从血府逐瘀汤治疗高血压性心脏病案谈王清任活血化瘀理论

通过血府逐瘀汤治疗高血压性心脏病的案例,讨论王清任的活血化瘀理论。认为瘀血的病位在外分头面四肢,周身血管,在内分膈膜上下,疾病主要病因是血瘀和气虚,病性有虚实之别。这一理论奠定了活血化瘀理论的基础,丰富和完善了瘀血证的辨证论治体系。

Discussion on WANG Qingren's Theory of Promoting Blood Circulation and Removing Blood Stasis from Hypertensive Heart Disease Treated by Xuefu Zhuyu Decoction

WANG Qingren's theory of promoting blood circulation and removing blood stasis was discussed by analyzing the cases with hypertensive heart disease. The disease position was located in the face,head,four extremities and blood vessels exteriorly,up and down the diaphragm interiorly. The main etiology was blood stasis and Qi deficiency with deficient or excess nature. The theory of promoting blood circulation and removing blood stasis built up the basis and enriched syndrome differentiation of blood stasis syndrome.