Chinese medicine master.According to the changes of deficiency and excess of the patient’s condition in different periods,professor Huang Lijuan identifies with the thoughts of treatment aiming at its root causes and treatment according to syndrome differentiation.She points out that the disease pathogenesis is“deficient root and excessive superficial”,the acute attack period is mainly domination of pathogen and“intermingle phlegm and stasis”.In the remittent period,deficient vital qi is the dominant.Most of the causes of recurrent angina pectoris after interventional therapy are“yang deficiency and yin congelation”.During the treatment,we should“run through the holism”,“regulate liver and spleen,keep pace with the times”.In treatment,we should emphasizie“warm yang and benefite qi”,“promote blood circulation for removing obstruction in collaterals”,and“regulate qi-flowing for eliminating phlegm”.