基于“阳化气,阴成形”论扶阳活血法在冠心病的运用

Application of Strengthening Yang and Activating Blood Method in Treatment of Coronary Heart Disease Based on “Yang Transforming into Qi, Yin Transforming into Shape”

文章以“阳化气,阴成形”为理论基础,阐述对这一理论的认知,并结合冠心病的病因病机“阳微阴弦”探讨“阳化气,阴成形”理论与冠心病的关系。认为阴阳失衡、“阳化气”不及和“阴成形”太过,与冠心病胸阳不振、阳化气不足、阴邪上乘契合。同时结合“阳微”和血瘀这一贯穿始终的证候提出扶阳活血法,解释了扶阳活血的内涵,并在“阳化气,阴成形”理论指导下分析扶阳活血理论的临床运用。扶阳活血,阳主阴从,同时顾护阴津,重视成形的功能,以达到阴平阳秘的状态。

Based on the theoretical basis of “Yang transforming into Qi, Yin transforming into shape”, this paper expounds the cognition of this theory, and discusses the relationship between the theory and coronary heart disease in combination with the etiology and pathogenesis of coronary heart disease--“faint pulse at Yang and stringy pulse at Yin”. The imbalance of Yin and Yang, “Yang transforming into Qi” is not enough and “Yin transforming into shape” is too much, which is in accordance with the deficiency of chest Yang and the excess of Yin pathogens. Combining “Yang deficiency” and blood stasis, which is the symptom throughout the whole process, the method of strengthening Yang and activating blood is proposed. This paper explains the connotation of the method and analyzes the clinical application of the theory under the guidance of the theory of “Yang transforming into Qi, Yin transforming into shape”. Strengthening Yang and activating blood, Yang is dominant while Yin is subordinate, and at the same time cares for Yin and fluid. Pay attention to the function of transforming into shape, so as to achieve the relative equilibrium of Yin-Yang.