论五脏相关理论与冠心病

该文以整体观念为指导思想,在对王凤荣教授多年诊治冠心病的临床经验及其研究成果进行总结的基础上,对冠心病与五脏的相关性做进一步探讨。王教授认为冠心病病位在心,为本虚标实之证。病机特点因脏而异:心肺气虚,血行乏力,气血运行不畅;心阳不足,温通失职,痰瘀搏结,痹阻心脉;脾胃虚弱,水湿聚而成痰,痰瘀互结,痹阻心脉,心脉不通,不通则痛,或心脾两虚,心脉失养,不荣则痛;肝气郁结,气机郁滞,痰浊血瘀内阻心胸;肾虚本亏,阴阳不足,心脉失养,甚或水饮凌心。冠心病病变类型与五脏有密切关系,甚至出现多脏同病的特点。从冠心病与五脏相关的角度,完善与充实了中医关于冠心病病因病机及证治系统研究的薄弱与不足,并确定了以整体调治为原则,从五脏相关论治冠心病的理论体系。

Discussion on Theory of Five Viscera Correlation with Coronary Heart Disease

Based on the overall concept as the guiding ideology and by summing up the experience in clinical and research achievements of Professor WANG Fengrong for many years in the treatment of coronary heart disease, it was further to explore the correlation between coronary heart disease and five Zang organs. Professor WANG believes that coronary heart disease locates in heart. The pathogenesis characteristics varies because of Zang organs ： heart-lung Qi deficiency resulting in blood stagnation; deficiency of heart Yang resulting in interaction of phlegm and blood stasis in heart; deficiency of spleen and stomach resulting in accumulation of dampness ; liver qi stagnation and qi stagnation resulting in phlegm and blood stasis resistance; heart-kidney deficiency of yin and yang, or even water attacking heart. There is a close relationship bet ween the type of coronary heart disease and the five internal organs, and even the emergence of many Zang organs diseases. For coronary heart disease and the correlation with five viscera, it improved and enriched the Chinese research on the mechanism and pathogenesis of coronary heart disease and determined the overall treatment principle as well as the theoretical system treatment of coronary heart disease from the relevant theory of the five internal organs.