首页|期刊导航|中医研究|杨积武基于"脾-胆-心轴"理论采用和枢涤痹汤治疗冠心病经验

杨积武基于"脾-胆-心轴"理论采用和枢涤痹汤治疗冠心病经验OA

Yang Jiwu Used Heshu Dibi Decoction to Treat Chest Pain Based on the Theory of 'Spleen-Gall-bladder-Heart Axis'

中文摘要英文摘要

冠心病归属于中医学"胸痹心痛""真心痛""厥心痛"范畴.全国名中医杨积武教授提出"脾-胆-心轴"理论,指出冠心病的核心病机是脾虚-胆郁-痰瘀.具体而言,脾胃亏虚、浊阴上僭为心脉痹阻之始,胆郁火炽、枢机逆乱为气火交阻之枢,痰瘀互结、心络窒塞为胸痹成痼之终.基于此,杨积武提出燮理中焦枢机、疏泄少阳胆火、涤痰逐瘀通络三大治法,创制和枢涤痹汤,临床随证加减,疗效肯定.举验案 1 则.

Coronary heart disease belongs to the category of "chest pain","true heart pain" and "Jue heart pain" in traditional Chinese medicine.Professor Yang Jiwu put forward the theory of"spleen-gallbladder-heart axis",and pointed out that the core pathogenesis of coronary heart disease is "spleen deficiency-gall-bladder depression-phlegm and blood stasis".Specifically,the deficiency of spleen and stomach and the arrogation of turbid yin are the beginning of the obstruction of heart vessels,the stagnation of gallbladder fire and the disorder of pivot are the pivots of qi and fire,and the accumulation of phlegm and blood sta-sis and the obstruction of heart collaterals are the end of chest obstruction.Based on this,Yang Jiwu,a famous Chinese medicine doctor,proposed the three major treatment methods of regulating the central en-ergizer,dredging Shaoyang gallbladder fire,and removing phlegm,removing blood stasis and dredging collaterals,and created Heshu Dibi Decoction,which was clinically modified according to the syndrome and had a positive effect.This paper summarizes the academic thoughts and clinical experience of Yang Jiwu,in the treatment of thoracic obstruction,in order to provide new ideas for clinical diagnosis and treatment.One case.

刘晓凡;杨莺

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学附属医院,辽宁 沈阳 110032

医药卫生

脾-胆-心轴冠心病治法和枢涤痹汤杨积武名医经验

spleen-gallbladder-heart axiscoronary heart diseasetreatmentHeshu Dibi DecoctionYang Jiwuexperience of famous doctors

《中医研究》 2026 (3)

25-29,5

10.3969/j.issn.1001-6910.2026.03.07

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