国医大师翁维良治疗冠心病支架术后再狭窄的长时医案

A longitudinal medical case report of master of traditional Chinese medicine WENG Weiliang treating restenosis after coronary stenting

冠状动脉支架置入术后再狭窄(ISR)是目前临床的一大难题。文章通过长时医案可视化分析,探讨国医大师翁维良治疗ISR的学术思想,为ISR提供中医药诊疗思路。翁教授强调治未病,认为ISR的核心病机为气虚血瘀,治疗以益气活血为核心。擅长运用多种活血药,包括理气活血的延胡索、郁金,凉血活血的赤芍、丹参,补血活血的鸡血藤和破血行气的三棱、莪术等。灵活运用多种参类药益气扶正,如红参、人参、太子参、党参等;同时注意调和阴阳,常用高良姜温阳和沙参养阴。

In-Stent Restenosis(ISR)after coronary stent implantation is a major problem in clinic practice nowadays.Academic thoughts of master of traditional Chinese medicine(TCM)WENG Weiliang treating ISR will be discussed by longitudinal case visual analysis,providing TCM diagnosis and treatment ideas for ISR.Professor Weng emphasized the prevention of disease,and believed that the core pathogenesis of ISR was qi deficiency and blood stasis,and the core treatment was invigorating qi and activating blood.He was good at using a variety of blood activating drugs,including yanhusuo and yvjin that promote qi and activate blood,chishao and danshen that cool and activate blood,jixueteng that tonify and activate blood,and sanleng and ezhu that break blood and promote qi.Many kinds of ginseng are used flexibly to tonify qi and strengthen the body,such as hongshen,renshen,taizishen,dangshen and so on.At the same time,pay attention to the harmony of yin and yang.Gao Liangjiang is often used to warm yang and shashen is often used to nourish yin.