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黄春林教授治疗扩张型心肌病经验采撷
引用本文:吴启俊,尹克春. 黄春林教授治疗扩张型心肌病经验采撷[J]. 天津中医药, 2019, 36(1): 15-17
作者姓名:吴启俊  尹克春
作者单位:罗湖中医院;广州中医药大学第二附属医院心血管科
摘    要:
扩张型心肌病是一种原因不明的以心室扩大、心肌泵功能减退为主要表现的心肌疾病,临床以充血性心力衰竭逐渐加重、房性或室性心律失常、血管栓塞为主要表现。黄春林教授认为该病的主要病机本虚在于心、肾、脾阳虚,涉及气血水三者病变,主张结合现代医学研究治疗,在通阳化气基础上,分为心气虚弱、阳气虚脱、阳虚水泛、水气凌心、痰热困肺、心脉不整、心血瘀阻7种证型,辨证论治,气血水同治分消,临床疗效显著。

关 键 词:扩张型心肌病  真武汤  麻黄附子细辛汤  黄春林  名老中医经验
收稿时间:2018-08-18

Professor HUANG Chunlin's experience in the treatment of dilated cardiomyopathy
WU Qijun and YIN Kechun. Professor HUANG Chunlin's experience in the treatment of dilated cardiomyopathy[J]. Tianjin Journal of Traditional Chin Medicine, 2019, 36(1): 15-17
Authors:WU Qijun and YIN Kechun
Affiliation:Luohu District Traditional Chinese Medicine Hospital, Shenzhen 518000, China and Department of Cardiology, The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, China
Abstract:
Dilated cardiomyopathy (DCM) is an unknown cause of myocardial disease characterized by enlargement of the ventricle and dysfunction of the cardiac pump. The main manifestations are gradual aggravation of congestive heart failure, atrial or ventricular arrhythmias, and vascular embolism. Professor HUANG Chunlin believed that the main pathogenesis of this disease was deficiency of heart, kidney and spleen yang, involving the three diseases of qi, blood and water, he advocate that combined with modern medical research and treatment, based on tong yang hua qi, it can be divided into 7 types of syndromes:weak heart qi, yang deficiency, flooding water with deficiency yang qi, nourishing the heart with water qi, trapping the lungs with phlegm and heat, blood stasis resistance, treatment based on syndrome differentiation, qi, blood and water are divided into the same treatment, and the clinical effect is remarkable.
Keywords:dilated cardiomyopathy  Zhenwu Decoction  Mahuang Fuzi Xixin Decoction  HUANG Chunlin  experience of the famous veteran doctor of TCM
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