痰瘀互结证之理论与研究

A Study of the Theory of Phlegm and Blood Stasis

痰瘀互结理论源于《黄帝内经》,是中医津血同病之常见证型。经后世医家对其内容进行丰富后,该证型被广泛应用于辨治多种病证,尤以心病、脑病与气血津液病多见。痰、瘀作为独立的证候要素与病理产物,在病证的产生与转归中分别起到了不同的作用,且其成因与气血紊乱密切相关,故加大了疾病的临床诊治难度。笔者归纳痰瘀的理论源流、病理机制、证候生物学研究及临床论治,探讨痰瘀互结证理论在现代多种疾病中的重要性,以期为临床病证结合的诊治多种提供参考。

Phlegm and blood stasis, as a common type of the combined diseases of blood and body fluid in TCM, is originated from the Huangdi Neijing. Through the development and improvement of doctors in the long history, this syndrome has been widely used to distinguish and treat various diseases, especially heart disease, encephalopathy and Qi-blood-fluid diseases. As two independent syndrome elements and pathological products, phlegm and blood stasis play different roles in the generation and outcome of disease syndromes. But their causes are both closely related to the disorder of Qi and blood, thus increasing the difficulty of clinical ptactice. We summarize the theoretical origin, etiology, pathogenesis and modern studies of phlegm and blood stasis to discuss the ancient and modern disease cognition of phlegm and blood stasis syndromes. Then we put forward thinking of syndrome treatment combined with modern biological researches. We hope it can provide reference for the combination of diseases and syndromes.