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从脉郁毒损论治动脉粥样硬化
引用本文:苏文全,杜雅薇,吴圣贤.从脉郁毒损论治动脉粥样硬化[J].中医学报,2021(5):960-963.
作者姓名:苏文全  杜雅薇  吴圣贤
作者单位:北京中医药大学东直门医院
基金项目:中医药高等教育学会临床教育研究会临床教学科学研究课题项目(2017043)。
摘    要:动脉粥样硬化的核心病机是脉郁毒损,其中脉郁是毒邪产生的内在和前提条件,毒损是推动和促进动脉粥样硬化病理变化的关键环节。动脉粥样硬化早期毒结于内,而机体症状不显,难以觉察,谓之伏毒;其初始伏藏,渐积转盛,延至后期,积久生变,毒性猛烈,谓之苛毒。同时在机体长期的邪正交争中,必然伴随着气、血、津、液的虚损以及湿、痰、瘀、热等实邪产生,使动脉粥样硬化病机虚实夹杂。"调脉以扶正,解毒以祛邪"应为动脉粥样硬化的治疗大法。扶正法即通过调脉扶正、顺气活血,恢复脉之舒缩、充盈脉之气血、补益脉之正气、抵抗脉之毒邪;解毒法即解毒配合清热化痰、活血化瘀等治法,清除病邪、解毒护脉,从而避免毒邪腐败脉道及痰瘀热邪阻滞脉络,使气机通调、脉道通畅,遏制疾病发展。

关 键 词:脉郁毒损  动脉粥样硬化  调脉扶正  解毒祛邪  伏毒  苛毒

Treatment of Atherosclerosis from"Pulse Depression and Toxin Damage"
SU Wenquan,DU Yawei,WU Shengxian.Treatment of Atherosclerosis from"Pulse Depression and Toxin Damage"[J].China Journal of Chinese Medicine,2021(5):960-963.
Authors:SU Wenquan  DU Yawei  WU Shengxian
Institution:(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing China 100700)
Abstract:The core pathogenesis of Atherosclerosis(As)is pulse depression and toxin damage,in which pulse depression is the internal and prerequisite for the generation of toxin pathogens,and toxin damage is the key link to promote and promote the pathological changes of As.In the early stage of As,the toxin is accumulated in the body,but the symptoms of the body are not obvious and it is difficult to detect,and it is called Fu Du.Its initial hidden gradually accumulated into a prosperous,extended to the late stage,which cause change,and its toxin becomes stronger,and it is called Ke Du.At the same time,in the long-term fighting of pathogenic qi and vital qi,it is inevitable to accompany the deficiency of qi,blood,fluid,as well as the pathogenic factors such as damp,phlegm,blood stasis and heat,which make the pathogenesis of As mixed with deficiency and excess."Regulating the pulse to strengthen the body,detoxifying to dispel pathogenic factors"should be the treatment of As.Fuzheng method is to restore the relaxation and contraction of the pulse,replenish the qi and blood of the pulse,replenish the qi and blood of the pulse,and resist the poison and evil of the pulse by regulating the pulse and strengthening the qi and activating the blood.Detoxification method is to remove pathogenic factors,detoxify and protect pulses by detoxification combined with clearing away heat and resolving phlegm,activating blood circulation and removing blood stasis,so as to avoid toxin corrupting pulses and blocking pulses by phlegm,blood stasis and heat,regulate qi and smooth pulses,so as to curb the development of diseases.
Keywords:depression and toxin damage  Atherosclerosis(As)  regulating the pulse and strengthening the body  detoxication and eliminating evils  Fu Du  Ke Du
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