摘要
慢性心衰为多种心血管疾病的终末期,其病理机制尚未完全明确,目前缺乏行之有效的诊疗方案。该文从辨证思路、治疗方法、验案分析等方面系统阐述胡志希教授辨治慢性心衰的学术思想与临证经验。辨证思路上,提出"虚气留滞"为基本病机,"虚气"为发病之本、"留滞"为发病之标,两者互为因果、相互促进;"心肾不交"是关键环节,注重基于心肾系统进行辨证;原发病具有提示意义,以疾病为纲开展辨证,从微观特征中探寻中医证型。治疗方法上,主张汇通中西、病证同治,谨守病机、阴阳分治,立足整体、交通心肾。胡教授在辨治过程中注重动态观察、整体审视、紧扣病机、中西结合,可有效延缓疾病进展,改善患者生存质量,其学术思想值得深入整理与挖掘。
Chronic heart failure is the terminal stage of a variety of cardiovascular diseases.Its pathological mechanism has not been fully defined,and currently there is a lack of effective treatment plan.This paper systematically expounded Professor HU Zhixi′s academic thought and clinical experience in the diagnosis and treatment of chronic heart failure from the aspects of syndrome differentiation,treatment methods,case analysis and so on.In the thought of syndrome differentiation,it is put forward that“Qi deficiency and stagnation”is the basic pathogenesis,“Qi deficiency”is the root of the disease,and“stagnation”is the manifestation of the disease,of which the two are cause and effect and promote each other.“Heart-kidney imbalance”is the key link,which pays attention to syndrome differentiation based on the heart and kidney system.The primary disease has hint significance,indicating to take the disease as the outline to carry out syndrome differentiation,and explore TCM syndrome types from the microscopic characteristics.In terms of treatment,it advocates confluence of traditional Chinese and western medicine,simultaneous treatment of disease and syndrome,strictly keep pathogenesis,separate treatment of Yin and Yang,based on the whole body,and coordinating the heart and kidney.Professor HU pays attention to dynamic observation,overall examination,close attention to pathogenesis and the combination of traditional Chinese and Western medicine in the process of differentiation and treatment,which can effectively delay the progress of the disease and improve the quality of life of patients.His academic thoughts are worthy of in-depth arrangement and excavation.
作者
钟森杰
杨梦
黄淑敏
方格
张倩
胡志希
李琳
ZHONG Senjie;YANG Meng;HUANG Shumin;FANG Ge;ZHANG Qian;HU Zhixi;LI Lin(Diagnostic Institute of Hunan University of Chinese Medicine,Changsha 410208,Hunan,China)
出处
《辽宁中医杂志》
CAS
2021年第12期21-23,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81774208)
湖南省自然科学基金(2020JJ4062,2020JJ5408,2019JJ50447)
湖南省中医药管理局袁肇凯名师工作室项目
关键词
慢性心衰
辨证论治
临证经验
胡志希教授
chronic heart failure
treatment based on syndrome differentiation
clinical experience
Professor HU Zhixi
