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李庆海治疗慢性冠脉综合征常用角药经验OA

Li Qinghai's Experience of Using Triangle Drugs to Treat Chronic Coronary Syndrome

中文摘要英文摘要

李庆海教授提出慢性冠状动脉综合征核心病机为气虚痰瘀互结,虚实夹杂,临证注重补虚与通痹.李教授临床善用角药,重用益气扶正药物以治本,活血豁痰通痹药物以治标,协调脏腑功能,以达气血冲和、血脉调畅.针对慢性冠脉综合征病机与症状,李教授常用黄芪-人参-白术上补心肺之气,中补脾气,下补元气,倍增补气之效,意在气旺则血行;三七-红花-蒲黄养血活血,调和血脉;丹参-三棱-莪术活血化瘀,通利血脉;瓜蒌-薤白-半夏燥湿化痰,宽胸散结;浙贝母-黄连-苍术清热化痰,散结消痞;水蛭-蜈蚣-鳖甲破血攻坚,搜风通络;淫羊藿-桑寄生-巴戟天补肾助阳,鼓舞肾气.同时不忘配伍陈皮-麦芽-鸡内金消食导滞,顾护胃气.附验案 1 则.

Professor Li Qinghai proposes that,the core pathogenesis of chronic coronary syndrome is intermingling of Qi deficiency with phlegm and blood stasis.In clinical practice,professor Li emphasizes on supplementing Qi and strengthening the body resistance to treat the root cause.He often uses triangle drugs to activatie blood,resolve phlegm and remove impediment to address the manifestations,to coordinate the functions of the viscera,achieve harmony of Qi and blood,smooth circulation of the vessels.Accoring to the pathogenesis and symptoms of chronic coronary syndrome,Professor Li often uses the following triangle drug conbinations:using Huangqi(Astragali Radix)-Renshen(Ginseng Radix et Rhizoma)-Baizhu(Atractylodis Macrocephalae Rhizoma)to enhance supplement Qi of heart and lung,strengthen spleen Qi,and tonify vital energy,multiply the effect of supplement Qi.Abundant Qi can promote blood circulation.Sanqi(Notoginseng Radix et Rhizoma)-Honghua(Carthami Flos)-Puhuang(Typhae Pollen)can nourish blood,activate blood,and harmonize the blood vessels.Danshen(Salviae miltiorrhizae Radix et Rhizoma)-Sanleng(Sparganii Rhizoma)-Ezhu(Curcumae Rhizoma)can invigorate blood circulation,eliminate blood stasis,and unblock the vessels.Gualou(Trichosanthis Fructus)-Xiebai(Allii Macrostemonis Bulbus)-Banxia(Pinelliae Rhizoma)can dry dampness,resolve phlegm,relieve chest stuffiness,and disperse nodules.Zhebeimu(Fritillariae Thunbergii Bulbus)-Huanglian(Coptidis Rhizoma)-Cangzhu(Atractylodis Rhizoma)can clear heat,resolve phlegm,disperse nodules,and eliminate stuffiness.Shuizhi(Hirudo)-Wugong(Scolopendra)-Biejia(Moschus)can eliminate blood stasis,attack hard accumulations,search out wind and dredge the collaterals.Yinyanghuo(Epimedii Folium)-Sangjisheng(Taxilili Herba)-Bajitian(Morindae Officinalis Radix)can tonify kidney Yang and invigorate kidney Qi.Chenpi(Citri Reticulatae Pericarpium)-Maiya(Hordei Fructus Germinatus)-Jineijin(Galli Gigerii Endothelium Corneum)can relieve food stagnation and protect stomach Qi.One proven case is attached.

李赛赛;刘冲冲;焦丽华;张志国

阜外华中心血管病医院,河南 郑州 451400河南中医药大学第一附属医院,河南 郑州 450000河南中医药大学第三附属医院,河南 郑州 450003河南中医药大学第三附属医院,河南 郑州 450003

医药卫生

慢性冠脉综合征角药李庆海名医经验

chronic coronary syndrometriangle drugsLi Qinghaiexperience of renowned physician

《中医研究》 2026 (5)

22-26,5

国家自然科学基金青年科学基金项目(82405289)河南省中医药科学研究专项课题(2023ZXZX1175)全国名中医药专家传承工作室建设项目(国中医药人教函[2022]75号)

10.3969/j.issn.1001-6910.2026.05.06

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