通补开泄法治疗冠心病(胸痹)秽浊痰阻证的中西医理论基础探析OA

Coronary heart disease(Chest Bi)with Turbid-Damp Phlegm Obstruction syndrome is a syndrome pro-posed by Xinjiang physicians based on the characteristics of the northwest region.The interweaving of three factors—"Heavenly Turbidity,Earthly Dampness,and Human Turbidity"—with Phlegm-Stasis Cementing and obstructing the heart vessels makes treatment difficult.The Tongbu Kaixie(unblocking-supplementing-opening-discharging)method is grounded in the principles of"treat deficiency with supplementation"and"can be unblocked and discharged"from the"Huangdi Neijing"(Inner Canon of the Yellow Emperor),inherits ZHANG Zhongjing's formulation of combined unblocking and supplementation,and integrates YE Tianshi's method of"unblocking Yang and opening-discharging."It is established for the core pathogenesis of"Root Deficiency and Branch Excess"in Chest Bi.The method proposes that"all Five Zang and Six Fu organs can cause Chest Bi and heart pain,not only the heart."It uses"supplementa-tion"to consolidate the root and nourish the original,"unblocking"to circulate blood and remove stasis,"opening"to ventilate Lung Qi and resolve phlegm,and"discharging"to drain turbidity and free bowel movements.This paper sys-tematically analyzes the theoretical basis and clinical application of this method from both traditional Chinese medicine and modern medicine perspectives,providing references for clinical treatment.