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基于雷忠义“痰瘀同治”法治疗冠心病合并脑梗死“心脑同治”的经验探析

Exploration and analysis on experience in the treatment of “treating both heart and brain” for coronary heart disease combined with cerebral infarction based on Lei Zhongyi’s “treating both phlegm and blood stasis” method

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【作者】 张祥; 范虹; 杨佳; 时岩; 董洁; 马滨; 李佼矫; 田恩成;

【Author】 ZHANG Xiang;FAN Hong;YANG Jia;SHI Yan;DONG Jie;MA Bin;LI Jiaojiao;TIAN Encheng;College of Integrated Traditional Chinese and Western Medicine, Shaanxi University of Chinese Medicine;Department of Cardiology, Shaanxi Provincial Hospital of Traditional Chinese Medicine;Institute of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences;

【通讯作者】 范虹;

【机构】 陕西中医药大学中西医结合学院; 陕西省中医医院心病科; 中国中医科学院中医临床基础医学研究所;

【摘要】 “痰瘀同治”与“心脑同治”是基于中医整体观念和辨证论治思想的重要治疗原则,是异病同治和整体调治的治疗策略,在现代心脑血管疾病的防治中具有独特优势。雷忠义国医大师及其流派团队长期致力于心病痰瘀毒风互结理论的研究,针对冠心病合并脑梗死,认为其核心病机为心脑失用,痰瘀互结,提出“痰瘀同治,心脑同治”的治疗法则。临床运用“痰瘀同治”法,化痰散结、活血化瘀,根据痰瘀盛衰,在心在脑,灵活加减应用,效果显著。进一步探讨心脑同病的病机关键,以及“心脑同治”“痰瘀同治”的科学内涵和具体应用,旨在为冠心病合并脑梗死的防治提供更好的方法与策略,以期提高临床效果。

【Abstract】 “Treating both phlegm and blood stasis” and “treating both heart and brain” are important treatment principles based on holistic concept of traditional Chinese medicine and the theory of syndrome differentiation and treatment, are treatment strategies for treating different diseases with same method and overall adjustment, has unique advantages in the prevention and treatment of modern cardiovascular and cerebrovascular diseases. National Master of Traditional Chinese Medicine Lei Zhongyi and his school team have long been committed to research of the theory of intermingled phlegm, blood stasis, toxin, wind in heart disease, regarding coronary heart disease combined with cerebral infarction, believes that core pathogenesis is loss of function in heart and brain, intermingled phlegm and blood stasis, proposes therapeutic principle of “treating both phlegm and blood stasis, treating both heart and brain”. Clinical application of “treating both phlegm and blood stasis” method involves resolving phlegm, dispersing stagnation, promoting blood circulation, and removing blood stasis, based on rise and fall of phlegm and blood stasis, flexible adjustments are made to heart and brain, the effect is significant. Further explore key pathogenesis of heart and brain diseases, and scientific connotation and specific application of “treating both heart and brain”, “treating both phlegm and blood stasis”, aims to provide better methods and strategies in the prevention and treatment of coronary heart disease combined with cerebral infarction, in order to improve clinical effect.

【基金】 国家中医优势专科建设项目(国中医药医政函[2024]90号);中国中医科学院科技创新工程-中国中医科学院学部委员学术传承与传播专项项目(CI2022E040XB)
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2026年14期
  • 【分类号】R249;R259
  • 【下载频次】24
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