胸痹心痛病因病机、用药规律综述

Chest distress and heartache: a review of etiology, pathogenesis, and medication laws

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DOI 10.12208/j.ijcr.20240044
刊名
International Journal of Clinical Research
年,卷(期) 2024, 8(2)
作者
作者单位

重庆医科大学中医药学院 重庆 ;
重庆市铜梁区中医院 重庆 重庆医科大学中医药学院 重庆 ;

摘要
本文主要从古代医家与现代医家两个方面对胸痹心痛的中医病名认识、病因病机、用药规律等方面进行总结,较系统地总结出了古代医家对胸痹心痛的病因病机认识为瘀血所致、饮食所伤、热邪所致、外感所致,现代医家对胸痹心痛的病因病机认识为以虚为本、以实为标、虚实夹杂等。并在此基础上总结出了瘀毒从化说、心脾痰瘀相关说、热毒说、络病学说、浊毒学说、体虚血瘀说等学说,并在这些学说中指出了用药规律,其中着重从现代中医学者在继承先贤基础上对于胸痹心痛的病因病机及用药方略加以介绍。最后,本文希望为有效防治胸痹心痛提供重要的学术理论意义和临床实用价值。
Abstract
This article mainly summarizes the understanding of the TCM disease name, etiology and pathogenesis, and medication principles of chest discomfort and heartache from the perspectives of ancient and modern medical doctors. It systematically summarizes that the ancient medical doctors recognized the pathogenesis of chest discomfort and heartache as being caused by blood stasis, dietary injury, heat evil, and external pathogenic factors, while the modern medical doctors recognized the pathogenesis as being based on deficiency, manifested by excess, or mixed of deficiency and excess. On this basis, it summarizes various theories including the theory of toxin transformation from stasis, the theory of heart-spleen phlegm and stasis, the theory of heat-toxin, the theory of collaterals diseases, the theory of turbid-toxin, and the theory of deficiency and blood stasis, and points out the medication principles in these theories. Among them, it focuses on introducing the etiology and pathogenesis and medication strategies of chest discomfort and heartache by modern TCM scholars based on the inheritance of their predecessors. Finally, this article hopes to provide important theoretical and practical value for the effective prevention and treatment of chest discomfort and heartache.
关键词
胸痹心痛;文献研究;病因病机;用药规律
KeyWord
Chest Distress and heartache; Literature research; Pathogenesis and pathology; Medication rules
基金项目
页码 39-43
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杨涛*,万贵来,周渭,黄学宽*. 胸痹心痛病因病机、用药规律综述 [J]. 国际临床研究杂志. 2024; 8; (2). 39 - 43.

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