周华教授基于“阳微阴弦”病机理论论治心力衰竭经验总结

Professor Zhou Hua’s experience summary in treating heart failure based on the pathogenesis theory of“yang weakness and yin exuberance”

心力衰竭是各种心血管疾病的终末阶段,临床上具有高死亡率、高住院率、高复发率的特点。周华教授认为本病为本虚标实之证,其基本病机是阳微阴弦。本虚即阳微,以心肾阳虚为主;标实即阴弦,以痰浊、水饮、瘀血为主。治疗上强调从肾治心,分早期、中期、晚期三期论治。早期以肾阳虚为主,治以温补肾阳,选用鹿角方;中期以肾虚血瘀为主,治以温肾活血,选用鹿红方;后期肾虚血瘀兼水湿内停,选用鹿芪方。周华教授根据此三方加减运用,在心力衰竭的治疗上取得较好的临床效果。

Heart failure is the end stage of various cardiovascular diseases.It has the clinical characteristics of high mortality,high hospitalization rate and high recurrence rate.Professor Zhou Hua considers that heart failure is the syndrome of root deficiency and tip excess,and its basic pathogenesis is yang weakness and yin exuberance.Yang weakness is the deficiency of body,which mainly means yang deficiency of heart and kidney.Yin exuberance is tip excess,which mainly means phlegm turbidity,fluid and blood stasis.As for the treatment,it is emphasized to treat heart from kidney,which can be divided into three stages:early stage,middle stage and late stage.In the early stage,yang deficiency of kidney is the major syndrome,warming and tonifying kidney yang is the treatment method,and Lujiao Prescription is selected.In the middle stage,kidney deficiency and blood stasis is the major syndrome,and Luhong Prescription is used to warm kidney and activate blood circulation.In the later stage,Luqi Prescription is selected for kidney deficiency,blood stasis,and fluid retention.Professor Zhou Hua has achieved marvelous clinical results in the treatment of heart failure according to the modified application of three prescriptions.