陈朝金教授运用生脉散合血府逐瘀汤加减治疗射血分数保留性心衰(气阴两虚兼血瘀型)经验

Experience of Professor Chen Chaojin in Treating Heart Failure with Preserved Ejection Fraction(Qi and Yin Deficiency and Blood Stasis Type)with Shengmai Powder and Xuefu Zhuyu Decoction

本文重点阐述了陈朝金教授运用生脉散合血府逐瘀汤加减治疗气阴两虚、心血瘀阻的射血分数保留性心力衰竭的临床经验。陈朝金教授认为射血分数保留性心衰属本虚标实之证,主要病机常见是气阴亏虚、心血阻滞。临床上主要以益气养阴、活血化瘀为主要治则,陈教授以生脉散合血府逐瘀汤为基础方剂,根据患者的症状,进行辨证论治,以改善患者症状,提高患者生活质量,临床有较好的疗效。

This article focused on professor Chen Chaojin’s clinical experience in treating heart failure with preserved ejection fraction(qi and yin deficiency and blood stasis type)with Shengmai Powder and Xuefu Zhuyu Decoction.Professor Chen believed that heart failure with preserved ejection fraction belonged to the syndrome of deficiency in root cause and excess in manifestation,and the main pathogenesis was qi and yin deficiency and heart blood obstruction.In clinical practice,with replenishing qi,nourishing yin,activating blood and resolving stasis as the main treatment principle,and Shengmai Powder and Xuefu Zhuyu Decoction as the basic prescriptions,syndrome differentiation and treatment was performed according to the symptoms of patients,so as to alleviate the symptoms and improve the quality of life of patients,and desirable clinical efficacy was achieved.