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基于“气血理论”探讨冠脉微循环障碍病机及治法

Exploration into the Pathogenesis and Therapeutic Methods of Coronary Microvascular Disease Based on"Qi and Blood Theory"
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摘要 分析中医“气血理论”在冠脉微循环障碍诊治中的应用,指出约有59%的胸痛患者冠脉造影结果提示未见明显狭窄或病变,究其原因多与冠脉微循环障碍相关。中医认为血液畅行于脉中,须以心气充沛、血液充盈、脉道通利为基本条件;气血调和则血行顺畅,气血失和则血行不畅,心脏失于濡养,从而出现心绞痛症状,临证尤以虚实相兼常见;治疗应注重调理气血。 By analyzing the application of"Qi and blood theory"of TCM in coronary microvascular disease (CMD), it is pointed out that around 59% of patients with chest pain showed no obvious stenosis or lesions, thereasons are mostly related to CMD. Chinese medicine believes that blood flowing freely through the veins dependson abundant heart Qi, full of blood and smooth pulse;the harmony of Qi and blood makes blood flow smoothly,disorder of Qi and blood could cause the poor blood circulation and loss of heart nourishment, resulting in anginapectoris, commonly belonging to the pattern of deficiency mixed with excess in clinic, and the treatment shouldattach importance to regulation of Qi and blood.
作者 李艺 张艳 孙晓宁 LI Yi;ZHANG Yan;SUN Xiaoning(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;The First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)
出处 《西部中医药》 2023年第11期120-123,共4页 Western Journal of Traditional Chinese Medicine
基金 国家中医药行业科研专项(201407001-6A)。
关键词 心绞痛 微血管性 冠脉微循环障碍 病因病机 气血理论 治法 angina pectoris,microvascular coronary microvascular disease cause and pathogenesis Qi and blood theory therapeutic method
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