国医大师张静生教授应用丹参生脉饮治疗冠状动脉粥样硬化性心脏病经验总结与用药分析

Experience Summary and Medication Analysis of Master of Traditional Chinese Medicine ZHANG Jingsheng’s CHD Therapy with Danshen Shengmai Yin(丹参生脉饮)

国医大师张静生教授擅长治疗冠心病,有50余年临床经验。上世纪末,研制了以冠心康为基础方,以益气祛痰化瘀的方法治疗冠心病,收效甚好,然而,近20年人们嗜食辛辣食物、作息不规律、生活压力增加,生活行为发生了很大的改变,如今张教授认为冠心病以气阴两虚兼血瘀证为主,治法为益气养阴,活血化瘀,以丹参生脉饮为基础方:丹参、太子参、麦门冬、五味子4味。临床诊治时,常根据具体症状,组方时加用小方或经验对药,临床效果甚佳,甚或可使多支病变及高度狭窄患者症状缓解明显。

Master of traditional Chinese medicine ZHANG Jingsheng,who has been engaged in traditional Chinese medicine for 50 years,is good at treating coronary heart disease(CHD).At the end of the 20 th century,Prof.ZHANG developed a new medicine named Guanxinkang(冠心康),which worked well in treating CHD by replenishing spleen Qi and dispelling phlegm and blood stasis.However,in the last 20 years,people faced craving for spicy food,irregular bedtime,and mounting social pressure.In such a situation,Prof.ZHANG thought that CHD was mainly caused by Qi-Yin deficiency and blood stasis,and its treating method should be replenishing Qi and nourishing Yin,invigorating blood circulation and removing blood stasis.The prescription is based on Danshen Shengmai Yin(丹参生脉饮),which includes four kinds of Chinese herbal medicine called Danshen(Salviae Miltiorrhizae Radix Et Rhizoma),Taizishen(Pseudostellariae Radix),Maimendong(Ophiopogonis Radix) and Wuweizi(Schisandrae Chinensis Fructus).In clinical diagnosis and treatment,Prof.ZHANG will add small prescriptions or drug pairs,according to individual symptoms and therapy experience.By this way,remarkable clinical effect can be achieved,which even makes obvious relief to the multi-vessel pathological highly narrow patients.