|
田芬兰教授胸痹治验三则
|
Abstract:
胸痹以心前区憋闷疼痛,兼以乏力、汗出等症多见。相当于西医学冠心病范畴,西医常予药物治疗、介入支架、冠状动脉旁路移植术等以缓解症状。中医药治疗胸痹以心为中心,兼治他脏,调节机体阴阳,使机体整体调和。胸痹之病记载历史悠久,祖古医学对胸痹的病因病机、治疗随着朝代的更迭各家学术思想百花齐放,现通过田芬兰教授治疗胸痹三则来阐述田芬兰教授对胸痹治疗的“痰瘀互结,五脏相关”“整体施治,调节阴阳”“五脏一体观”等学术思想。
Chest obstruction is characterized by discomfort and pain in the precordial area, as well as symptoms such as fatigue and sweating. Equivalent to the category of coronary heart disease in Western medicine, Western medicine often provides medication treatment, interventional stents, coronary artery bypass grafting, etc. to alleviate symptoms. Traditional Chinese medicine focuses on treating chest obstruction with the heart as the center, while also treating other organs, regulating yin and yang in the body, and achieving overall harmony. The disease of chest obstruction has a long history of recorded history. With the change of dynasties, various academic thoughts on the etiology, pathogenesis, and treatment of chest obstruction have flourished in ancient medicine. Now, through Professor Tian Fenlan’s three principles of treating chest obstruction, we will elaborate on his academic ideas on the treatment of chest obstruction, such as “phlegm and blood stasis are intertwined, the five organs are related”, “holistic treatment, regulating yin and yang”, and “the view of the integration of the five organs”.
[1] | 魏新冬, 袁宏伟. 田芬兰运用当归四逆汤加减治疗原发性痛经经验[J]. 中国民间疗法, 2022, 30(16): 26-29. |
[2] | 周悦, 陆曙. 冠状动脉粥样硬化性心脏病的中医药研究治疗新进展[J]. 四川中医, 2013, 31(8): 180-182. |
[3] | 国家卫生计生委合理用药专家委员会. 冠心病合理用药指南(第2版) [J]. 中国医学前沿杂志(电子版), 2018, 10(6): 1-130. |
[4] | 尹嘉, 洪曹栋, 牛天福. 冠心病的中医研究进展[J]. 中医研究, 2019, 32(12): 76-80. |
[5] | 余臣祖. 曹玉山教授学术思想与辨治冠心病的临床经验研究[D]: [硕士学位论文]. 北京: 中国中医科学院, 2016: 101. |
[6] | 石伊娜, 陈金锋, 杨波, 等. 国医大师雷忠义论治冠心病痰瘀互结致气虚证的探究[J]. 辽宁中医药大学学报, 2023, 25(5): 127-130. |
[7] | 李辉, 邱仕君. 邓铁涛教授对“痰瘀相关”理论的阐释和发挥[J]. 湖北民族学院学报(医学版), 2005, 22(1): 45-47. |
[8] | 曹旭焱, 朱林平, 李侠, 等. 于志强胸痹临证验案赏析[J]. 湖北中医杂志, 2019, 41(1): 19-21. |
[9] | 陈凯丽, 陈则钢, 王志汕, 等. 从“阳微阴弦”论治胸痹心痛[J]. 福建中医药, 2023, 54(2): 48-49+52. |
[10] | 张名奇, 朱林平. 桂枝的量效与配伍关系研究[J]. 河北中医, 2021, 43(9): 1571-1574. |
[11] | 李姜昊, 陈波, 宗婧. 经方柴胡加龙骨牡蛎汤的应用研究进展[J]. 中西医结合心血管病电子杂志, 2016, 4(34): 173-175. |
[12] | 杜晓雪, 刘莉. 柴胡加龙骨牡蛎汤加减治疗冠心病心绞痛合并焦虑状态临床疗效观察[J]. 世界最新医学信息文摘, 2018, 18(A2): 295-296+299. |
[13] | 杨小娟, 袁宏伟, 张梦桥. 田芬兰治疗扩张型心肌病验案1则[J]. 湖北中医杂志, 2023, 45(4): 21-23. |