老年冠状动脉性心脏病合并室性早搏中医临床辨治

Traditional Chinese Medicine Clinical Diagnosis and Treatment of Senile Coronary Heart Disease Complicated with Ventricular Premature Beats

老年冠状动脉性心脏病合并室性早搏是常见的老年疾病之一,近年来随着人们生活方式的改变,冠心病发病率逐年递增,治疗方法也受到了越来越多的关注。西医认为冠状动脉粥样硬化与年龄、性别、高血压病、高脂血症等有关,最终造成动脉内膜损伤。中医认为病机为"阳微阴弦",既可表现为"至虚有盛候",又可以表现为"大实有赢状"。老年冠心病致病因素多以"虚、郁"为主,应用辨证论治临床疗效显著,现就补气养血法、益气养阴法、疏肝解郁法、温阳补肾法论治老年冠心病合并室性早搏进行综述,附病案1则。

Coronary heart disease complicated with ventricular premature beat is one of the common diseases in the elderly.In recent years,the incidence rate of coronary heart disease has been increasing year by year with the improvement of people’s living standard.Western medicine believes that coronary atherosclerosis is related to risk factors such as age,gender,hypertension and hyperlipidemia,which eventually leads to intimal injury.Traditional Chinese medicine believes that the pathogenesis of the disease is "Yang micro Yin string",which can not only be expressed as "there is a prosperous syndrome in the deficiency",but also as "there is a win in the great reality".The pathogenic factors of elderly coronary heart disease are mostly "deficiency and depression".The clinical effect of traditional Chinese medicine syndrome differentiation in the treatment of senile coronary heart disease complicated with ventricular premature beats is remarkable.This paper summarizes the methods of Supplementing Qi and nourishing blood,supplementing qi and nourishing Yin,soothing liver and resolving depression,warming yang and tonifying kidney in the treatment of senile coronary heart disease complicated with ventricular premature beats,with a medical record attached.