赵青春教授基于张机学术思想论治不稳定型心绞痛经验

Professor ZHAO Qingchun's experience in treating unstable angina pectoris based on ZHANG Ji's academic thoughts

赵青春教授是全国第六批老中医药专家,在冠状动脉粥样硬化性心脏病(简称冠心病)不稳定型心绞痛的中医治疗方面经验丰富。赵青春教授精研张机(字仲景)“阳微阴弦”理论、“保胃气”思想及《黄帝内经》中“胃络通心”理论,首次提出“阴弦”病位在“心下”,治本之方为“人参汤”。他还指出,在不稳定型心绞痛的发生发展中标实“痰浊瘀血”贯穿始终。他确立了以“温通心脾阳气,通痹化痰祛瘀”为主的不稳定型心绞痛治疗方法,并创制了“通痹化浊汤”,以人参汤、桂枝甘草汤温通心脾阳气,瓜蒌薤白半夏汤、当归芍药散化痰祛瘀。此法能有效改善不稳定型心绞痛患者临床症状,降低不良心血管疾病的发生率,获得了较好疗效。文章结合案例介绍赵教授治疗冠心病不稳定型心绞痛经验,以期为临床提供参考。

Professor ZHAO Qingchun is one of the Sixth Batch of Veteran Traditional Chinese Medicine Experts in China, and has rich experience in the treatment of unstable angina pectoris of coronary heart disease. Professor ZHAO Qingchun studied ZHANG Ji's theory of “Yangwei Yinxian”(阳微阴弦) and the idea of “protecting stomach Qi(气)”, and the theory of “stomach collaterals connecting the heart” in Huangdi Neijing(《 黄帝内经 》). For the first time, the professor proposed that the “wiry pulse” was located under the “heart”, and the treatment prescription for the root cause was “the Renshen decoction”(人参汤). The professor also pointed out that the deficient root of “phlegm and blood stasis” ran through the occurrence and development of unstable angina pectoris, established a method of treating unstable angina pectoris based on “warming the heart and spleen Yangqi(阳 气), removing obstruction, resolving phlegm, and removing blood stasis”, and created the Tongbi Huazhuo decoction(通痹化浊汤). The Renshen decoction and the Guizhi Gancao decoction(桂枝甘草汤) can warm and improve the heart-spleen Yangqi. The Gualou Xiebai Banxia decoction(瓜蒌薤白半夏汤), Danggui Shaoyao San(当归芍药散) can remove phlegm and blood stasis. This method can effectively improve the clinical symptoms of patients with unstable angina pectoris, reduce the incidence of adverse cardiovascular diseases, and obtain good curative effects. This article introduces Professor ZHAO's experience in treating unstable angina pectoris of coronary heart disease with one case, in order to provide more clinical reference.