不同时期女性心血管疾病特点及中医药治疗探析

Exploration on Characteristics and Traditional Chinese Medicine Treatment of Female Cardiovascular Diseases in Different Periods

女性心血管疾病与其经、带、胎、产、绝经等独特生理因素有密切联系,故不同时期女性心血管疾病有不同的病因病机及临床特点。系统梳理女性不同时期的典型心血管疾病,针对各时期罹患高血压、冠心病、心律失常、心肌病等病证的发病特点,结合团队经验提出辨治方法。青年女性病证以邪实为主,治疗主要为攻邪兼以扶正;妊娠及产后女性病证以正虚为主,因虚致实,治疗以扶正为主兼以祛邪。更年期妇女病证因冲任不调、阴阳失调所致,调理冲任及阴阳可改善病证。绝经后女性病证多因正气不足、肾阴阳两虚,因虚致实,因此治疗多强调扶正补肾兼以攻邪。

Female cardiovascular disease is closely related to unique physiological factors such as menstruation,leukorrhea,pregnancy,delivery and menopause.Therefore,female cardiovascular disease has different etiology,pathogenesis and clinical characteristics in different periods.The typical female cardiovascular diseases in different periods were systematically sorted out,and the differentiation and treatment methods were proposed based on the characteristics of hypertension,coronary heart disease,arrhythmia,cardiomyopathy and other diseases in each period.In young women,the syndrome is mainly caused by the excessive pathogens,and the treatment is mainly focused on eliminating pathogenic factors in combination with reinforcing the healthy qi.The syndrome of gestational and postpartum women is mainly focused on the deficiency of healthy qi and excess caused by the deficiency,which can be treated by reinforcing the healthy qi in combination with eliminating pathogenic factors.The syndrome of climacteric period women is due to the disharmony of thoroughfare and conception vessels and the imbalance of yin and yang,which can be improved by regulating thoroughfare and conception vessels,as well as yin and yang.The syndrome of postmenopausal women is mostly caused by the deficiency of healthy qi and both deficiency of kidney yin and yang,and excess resulted from the deficiency.Therefore,the treatment mainly emphasizes reinforcing the healthy qi and tonifying kidney in combination with eliminating pathogenic factors.