从中医"瘀""热""毒"浅析活血清营解毒法治疗冠心病胸痹的理论依据

随着冠心病胸痹病因病机的深入研究,对"瘀""热""毒"的认识得到进一步拓展。临床观察表明,瘀热壅毒、毒损心营是引发冠心病胸痹的重要机制之一。瘀热之邪壅塞体内,蕴结日久可化生成毒,进而毒损心络,灼伤营血,耗损心营,痹阻心脉,引发冠心病胸痹。因此,应用活血通络、清营解毒法治疗冠心病胸痹取得一定疗效。本文阐述中医"瘀""热""毒"与冠心病胸痹发生发展的联系,并对应用活血通络、清营解毒法治疗瘀热壅毒、毒损心营引发的冠心病胸痹进行理论分析。

Interpretation of theoretical basis of therapy of activating blood,clearing heat from the nutritive level,removing toxic substances on coronary heart disease / thoracic obstruction based on TCM concept of blood stasis,heat and toxin

The study on etiology and pathogenesis of coronary heart disease / thoracic obstruction has been carried on for a long time, and the understanding of TCM concept of blood stasis, heat and toxin was deeper and wider.A large quantity of clinical trials have proved that one of key pathogenesis of coronary heart disease / thoracic obstruction is the toxin induced by accumulation of blood stasis and heat, which damages heart blood or nutrient.In detail, the evil of blood stasis and heat were blocked or accumulated in human bodies to generate the toxic materials called toxin, which can damage collaterals of heart, burn out nutriment-blood of heart, block vessels of heart, and in the end, cause coronary heart disease / thoracic obstruction.Undoubtedly, the therapy of activating blood, clearing heat from the nutritive level, removing toxic substances has positive effectiveness.This article explains the relationship between the evil of blood stasis, heat and toxin with the occurrence and progress of coronary heart disease / thoracic obstruction, and discuss the theoretical basis of TCM therapy mentioned above directed at the evils.