| 杨炀,刘强.新冠疫情下“火郁发之”在心系疾病诊治中的运用体会[J].浙江中医药大学学报,2020,44(10):973-976, 985. |
| 新冠疫情下“火郁发之”在心系疾病诊治中的运用体会 |
| Treatment of Heart Diseases Based on the Theory of “Releasing Stagnated Fire” Under the COVID-2019 Epidemic Situation |
| DOI：10-16466/j.issn1005-5509-2020-10-010 |
| 中文关键词: 火郁发之 新型冠状病毒肺炎 原发性高血压 心律失常 慢性心力衰竭 心系疾病 黄帝内经 |
| 英文关键词: “releasing stagnated fire” COVID-2019 primary hypertension arrhythmia chronic heart failure heart diseases The Yellow Emperor’s Inner Classic |
| 基金项目:浙江省中医药科研项目(2018ZB045)；第四批全国中医优秀临床人才研修项目(国中医药人教发[2017]24号) |
|
| 摘要点击次数: 2414 |
| 全文下载次数: 1191 |
| 中文摘要: |
| [目的]总结新型冠状病毒肺炎(以下简称新冠肺炎)疫情下运用“火郁发之”理论诊治心系疾病的经验体会。[方法]通过梳理“火郁发之”理论的源流发展，分析新冠疫情下心系疾病病因病机的变化特点，结合临床治疗高血压、心律失常、慢性心力衰竭的相关病案，探讨新冠肺炎疫情下从“火郁发之”角度治疗心系疾病的有效性、合理性。[结果]“火郁发之”是治疗火郁证的根本大法，以宣畅气机、透发火热为其核心。新冠肺炎疫情下，由于生活作息改变、情绪波动、气候变化等因素，人体易出现气机郁滞，进一步引起火热内郁。由于心为火脏，主火而易为火热所伤，“火郁”的病机往往导致心系患者病情起伏反复。如高血压病患者或因肝气失疏，引起相火妄动，裹挟痰湿上干清阳；心律失常患者多因气阴亏虚，心火失制，扰动心神；心力衰竭者则易出现“龙雷之火”上浮的情况。以“火郁发之”立法诊治，结合患者既有体质、病性选方用药，辅以解郁透热、宣畅气机、辛开苦降等治法，以升降散、四逆散、栀子豉汤等为代表的方剂治疗，多可取得较好的疗效。[结论]新冠肺炎疫情下，基于“火郁发之”理论，结合疫情下气候、情志、起居习惯等的变化特点，祛除体内瘀滞，清散郁火，宣畅气机，能有效控制原发性高血压、心律失常、慢性心力衰竭等心系疾病的病情变化，这一思路值得推广借鉴。 |
| 英文摘要: |
| [Objective]To summarize the scholar thoughts and experiences in diagnosing and treating heart diseases under coronavirus disease 2019(COVID-2019) epidemic situation based on the theory of “releasing stagnated fire”. [Methods]By sorting out the origin and development of the theory of “releasing stagnated fire”， analyzing the changes of etiology and pathogenesis of heart diseases under COVID-2019 epidemic situation， combined with the clinical treatments of hypertension， arrhythmia， chronic heart failure， the effectiveness and rationality of treating heart diseases based on “releasing stagnated fire” were explored under the COVID-2019 epidemic situation， and three typical cases were presented accordingly. [Results]“Releasing stagnated fire” is the fundamental treatment of fire stagnation，and promoting Qi function and penetrating fire is taken as the core of treatment. Under the COVID-2019 epidemic situation， due to lifestyle changes， mood fluctuations， abnormal climate and other factors， the body is prone to Qi stagnation， which leads to stagnated fire. The heart is matched to fire in Five Elements， it is also easily injured by fire. The pathogenesis of fire stagnation often leads to the disorder of heart disease patients. Hyperactivity of ministerial fire due to liver dysfunction may disturb lucid Yang together with phlegm and damp in primary hypertension; the fluctuation of arrhythmia patients is mostly due to deficiency of Qi and Yin， loss of control of heart fire and disturbance of mind; patients with chronic heart failure are prone to floating of ministerial fire in heart. Based on the patients’ physical constitution and disease nature， supplemented by the treatment of relieving depression and penetrating heat， promoting Qi movement， and opening with pungent and descending with bitter with the prescriptions such as Shengjiang powder， Sini powder and Zhizichi decoction， the treatment of “releasing stagnated fire” can achieve better curative effect. [Conclusion]Combined with the changing characteristics of climate， emotion and living habits under the COVID-2019 epidemic situation， based on the theory of “releasing stagnated fire”， it can effectively control the changes of the heart diseases such as primary hypertension， arrhythmia， chronic heart failure and so on， through removing the stasis， clearing away the stagnant fire and promoting the Qi movement in the body. This idea is worthy of promotion and reference. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |