基于"虚气留滞,温药和之"论冠心病与颈动脉粥样硬化的异病同治OA

Coronary heart disease and carotid atherosclerosis both belong to atherosclerotic diseases.They share the same etiology and related pathological mechanisms,and comorbidity is common in clinical practice.Their coexistence significantly increases the risk of se-vere cardiovascular and cerebrovascular events such as myocardial infarction and ischemic stroke.Analyzing the common patterns of the two diseases,cold pathogenic factors are considered the initiating cause,while"Xu Qi"represents the fundamental deficiency and Yang depletion.Over time,the Cold pathogen contracts the channels,leading to stagnation and accumulation of turbid substances,forming pathological changes characterized by Cold congealment,Phlegm and Turbidity,blood stasis as well as toxic pathogen retention.Clinical-ly,the theory of"treating from perspective of Cold"is advocated,and the treatment of this comorbidity should follow the principle of"Wen Yao He Zhi",adhering to the concept of"Yi Wen Wei Tong and Yi Wen Cu Tong".The treatment plan is constructed around warming and regulating Qi and blood to support the healthy energy,dispersing Cold and clearing Turbidity,activating blood circulation to warm and remove stasis,and detoxifying to open the channels and resolve deposits.Prescriptions and medications are flexibly applied ac-cording to the transformation of Cold and Heat in the disease mechanism,thereby invigorating Yang energy,dispersing Cold-Turbidity accumulation as well as harmonizing Yin and Yang,achieving favorable therapeutic effects each time.