【作者】 张丽娜；

【导师】 杨旭；

【作者基本信息】 黑龙江中医药大学 ， 中医基础理论， 2006， 硕士

【摘要】 本文通过对《黄帝内经》心痹心痛理论的挖掘整理,发现心痹心痛在发病病因、发病机理、临床表现、疼痛的特点等方面与冠心病心绞痛具有相关性。通过对二者的对比研究,认为心痹心痛与冠心病心绞痛是相关疾病。 依据《黄帝内经》心痹心痛理论,本文提出心痹病位在心。病理是心包之络脉阻滞不通,导致心主气血虚少而出现疼痛。其与冠心病心绞痛的冠状动脉粥样硬化,血管舒缩功能降低,血小板聚集及冠脉痉挛等诸多因素而致冠状动脉管腔狭窄,心肌供血供氧不足,引起疼痛的特点相一致。病理的核心是心包之络脉(冠状动脉)的痉挛、阻滞甚至闭塞不通,由此而导致心主(心脏)气血虚少(缺血缺氧)。 针对心痹心痛,冠心病心绞痛发病的病因、病理、病证发生的标本先后关系,本文认为本病是本实标虚。血涩脉急在先,为病之本,属实;而心主气血亏虚在后,为病之标,属虚。这一疾病过程非常短暂,后者往往伴随前者几乎同时出现,为此考虑心痹心痛是虚实共见的疾病。 根据心痹心痛发生的病因、病理,本文提出按照标本同治、补泻兼施的原则,采取活血化瘀、益气温阳之法进行治疗。 依据上述治则治法,并根据中药性味归经、药物功效以及中药现代药理研究和临床应用筛选药物,按照传统制方原则及药物配伍关系进行组方和方药的加减。更多还原

【Abstract】 With sorting the theory of heart obstruction and precordial pain in Yellow Empero’ s Canon Internal Medicine.It is discovered that angin pectoris is correlated with heart obstruction and precordial pain in respect of etiology,mechanisn of disease,clinical presentation and ache.there are related to contrast angina pectoris with theory of heart obstruction and precordial pain .According to the theory of heart obstruction and precordial pain in Yellow Empero’ s Canon Internal Medicine,heart obstruction appears in the heart .the pathology is that LUO-MAI in accord with the heart blocks to cause the control of Qi and Xue by the heart little,and the patient appears ache.There are many factors to lead to the coronary artery tube decreasing in caliber and the insufficient blood and oxgen of the myocardial,for example,coronary atherosclerotic disease,angina pectoris,the relaxed and contractible fuction of the blood vessel lower,the blood platelets together and coronary atherial spasm,Ache which the coronary artery tube decreasing in the caliber and the insufficient blood and oxygen of the myocardial cause is consistent with heart obstruction.the core of the pathology is that MAI-LUO(coronary artery) is spasmodic, blocked,impassable to cause Qi and Xue of the heart little.(lack blood and oxygen).Aiming at heart obstruction and precordial pain,the etiology pathology,the disease certificate of angina pectoris.the disease is that the excess sydrome marks the deficiency sydrome.uneven blood and shrinking pulse is previous, which is a disease of the excess sydrome.Qi and Xue in shortage is after,which is a disease of the deficience sydrome.this process is very brief,the usually accompanies with the former almost to appear in the same time.So heartobstruction and precordial pain is a disease that the deficiency Syndrome and the excess sydrome are together.Deploring the etiology and pathogy of heart obstruction and precordial pain,according to the pinciple of simutaneous treatment of the cause and symptoms,giving both reinforcing and reucing methods.the thesis adopts to activate blood circulation and remove stasis,to promote Qi and strengthen yang to carry on a treatment.A-ccording to therapeutic method and therapeutic principle,property and channel-tropism,the medicine function,the Chinese herbal medicine modern pharmacological research and clinical application seving medicine. According to the traditional principle of making up prescription and medical combination,prescription is made up, the Chinese medical formulary is added and sutracted mutually.更多还原