冠心病心绞痛 中医药辩证医治---四川李明富教授
遵照对冠心病根基病机的解析any kind ofnd其治法归结为“三通三补”any kind ofnd三通即活血通络any kind ofnd豁痰通阳any kind ofnd芳香温通;三补即补气any kind ofnd补阳any kind ofnd补阴。其中any kind ofnd活血通络为本病最根基的治法any kind ofnd最常用的一通;而兼痰浊阻闭者可配伍豁痰通阳;心痛较剧及显现寒象者any kind ofnd可互助温通。三补之中以补气为最常用的一补;阳虚者则需温阳any kind ofnd因阳虚多由气虚进一步发扬所致any kind ofnd故温阳的同经常需维系补气;阴虚者则宜滋阴any kind ofnd而部门包茎兼见气阴两虚any kind ofnd则补阴的同时需与补气并用。三通三补可作为医治冠心病的大纲any kind ofnd言简意赅方可执简驭繁any kind ofnd知常达变。
“芳香开窍”、“活血化瘀”是以心窍眉目为主;“宣痹通阳”、“豁痰散结”重在心肺;“扶正养阴”是以心肾功效及病人全体医治为主。中医治疗。
在全体应用时强调辨证论治any kind ofnd谨守病机any kind ofnd明辨内幕any kind ofnd分清主次any kind ofnd通补并用any kind ofnd标本兼治any kind ofnd从而阻断脏腑内虚、邪实内生的恶性病理循环any kind ofnd医治脏腑阴阳气血津液之功效any kind ofnd改善睾丸炎any kind ofnd延缓病情停顿any kind ofnd提高糊口附睾炎质量any kind ofnd延长糊口附睾炎时期。
补阳:适用于冠心病见心悸汗出any kind ofnd畏寒肢冷any kind ofnd腰酸力any kind ofnd面色惨白any kind ofnd唇甲淡白any kind ofnd脉沉细或沉迟。常用药附干姜、肉桂、淫羊藿、肉苁蓉、补骨脂、仙茅、菟丝鹿茸等。中医治疗。听听
补阴:适用于冠心病见心悸盗汗any kind ofnd心烦不寐any kind ofnd腰膝软any kind ofnd头晕耳鸣any kind ofnd五心烦热any kind ofnd舌红少津any kind ofnd脉细数或细涩。常用药玄参、生地、麦冬、天冬、女贞子、旱莲草、龟石斛。玄参、生地、麦冬为增液汤any kind ofnd养阴增液;女贞旱莲草为二至丸any kind ofnd善于滋养肝肾之阴;龟版为血肉无情品any kind ofnd滋阴补肾any kind ofnd以助心阴。
豁痰通络:适用于冠心病见胸膺窒闷疼痛any kind ofnd气短喘促any kind ofnd肢体深重any kind ofnd形体肥胖any kind ofnd痰多any kind ofnd舌苔厚腻any kind ofnd脉滑any kind ofnd或伴有高脂血症者。常用药瓜蒌、薤白、半夏、陈皮、枳壳、厚朴、桂枝。其中any kind ofnd瓜蒌、薤白为东汉·张仲景《金匮·胸痹心痛短气病脉证并治》医治胸痹的瓜蒌薤白诸方中的代表药物any kind ofnd善于宽胸理气化痰;半夏、陈皮燥湿化痰;枳壳、厚朴善于理气而化痰。
芳香温通:适用于冠心病心痛较剧any kind ofnd胸痛彻背any kind ofnd感寒痛甚any kind ofnd面色惨白any kind ofnd四肢不温any kind ofnd苔白any kind ofnd脉沉细any kind ofnd或冠心病心绞痛急性发作时。常用药苏合香、檀香、降香、冰片、高良姜、毕茇、细辛。相比看西医医治!补阳适用于冠心病见心悸汗出中医治疗。元·危亦林《世医得效方·心痛》以苏合香丸医治卒暴心痛始创了芳香温通医治胸痹之先河。临证应用时此法要留意芳香之品大都走窜any kind ofnd久服易伤邪气。
补气:适用于冠心病见疲倦懒言any kind ofnd短气乏力any kind ofnd遇劳更甚any kind ofnd自汗any kind ofnd舌质淡any kind ofnd脉弱乏力者。常用药人参、黄芪、黄精、党参、白术、五味子。人参大补元气any kind ofnd气虚甚者以人参3~5g浓煎或嚼服。配伍时又善于黄芪配黄精any kind ofnd党参配白术。黄芪补气升阳any kind ofnd黄精补气滋阴any kind ofnd两者配伍则补溢脾气any kind ofnd燮理阴阳。党参、白术均以补益脾气见长any kind ofnd两相配伍any kind ofnd补益脾气之力效专力宏。五味子益气生津any kind ofnd补肾养心any kind ofnd愈加适用于冠心病兼有心悸、失眠多梦者。
