基于“阳化气,阴成形”理论探讨益气活血法在冠心病治疗中的应用

Application of Benefiting Qi and Invigorating Blood Method in Treatment of Coronary Heart Disease based on"Yang Hua Qi and Yin Cheng Xing"Theory

“阳化气,阴成形”理论源于《素问·阴阳应象大论》,意为阳的运动可以化生清气和能量,阴的凝聚可以构成有形的物质。冠心病形成的基本病机为“阳微阴弦”,气虚血瘀证为冠心病的核心病机及主要证型。气虚则阳无以化生,在阳化气过程中物质和能量匮乏,阳的功能状态异常;血瘀则阴无以用,瘀血不去,新血不生,阴成形的物质基础匮乏,发为胸痹心痛。临证时,应以益气活血法匡扶正气、化瘀通脉,益气则阳有化生之源,活血则阴有成形之物。

The theory of"Yang HUA Qi and Yin Cheng Xing"originates from Su Wen·Yin Yang Ying Xiang Da Lun,which means that Yang can transform into clear Qi and energy with movement,and the condensation of Yin can form tangible substances.The basic pathogenesis of coronary heart disease is"Yang and Yin weakness",and Qi deficiency and blood stasis syndrome is the core pathogenesis and main syndrome type of coronary heart disease.If Qi deficiency occurs,Yang cannot be transformed.During the process of transforming Yang into Qi,material and energy are scarce,and the functional state of Yang is abnormal;Blood stasis is due to the ineffectiveness of Qi and with an inability to remove stagnant blood there would be an inability to generate new blood,and then there is a lack of material basis for Yin formation,resulting in chest pain and heartburn.In clinical treatment,the method of tonifying Qi and promoting blood circulation should be used to promote the recovery of Qi,remove blood stasis,and clear the meridians.When tonifying Qi,there is a source of transformation from Yang,and when promoting blood circulation,there is a formed substance from Yin.