1.山西中医药大学(山西 太原 030024)
2.山西白求恩医院(山西医学科学院 同济山西医院),山西医科大学第三医院(山西 太原 030032)
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王敏,武蓓蓓,贺少君等.基于“阳化气,阴成形”探讨益气通脉汤治疗不稳定型心绞痛的理论基础[J].上海中医药大学学报,2023,37(05):78-82.
WANG Min,WU Beibei,HE Shaojun,et al.Theoretical basis of Yiqi Tongmai decoction in treating unstable angina pectorisbased on theory of “Yang results in Qi, while Yin results inXing”[J].Academic Journal of Shanghai University of Traditional Chinese Medicine,2023,37(05):78-82.
王敏,武蓓蓓,贺少君等.基于“阳化气,阴成形”探讨益气通脉汤治疗不稳定型心绞痛的理论基础[J].上海中医药大学学报,2023,37(05):78-82. DOI: 10.16306/j.1008-861x.2023.05.011.
WANG Min,WU Beibei,HE Shaojun,et al.Theoretical basis of Yiqi Tongmai decoction in treating unstable angina pectorisbased on theory of “Yang results in Qi, while Yin results inXing”[J].Academic Journal of Shanghai University of Traditional Chinese Medicine,2023,37(05):78-82. DOI: 10.16306/j.1008-861x.2023.05.011.
《黄帝内经》“阳化气,阴成形”理论蕴含着深刻的生命观、疾病观,“化气与成形”之间的动态平衡,是维持人体正常生命活动的基本保障,太过或不及,均可导致疾病发生。基于“阳化气,阴成形”理论认为,不稳定型心绞痛多属气虚血瘀证,关键病机是“阳化气不足,阴成形太过”,“化气”不足则精血不能正常生成及输布,促使“成形”太过凝而为瘀,即发心绞痛。益气通脉汤为名老中医经验方,常用于治疗不稳定型心绞痛(胸痹心痛),其益气温阳、活血通脉组方之旨,契合“阳化气不足,阴成形太过”之病机。
The theory “Yang results in Qi, while Yin results in Xing” in The Yellow Emperor's Canon of Internal Medicine contains a profound outlook on life and disease.The dynamic balance between “resulting in Qi” and “resulting in Xing” is the basic guarantee for maintaining normal life activities ofhuman body. Excessive or insufficient of them would lead to diseases. Based on the theory of “Yang results Qi, while Yin results in Xing”, it is believed that unstable angina pectoris is mostly the syndrome of Qi deficiency and blood stasis, and the key pathogenesis is “insufficient Yang resulting in qi and excessive Yin resulting in Xing”. Insufficient “resulting in Qi”prevents the normal generation and distribution of essence and blood, leading toexcessive “resulting in Xing” that shapes stasis, which is angina pectoris. Yiqi Tongmai decoction is a well-known traditional Chinese medicine prescription, commonly used in the treatment of unstable angina pectoris (chest stuffiness and heart pain).Its purpose oftonifying Qi, warming Yang, promoting blood circulation and dredging meridians tallies with the pathogenesis of “insufficient Yang resulting in qi and excessive Yin resulting in Xing”.
不稳定型心绞痛益气通脉汤气虚血瘀证中医基础理论
Unstable anginaYiqi Tongmai decoctionQi Deficiency and Blood Stasis Syndromebasic theory of traditional Chinese medicine
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