基于脾主肌肉探讨苓桂术甘汤在慢性心力衰竭中的应用

中医学认为,脾气健运则肌肉丰盈有活力,脾病则肌肉萎缩不用。责之于心,则现心肌收缩无力,呈心力衰竭诸症。脾又为后天之本,气血生化之源,气血的生成、推动与心肌的濡养均与脾密切相关。临床从脾论治心力衰竭疗效确切,脾主肌肉可能为其重要机制之一。苓桂术甘汤健脾利水、温阳蠲饮,临床可用于对心力衰竭的治疗。

Explore the Application of Linggui Zhugan Decoction in Chronic Heart Failure Based on the Theory of Spleen Governing Muscle

Traditional Chinese medicine believes, if the spleen governs the transformation and transportation well, the muscles are thick and powerful, if not, the muscles are debilitating and useless. If the spleen dysfunction affects the heart, the myocardial will contract powerless, and showing symptoms of heart failure. The spleen is the acquired base of life, the source of qi and blood biochemistry, the production and propelling fuction of qi and blood and the nourishment of heart muscles are closely related to the spleen. Clinical treatment in heart failure with the treatment of spleen is effective, and the spleen governing muscles may be one of its important mechanisms. Linggui Zhugan decoction invigorating the spleen for diuresis, warming yang for resolving fluid retention, can be used for the clinical treatment of cardiac failure.