冠心病湿盛风引病机内涵阐微

张蒙; 董其美; 沈建平; 王新东

doi:10.14148/j.issn.1672-0482.2022.0671

冠心病湿盛风引病机内涵阐微

doi: 10.14148/j.issn.1672-0482.2022.0671

张蒙^1,,
董其美²,
沈建平²,
王新东^{1, 2, ,}

1.
南京中医药大学第三临床医学院，江苏南京 210028
2.
江苏省中西医结合医院董其美全国名老中医药专家传承工作室，江苏南京 210028

基金项目:

董其美全国名老中医药专家传承工作室建设项目国中医药人教函〔2022〕75号

江苏省名老中医专家董其美传承工作室建设项目苏中医科教〔2019〕10号

江苏省研究生科研与实践创新计划项目 SJCX21-0801

详细信息

作者简介:
张蒙，女，硕士研究生，E-mail：20201260@njucm.edu.cn

通讯作者:
王新东，男，副主任中医师，主要从事中医心系疾病的研究，E-mail：wangxindong@jsatcm.com

中图分类号: R228
计量
- 文章访问数: 175
- HTML全文浏览量: 25
- PDF下载量: 22
- 被引次数: 0
出版历程
- 收稿日期: 2022-05-25
- 网络出版日期: 2022-08-05
- 发布日期: 2022-08-10

Explanation on the Pathogenesis of Coronary Heart Disease — Internal Wind Caused by Excessive Dampness

1.
The Third School of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China
2.
Inheritance Workroom of National Distinguished TCM Expert Dong Qi-Mei, Nanjing Integrated Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Nanjing 210028, China

摘要

摘要: 胸阳不振，痰湿阴邪上乘阳位是冠心病的关键病机，认为痰湿阴邪痹阻胸阳乃内风引动痰湿伏邪上乘阳位，痹阻胸中气机所致，提出湿盛风引病机。治疗冠心病以风湿兼治为基本原则，采取健脾、疏肝、温肾以绝湿生之源，燥湿、利湿、化湿以袪已生之湿，平逆、镇潜、清导以消风火之象，并且酌用风药以升阳胜湿等治法，开拓冠心病的中医病机认识与防治思路。
- 冠心病 /
- 胸痹心痛 /
- 湿盛风引 /
- 病机 /
- 治法
Abstract: The key pathogenesis of coronary heart disease is the replacement of yang position by yin pathogens such as phlegm and dampness due to the chest yang insufficiency. It is believed that the obstruction of chest yang caused by phlegm and dampness can lead to the internal wind inducing the latent pathogens like phlegm or dampness to replace the yang position and obstruct the qi movement in the chest. Thus, the pathogenesis — internal wind caused by excessive dampness is put forward. The treatment of coronary heart disease is based on the basic principle of treating both wind and dampness. The treatment methods of strengthening the spleen, soothing the liver, and warming the kidney can be used to eliminate the source of dampness. Besides, the treatments of drying the dampness, draining the dampness, and removing the dampness can be applied to expel the accumulated dampness. In addition, the treatments of calming, tranquilizing, and clearing can also be used to subdue yang and extinguish wind. On top of that, some medicines with the effects of extinguishing wind can be applied to remove the dampness and reinvigorate the chest yang. In conclusion, the above treatments can be adopted to develop the thinking of the Chinese medicine pathogenesis, as well as the prevention and treatment of coronary heart disease.
- coronary heart disease /
- chest stuffiness and pains /
- internal wind caused by excessive dampness /
- pathogenesis /
- treatment

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