论中医“八法”在胸痹治疗中应用

A Brief Analysis of the Application of the “Eight Methods” of Traditional Chinese Medicine in the Treatment of Chest Arthralgia

冠心病是临床常见的心血管疾病,其发病率高、严重危害人类的健康。冠心病可归属于中医“胸痹”“心痛”范畴,中医药治疗自古就具有良好的效果,且与现代治疗手段相比,治疗个性化优势突出。现代治疗多侧重于从痰湿、血瘀、毒蕴等角度进行辨证论治,而缺少对治则治法的进一步思考。汗、吐、下、和、温、清、消、补“八法”概括了临床常用的中医治法,内涵即为丰富。该文从中医“八法”入手,查阅古籍及相关文献报道,整理“八法”在胸痹治疗中的基本运用及特点,并结合诸多现代研究,探讨八法治疗胸痹的指导思想和具体应用,以期充分发挥中医药的治疗优势。虽然八法中的部分方法在现代已经很少应用,但对于一些疑难及复杂并发症或仍可提供一些诊疗思路。

Coronary heart disease is a common clinical cardiovascular disease with a high incidence and serious harm to human health. Coronary heart disease can be attributed to the categories of“chest arthralgia”and“heartache”in traditional Chinese medicine(TCM),and it is a thoracic obstructive disease. TCM treatment has had good results since ancient times,and compared with modern treatments,the advantages of personalized treatment are outstanding. Modern treatment mostly focuses on syndrome differentiation and treatment from the perspectives of phlegm-dampness,blood stasis,and toxin accumulation,but lacks further thinking on the treatment method. The“eight methods”of sweating,vomiting,purgation,harmonizing,warming,clearing,reducing and tonyfying summarize the commonly used TCM treatment methods in clinical practice,and the connotation is rich. This article starts with the eight methods of traditional Chinese medicine,consults ancient books and related literature reports,and sorts out the basic application and characteristics of the“eight methods”in the treatment of chest arthralgia,in order to give full play to the therapeutic advantages of traditional Chinese medicine. Although some of the eight methods are rarely used in modern times,they may still provide some diagnosis and treatment ideas for some difficult or complex complications.