基于“心脾相关”理论探讨冠心病痰瘀互结证的发病机制

Discussion on the Pathogenesis of Phlegm-Stasis Syndrome in Coronary Heart Disease Based on the Theory of “Heart-Spleen-Related”

心脾相关理论是“五脏相关”学说子系统之一。本文以“心脾相关”理论为出发点,分析冠心病痰瘀互结证的形成机制,认为痰湿、血瘀的形成多由于脾司运化功能失调,从而导致心主血脉功能的异常引发胸痹。分析冠心病痰瘀互结证的证型占比增加大多由人们生活方式的改变,其中主要包括饮食结构与饮食习惯的改变、情志不畅、作息失调等,并总结名中医调脾护心、除痰化瘀法的珍贵临床经验,为中医药治疗冠心病痰瘀互结证提供新的临床思路。The heart-spleen correlation theory is one of the subsystems of the “five visceral correlation” theory. Based on the theory of “heart-spleen-related”, this paper analyzes the formation mechanism of phlegm and stasis syndrome in coronary heart disease, and believes that the formation of phlegm-dampness and blood stasis is mostly due to the dysfunction of spleen transport, which leads to the abnormality of the function of the main blood vessels of the heart and causes chest paralysis. This paper analyzes the increase in the proportion of phlegm and stasis syndrome in coronary heart disease due to changes in people’s lifestyles, including changes in dietary structure and eating habits, poor mood, and irregular work and rest, etc., and summarizes the precious clinical experience of famous Chinese medicine practitioners in regulating the spleen and protecting the heart, removing phlegm and removing stasis, so as to provide new clinical ideas for the treatment of phlegm and stasis syndrome.