田瑜从痰瘀论治运用枳实薤白桂枝汤加减治疗胸痹临床经验
Clinical Experience in the Treatment of Chest Paralysis with the Addition and Subtraction of Aurantii immaturi, Allii macrostemi, and Ramuli cinnamomi Decoction by Tian Yu from the Perspective of Phlegm and Blood Stasis Theory

胸痹属于常见的心血管系统病症，是慢性疼痛性与缺血性病症，发病率较高。其主要表现为胸部闷痛、心悸，严重时会有呼吸困难和濒死感。在中医理论里，胸痹属于典型的“胸痹心痛”范畴，和气血瘀滞、心脉痹阻有紧密联系。现代医学在胸痹的治疗上，如采用药物治疗、介入治疗等方式，虽然能在一定程度上减轻症状，但有着副作用，像耐药性、过敏反应以及其他各类并发症等，这让患者在治疗期间承受额外的身心压力。中医在胸痹治疗方面的独特优势正逐渐受到重视。中医依据整体观念与辨证论治的原则，采用个性化的治疗方案，目的在于从根本上调节脏腑功能、疏通气血经络，进而改善胸痹症状。文章通过一则典型医案，详细阐述田瑜老师谨守病机，从痰瘀论治，运用枳实薤白桂枝汤化裁方法来治疗胸痹的临床经验。不但有效减轻了患者胸痛、心悸等主要症状，还体现出中医药在胸痹治疗中整体调理、副作用小的显著优势。这一成功案例为胸痹的临床治疗，从痰瘀论治方面提供了新的思路与方法，有望造福更多胸痹患者。
Chest palsy is a common cardiovascular condition, a chronic painful and ischemic condition with a high prevalence. Its main manifestations are chest pain, palpitations, and, in severe cases, dyspnea and a sense of dying. In Chinese medicine theory, chest paralysis belongs to the typical category of “chest paralysis and heart pain”, which is closely related to the stagnation of Qi and blood and paralysis of heart veins. In modern medicine, the treatment of chest paralysis, such as the use of medication, interventional therapy, etc., can alleviate the symptoms to a certain extent, but there are side effects, such as drug resistance, allergic reactions, and other kinds of complications, which make the patient during the treatment period to bear additional physical and mental stress. The unique advantages of TCM in the treatment of thoracic paralysis are gradually being emphasized. Based on the principles of the holistic concept and evidence-based treatment, TCM adopts individualized treatment plans, aiming to fundamentally regulate the functions of internal organs, dredge Qi, blood, and meridians, and then improve the symptoms of chest paralysis. In this article, a typical case is presented to illustrate the clinical experience of Ms. Tian Yu in treating chest paralysis with Aurantii immaturi, Allii macrostemi, and Ramuli cinnamomi Decoction, based on the principle of phlegm and blood stasis, which not only effectively relieved the patient’s chest pain, but also reduced the pain of the patient’s chest pain. This case not only effectively alleviated the patients’ main symptoms, such as chest pain and palpitation, but also demonstrated the significant advantages of Chinese medicine in the treatment of chest paralysis, such as holistic management and low side effects. This successful case provides new ideas and methods for the clinical treatment of chest paralysis and the treatment of phlegm and blood stasis and is expected to benefit