唐蜀华教授运用膏方治疗阴虚血瘀型胸痹的临床经验

Professor TANG Shuhua’s clinical experience in treating chest arthralgia of the Yin deficiency and blood stasis type with herbal paste

胸痹在我国的发病率呈明显增加趋势,且发病人群逐渐年轻化。现代医学认为,冠状动脉发生粥样硬化造成管腔狭窄或闭塞,引起心肌缺血缺氧是其发病机制,急症疗效较好,而缓症疗效欠佳。唐蜀华教授提出胸痹久病多以阴虚瘀热为主要病因,其病机为阴虚血热炼灼血液而发为瘀,治法上以养阴活血、清热解毒贯穿疾病始终;同时重视调畅气机、顾护脾胃、临证化裁、应运之机、审证求因。唐蜀华教授临床上擅长运用膏方治疗阴虚血瘀型胸痹,特将其经验整理介绍。

The incidence of chest arthralgia in China is increasing obviously,and the incidence population is gradually getting younger.Modern medicine thinks that coronary artery atherosclerosis causes stenosis or occlusion of lumen,which causes myocardial ischemia and hypoxia.The efficacy of emergency symptom is better than palliative symptom.Professor TANG Shuhua points out that Yin(阴)deficiency and blood stasis heat are the main causes of chest arthralgia,and its pathogenesis is that Yin deficiency and blood heat burning and causing blood stasis,and in terms of treatment,nourishing Yin and promoting blood circulation,clearing heat and detoxification run throughout the disease.At the same time,Professor TANG Shuhua attaches importance to regulating Qi(气)activity,caring for spleen and stomach,paying attention to modification based on clinical symptoms,taking advantage of Qi activity regulation,and examining symptoms and seeking causes.Professor TANG Shuhua is good at treating chest arthralgia of Yin deficiency and blood stasis type with herbal paste,and his experience is specially sorted out and introduced.