基于络病理论探讨冠状动脉慢血流辨证治疗机理

Differentiation and Treatment Mechanism of Coronary Slow Flow Based on Collateral Disease Theory

冠状动脉慢血流(Coronary slow flow,CSF)是一种复杂的冠状动脉疾病,与心脏微循环病变相关,属于“脉络-血管系统病”的范畴。文中基于络病理论,结合现代医学对CSF的认识,对CSF的病机进行探讨,认为脉络空虚、心络失养是CSF发病的病理基础,痰瘀互结、络脉痹阻是CSF发病的病理关键。故治疗上以“络虚通补”为原则,以“补虚、畅络、祛瘀、化痰”为基本治法。以期为冠状动脉慢血流的中医治疗提供新的诊疗思路和理论依据。

Coronary slow flow(CSF)is a complex coronary artery condition,associated with pathological changes in the cardiac microcirculation,and falls in the category of collateral-vessel system diseases.Drawing from the collateral disease theory and integrating the modern medical understanding of CSF,this paper explored the pathogenesis of CSF.It posited that the fundamental pathological basis of CSF was the deficiency of collaterals and the malnourishment of heart collaterals,while the pathological crux of the condition was combined phlegm and blood stasis leading to the obstruction of collaterals.Therefore,the treatment principles focused on tonifying the collaterals,with nourishing the deficiency,smoothing the collaterals,dispelling blood stasis,and resolving phlegm as the basic therapeutic approaches.This aimed to provide new diagnostic and therapeutic perspectives and a theoretical foundation for traditional Chinese medicine treatment of CSF.