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中药补益膏方对重症心衰“虚劳”的二级预防 被引量:19

Application of cream formula in treatment of severe heart failure
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摘要 膏方多为"虚证""虚劳"而设,现今临床多将膏方用于"治未病",滋补调养,养生寿老,防衰延年,以及预防和治疗慢性疾病。在管理急危重症患者过程中,逐渐认识到,在现代医学中,只有针对疾病的治疗理念与方法,而缺乏针对"虚证"的补虚概念,虚证与"补虚"是中医药针对部分现代医学疾病诊疗方案的有效补充与完善;顽固性心力衰竭、扩张型心肌病、缺血性心肌病、心脏瓣膜病等心血管疾病属于传统的"虚劳"范畴;在治疗重症心力衰竭、扩张型心肌病、缺血性心肌病、心脏瓣膜病等方面,长期服食补益膏方,不仅能够有效减轻症状,提高生活质量,还能改善心脏结构与功能,减少利尿剂用量,减少住院次数,达到二级预防目的;治疗慢性心力衰竭膏方包括温补心肾阳气类方(肾气丸、真武汤、右归丸),利水消肿类方(五苓散、苓桂术甘汤、当归芍药散),健脾益气类方(理中汤、补中益气汤、归脾汤),以及益气固表类方(玉屏风散、桂枝汤);长期服食膏方以补益不仅能够抗老防衰,更能在急危重症及重大疾病的二级预防上发挥不可替代的作用。 Cream formula has been mostly used to treat deficiency syndrome. Currently,it has been used to recuperate the body,promote health against aging,and prevent and treat chronic disease. In modern medicine,there are only treatment concepts and methods of diseases,but lack of concepts of " deficiency syndrome" and " restoring deficiency". The concepts of " deficiency syndrome" and " restoring deficiency" could effectively supplement and improve the diagnosis and treatment scheme of some modern diseases. Refractory heart failure,dilated cardiomyopathy,ischemic cardiomyopathy,and valvular heart disease belong to the traditional category of " consumptive disease". The cream formula with the efficacy of restoring deficiency can not only alleviate symptoms and improve the quality of life,but also improve the structure and function of the heart,reduce the dosage of diuretics and the number of hospitalizations,and achieve the purpose of secondary prevention in the treatment of severe heart failure,dilated cardiomyopathy,ischemic cardiomyopathy and valvular heart disease. The cream formula for treating chronic heart failure include Shenqi Pills,Zhenwu Decoction,Yougui Pills,Wuling Powder,Linggui Zhugan Decoction,Danggui Shaoyao Powder,Lizhong Decoction,Buzhong Yiqi Decoction,Guipi Decoction,Yupingfeng Powder,Guizhi Decoction. Long-term administration of cream formula could not only resist aging,but also play an irreplaceable role in the secondary prevention of acute and critical diseases.
作者 熊兴江 尤虎 苏克雷 XIONG Xing-jiang;YOU Hu;SU Ke-lei(Guang'anmen Hospilal,China Academy of Chinese Medical Sciences,Beijing 1000531 China;Nanjing Benq Hospitaly Nanjing Medical University,Nanjing 210019,China;Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing 210028,China)
出处 《中国中药杂志》 CAS CSCD 北大核心 2019年第18期3903-3907,共5页 China Journal of Chinese Materia Medica
基金 国家自然科学基金项目(81403375,81704199) 中国科协青年人才托举工程项目(2017QNRC001) 中国中医科学院育苗基金培育专项(ZZ11-073) 中国中医科学院中医药健康服务发展专项(ZZ0908048-01)
关键词 膏方 虚劳 心力衰竭 风湿性心脏病 EBSTEIN畸形 缺血性心肌病 cream formula consumptive disease chronic heart failure rheumatic heart disease Ebstein’s anomaly ischemic cardiomyopathy
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