从气血脉络论治经皮冠状动脉介入治疗术后再发心绞痛

Treating Recurrent Angina Pectoris After Percutaneous Coronary Intervention based on Qi and blood Vessels

基于气血脉络探讨经皮冠状动脉介入治疗(PCI)术后再发心绞痛的病机与治疗思路。认为患者PCI术后多以气血不运、脉络受损为病变基础,随之痰瘀互结、胶着难解,乃至脉络壅遏闭塞,气血衰败、心之体用俱废。相应提出以调气运血、通养脉络,化痰祛瘀、降浊通络,补气养形、通脉复络为具体论治思路,分别予以自拟调气运血方、活血降浊方、参茸通脉方加减治疗,以期为临床诊疗提供参考。

This paper discussed the pathogenesis and treatment ideas of recurrent angina pectoris after percutaneous coronary intervention(PCI)based on qi and blood vessels.It is believed that patients after PCI often have poor qi and blood circulation and damaged vessels and collaterals as the basis,and subsequently suffer from binding of phlegm and stasis,accumulated and sticky,which further lead to the vessels congested and blocked,qi and blood declined,and the body and functions of the heart damaged.Accordingly,in terms of the treatment principles,it has been proposed to regulate qi and transport blood,unblock and nourish vessels,dissolve phlegm and dispel stasis,direct turbidity downward and unblock collaterals,supplement qi and nourish the body,unblock vessels and rejuvenate meridians,by using self-made Tiaoqi Yunxue Formula(调气运血方),self-made Huoxue Jiangzhuo Formula(活血降浊方)and self-made Shenrong Tongmai Formula(参茸通脉方)in their modifications respectively,in order to provide reference for clinical diagnosis and treatment.