从小肠“泌别清浊”功能失调探讨中医防治冠状动脉粥样硬化性心脏病思路

Discussion on the new idea of treating coronary atherosclerotic heart disease by TCM based on regulating the Mi-bie-qing-zhuo function of small intestine

通过中西医理论系统论证小肠泌别清浊的功能与冠状动脉粥样硬化性心脏病的形成密切相关,涉及脂质代谢、内分泌、免疫功能、情绪心理等多方面的联系,以此进一步阐明“心与小肠相表里”论断更深刻的科学内涵。并据此从现代生理病理学的背景出发,提出以小肠“泌别清浊”为纲防治冠心病,确立与之相关的中医病证机理,从而提出“调和营卫,夑理阴阳”、“健脾清热,解毒行瘀”等新的治法思路,以发挥中医药多靶点、多效的治疗优势。

Through the theoretical system of traditional Chinese and Western medicine,it is demonstrated that the function of clearing away turbid secretion of small intestine is closely related to the formation of coronary atherosclerotic heart disease,involving lipid metabolism,endocrine,immune function,emotional psychology and other aspects,so as to further clarify the more profound scientific connotation of the conclusion that "Biao-li interaction of heart and small intestine".Based on the background of modern physiology and pathology,this paper puts forward a new theory of prevention and treatment of coronary heart disease based on the principle of the Mi-bie-qing-zhuo function of small intestine,establishes the mechanism of TCM syndrome,and sets up some new treatment ideas,such as "regulating Yin-yang and Ying-wei","Tonifying spleen,removing heat,detoxifying and promoting blood stasis",so as to give more practice to the advantages of multi-target and multi-effect of TCM.