| 周凡,方伟.祝光礼教授运用治阳法治疗心力衰竭的临床经验[J].浙江中医药大学学报,2025,49(1):22-27. |
| 祝光礼教授运用治阳法治疗心力衰竭的临床经验 |
| Professor ZHU Guangli’s Clinical Experience of Using the Yang Treatment Method to Treat Heart Failure |
| DOI：10.16466/j.issn1005-5509.2025.01.004 |
| 中文关键词: 心力衰竭 治阳法 通阳法 宣阳法 温阳法 医案 名医经验 祝光礼 |
| 英文关键词: heart failure Yang treatment method activate Yang rouse Yang warm Yang medical records famous doctor experience ZHU Guangli |
| 基金项目:第七批全国老中医药专家学术经验继承项目(国中医药人教函〔2022〕76号)；祝光礼全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)；浙江省中医药科技计划项目(2023ZF141) |
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| 中文摘要: |
| [目的] 总结祝光礼教授运用治阳法治疗心力衰竭的临床经验。[方法] 在溯源历代中医文献相关治阳法理论的基础上，通过跟诊学习，整理相关医案，总结归纳祝师运用治阳法治疗心力衰竭的学术经验，并分别列举医案予以佐证。[结果] 祝师认为，心力衰竭与阳气亏虚密不可分，其形成是由于心阳郁遏不通、痰饮内阻，或气虚胸阳不展、水湿潴留，或心脾肾阳气虚衰所致，提出以治阳为基本大法，分别用通阳、宣阳、温阳三法来治疗心力衰竭。所附医案一为心阳不通、脾虚水停证，治拟通阳法主之；医案二为阳气郁闭证，治拟宣阳法主之；医案三为阳气失常之重证，先后以通阳、宣阳、温阳法主之，均药治稳好。[结论] 祝光礼教授根据心力衰竭的病因病机及临床特点，运用通阳法、宣阳法、温阳法进行辨证论治，临床特色鲜明，治疗效果显著，值得借鉴和学习。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor ZHU Guangli by using Yang treatment method to treat heart failure. [Methods] On the basis of tracing the theory of Yang treatment related to the traditional Chinese medicine literature， the author sorted out relevant medical cases， summarized the academic experience of Professor ZHU by using Yang treatment method to treat heart failure， and listed several medical cases respectively to provide evidence. [Results] Professor ZHU believes that heart failure is inseparable from Yang-Qi dificiency， which is caused by the depression of Yang Qi in heart，internal obstruction of phlegm and fluid， or stagnation of Yang Qi， liquid storage， or Yang deficiency of heart， spleen and kidney. He proposes for treating Yang as the basic method， i.e. activating Yang，rousing Yang and warming Yang respectively， three methods to treating heart failure. The first medical record was the depression of Yang Qi in heart，spleen deficiency and excessive dampness，treated by activating Yang. The second medical record was stagnation of Yang Qi，treated by rousing Yang.The third medical record was serious case of Yang Qi disorder，treated successively by activating Yang，rousing Yang and warming Yang，and all the results were effective. [Conclusion] According to the etiology and clinical characteristics of heart failure， Professor ZHU Guangli uses activating Yang， rousing Yang and warming Yang to treat patients with syndrome differentiation， with distinctive clinical characteristics and remarkable treatment effect， which is worthy of reference and learning. |
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