黄永生心肝同治理论在冠心病心绞痛中的应用

Application of HUANG Yongsheng's Theory of"Simultaneous Treatment of Heart and Liver"in Coronary Heart Disease Angina Pectoris

冠心病是一种临床常见慢性疾病,文章通过生理病理、气血、情志三方面阐释心肝同治在冠心病心绞痛中的作用,并以此为理论基础探讨黄永生教授对这种临床复杂病症的认识,执简驭繁运用权变之法管理冠心病心绞痛病程中肝脏的作用,即在健脾、益气、滋肾基础上,分别加以柔肝、疏肝、泻肝、暖肝及养肝之法;以调理肝脏贯穿于治疗冠心病的始终。

Coronary heart disease(CHD)is a common chronic disease in clinic.This article explained the role of simultaneous treatment of heart and liver in angina pectoris of CHD from three aspects:physiology and pathology,Qi and blood,and emotions.Based on this theory,Professor HUANG Yongsheng's understanding of this clinical complex disease was discussed,and the role of the liver in the course of coronary heart disease and angina pectoris was managed by using contingency method,that is,on the basis of strengthening spleen,supplementing Qi and nourishing kidney,the methods of softening liver,soothing liver,purging liver,warming liver and nourishing liver were applied respectively.Regulating liver method should be throughout the treatment of coronary heart disease.