摘要
自中国引进介入技术治疗冠状动脉粥样硬化性心脏病(简称冠心病)开始,对支架术前后患者的中医证治研究不断出现,但以研究辨证分型及预防再狭窄为主,对术后心胃不和引起的各种主观症状并未形成统一标准,孔令彪主任基于“心胃同治”理论,认为胸痹其本质即为胸中血脉瘀阻,而“胸中”则包含了心与胃,从生理层面上讲,心、胃二者之间位置相邻、功能相依、经脉相通;从五行方面分析,心、胃二者系母子关系,心属火,脾胃属土,火土相互滋生,相互助长。当心火受损、心阳不振时,脾胃的运化功能则容易受损;当阳明客气上逆,则会造成心胃不和、心神不安;所以冠状动脉支架术后患者容易出现嗳气、打嗝、腹胀等脾胃系统的症状,可看作是“心胃同病”。从心胃学说出发,治疗时将心、胃看作统一的整体,在判断心胃同病的过程中,要分清母子同病的因果先后具体情况,要把握“心主血脉、主神志,脾主升、胃主降”的生理功能,就心病而言,心主神明,神安则五脏六腑安,所以安神为第一要义,就脾胃而言,胃以降为顺,脾以升为贵,脾升胃降则气机和顺,气和则心神安宁,所以当以调和血脉,调畅气机,以和为贵,以平为期,兼以活血、化瘀、安神治疗冠状动脉支架术后心胃不和症状,以达到标本兼治的目的。
Since the introduction of interventional technology in the treatment of coronary heart disease in China,the research on TCM syndrome treatment of patients before and after stenting has been constantly emerging.However,most of them focus on the study of syndrome differentiation and prevention of restenosis,and there is no unified standard for various subjective symptoms caused by postoperative cardio-gastric disharmony.Director KONG Lingbiao,based on the theory of“simultaneous treatment of heart and stomach”,believes that the essence of chest arthralgia is blood stasis in the chest,while“chest”contains the heart and stomach.From the physiological level,the two are adjacent,functional interdependent,and the meridians are connected.From the perspective of the five elements,heart and stomach are mother and child relations,heart belongs to fire,spleen and stomach belong to earth,fire and earth breed and encourage each other.When the heart fire is damaged and the heart Yang(阳)is depressed,the transport function of the spleen and stomach is easily damaged.When Yangming(阳明)Qi reverses,it will cause heart and stomach disharmony.Therefore,patients after coronary artery stenting are prone to suffer from belching,hiccup,abdominal distension and other symptoms of the spleen and stomach system,which can be regarded as“heart and stomach disease”.Starting from the theory of the heart and stomach,the heart and stomach should be regarded as a unified whole in the treatment.In the process of judging the disease of the heart and stomach,the cause and effect of the disease of the mother and child should be distinguished.Grasping the physiological function of“the heart is in charge of blood and emotions,the spleen is in charge of asending,the stomach is in charge of descending”,as far as the heart disease is concerned,the heart is the god,which leads to the harmony between the five Zang(脏)and six Fu(腑)organs,therefore,calming the heart is given priority in treatment.As for the spleen and stomach,spleen is in
作者
郝振华
王小姝
孔令彪
HAO Zhenhua;WANG Xiaoshu;KONG Lingbiao
出处
《中医临床研究》
2022年第33期101-103,共3页
Clinical Journal Of Chinese Medicine
关键词
经皮冠状动脉介入术术后
心胃不和
心胃同治
After PCI
Disharmony between heart and stomach
Simultaneous treatment of heart and stomach
