《黄帝内经》的心力衰竭理论研究

Theoretical study on heart failure in Huangdi Neijing

文章通过梳理《黄帝内经》中有关心力衰竭(以下简称心衰)病症的条文,发现《黄帝内经》虽未记载心衰的病名,但从多个方面阐释了类似于心衰的相关症状和病因病机,认为外感和内伤所致阳虚血瘀为心衰发病的关键。其病位在心而又不止于心,与多脏密切联系;心衰病情虽较为复杂,然其病机符合以本虚为主,邪实为标的虚实错杂之证,治疗应以补虚泻实为基本原则,以温阳活血利水为基本治法。《黄帝内经》的多个篇章中对心衰病症有较为丰富的论述,为后世认识及诊治心衰打下了坚实基础。

Through sorting out the articles in Huangdi Neijing concerning the symptoms of heart failure(here in after referred to as heart failure), the article found that although the Huangdi Neijing did not record the name of heart failure,it explained the related symptoms, causes and pathogenesis similar to heart failure from many aspects, and believed that yang deficiency and blood stasis caused by exogenous and internal injuries were the key to the onset of heart failure. Its disease location is not only in the heart, but also closely related to multiple viscera. Although the condition of cardiac asthenia is relatively complex, its pathogenesis is in line with the syndrome of deficiency and excess, which is characterized by the deficiency of origin and the excess of pathogenic factors. The treatment should be based on the basic principle of reinforcing deficiency and reducing excess, and the basic treatment method should be to warm yang, promote blood circulation and promote diuresis. Huangdi Neijing has rich discussions on the symptoms of heart failure in many chapters, laying a solid foundation for future generations to understand and diagnose heart failure.