冠心病湿盛风引病机内涵阐微

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

  • 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。

     

    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.

     

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