基于阳虚阴结探讨温阳法治疗冠心病合并脂代谢异常OA
Warming Yang Method in Treating Coronary Heart Disease Combined with Lipid Metabolism Disorders Based on Yang Deficiency and Yin Concretion
"阳化气,阴成形"是对机体阴阳关系及功能的经典描述,亦是对人体生命活动基本运动形式的概括.病理状态下的"阳化气"不足及"阴成形"太过即"阳虚阴结",是对冠心病合并脂代谢异常的病机概括,阳气亏虚是其发病的内在病理基础,痰瘀互结为其外在表现,扶阳抑阴、温阳散结为该病治疗之关键.临证可采用温通心阳、补脾升阳、壮肾助阳、调肝升阳等法以益火之源治其本,化痰散结以消阴翳治其标,并根据患者的寒热虚实、阴阳偏颇而随证治之,以达温阳不留邪,祛邪不伤正,恢复机体阴阳平衡的目的.
"Yang transforming Qi and Yin forming shape"is a classic description of the relationship and function of Yin and Yang in the body and summarizes the basic form of human life activities.In pathological states,insufficient"Yang transformation of Qi"and ex-cessive"Yin forming shape",referred to as"Yang deficiency and Yin concretion",summarize the pathogenesis of coronary heart dis-ease combined with lipid metabolism disorders.Yang deficiency is the intrinsic pathological basis of its onset,while Phlegm and blood stasis intermingling is its external manifestation.Supporting Yang and suppressing Yin,warming Yang and resolving concretion are key to treating this disease.Clinically,methods such as warming and promoting Heart Yang,tonifying the Spleen and raising Yang,strengthe-ning the Kidney to assist Yang,and regulating the Liver to raise Yang can be used to benefit the source of Fire to treat the root,while transforming Phlegm and dissipating concretion can eliminate Yin obstruction to treat the manifestation.Treatment should be adjusted according to the patient's syndrome of Cold or Heat,deficiency or excess,and Yin-Yang imbalance to achieve the goal of warming Yang without retaining pathogenic factors,eliminating pathogens without harming the body as well as restoring the balance of Yin and Yang.
仝彤;杨玉涵;张笑霄;王擎擎;姚魁武
北京中医药大学,北京 100029北京中医药大学,北京 100029中国中医科学院广安门医院,北京 100053中国中医科学院广安门医院,北京 100053中国中医科学院眼科医院,北京 100040
医药卫生
冠心病脂代谢异常阳虚阴结温阳法
coronary heart diseaselipid metabolism disorderYang deficiency and Yin concretionwarming Yang method
《中医学报》 2026 (6)
1223-1227,5
癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项项目(四大慢病重大专项)(2024ZD0528300,2024ZD0528304)中国中医科学院眼科医院中央高水平中医医院项目(GSP2-02)北京中医药薪火传承"新3+3"工程室站建设项目
评论