冠心病作为心血管疾病死亡的主要原因,明确中医与西医治疗上的优势与局限对运用中西医结合的方式防治冠心病具有重要意义.笔者以冠心病各阶段病理特点、证候特点为基础,认为冠心病各病理阶段之间具有因果相连、递进发展的特点,中医证候演变上具有时序性的特点,提出冠心病各阶段之间存在"病—时"相应的特点,各证侯之间存在"证—时"相应的特点,凝练形成冠心病"病—证—时"的理念,形成了针对冠心病未病、已病、病瘥等相关的心血管事件链应用中西药联合、分阶段、全时程干预的思路.同时探讨了不同阶段中西医治疗的优势及局限,为中西医结合诊治冠心病提供思考.
Coronary heart disease(CHD)is the main cause of death from cardiovascular disease.It is of great significance to identify the advantages and limitations of Chinese medicine(CM)and Western medicine in the treatment of CHD.Based on the pathological characteristics and syndromes of each stage of CHD,this paper believes that each pathological stage of CHD has the characteristics of causal connection and progressive development,and the evolution of CM syndromes has the characteristics of time sequence.It proposes that there are corresponding characteristics of"disease-time"between each stage of CHD and"syndrome-time"between each syndrome.The concept of"disease-syndrome-time"of CHD was consolidated,and the idea of applying Chinese and Western medicine combination,phased and full-time intervention,is formed for the chain of cardiovascular events related to non-diseased,diseased,and diseased rehabilitation.At the same time,the advantages and limitations of CM and Western medicine treatment at different stages are discussed,providing thoughts for the diagnosis and treatment of CHD by integrated CM and Western medicine.
耿小飞;范新彪;严志鹏;尚文钰;张弛;李文秀;张军平
天津中医药大学第一附属医院,国家中医针灸临床医学研究中心(天津 300381)
冠心病;时序性;病证结合;临证思考;中西医结合
coronary heart disease;sequential nature;combination of disease and syndrome;clinical thinking;integrative medicine
《中国中西医结合杂志》 2024 (005)
603-607 / 5
中医药传承与创新"百千万"人才工程(岐黄工程)岐黄学者专项资助(No.国中医药人教函[2021]203号);天津市卫生健康委名中医项目(No.津卫中[2020]732号)
10.7661/j.cjim.20240205.093
评论