从脾论治心肌梗死

急性心肌梗死（acute coronary syndrome,简称AMI）是严重危害人类生命的常见心血管疾病,多年来是人类面临的头号杀手,中医对此病的病因病机已经有了系统的认识。目前,临床上将AMI辨为气虚血瘀、气阴两虚、痰瘀互阻、痰浊内阻、心肾阳虚、心阳欲脱、阴阳两虚等型,对不同的证型采用不同的方药分别论治。但中医讲究整体观念,认为五脏是一个密不可分的整体,各个脏腑之间相互联系,治疗上不能管中窥豹,顾此失彼。笔者认为心与脾在五行中是母子关系,急性心肌梗死的发生发展与脾有着密切的联系,因此在治疗上,无论何种证型都应从脾论治。

Discusses From Spleen Governs Cardiac Arrest

The acute cardiac arrest （acute coronary syndrome is called AMI） is severely impair humanity life common cardiovascular disease, for many years has been the top-quality murderer who the humanity faces, the cause of disease pathogenesis which the Chinese medicine gets sick regarding this already had the system understanding. At present, clinical General AMI distinguishes for the lacking in vital energy blood stasis, the gas cloudy two empty, the phlegm stasis resistance, the phlegm muddy interface resistance, the heart kidney deficiency of yang, the heart positive desire escapes, the masculine and feminine elements mutually two empty and so on, uses the different side medicine to the different card to discuss separately governs.But the Chinese medicine is fastidious the concept of viewing the entire situation, thought the five internal organs are an inseparable whole, between each internal organs relates mutually, treats cannot have a limited view, cannot attend to one thing without losing track of another thing.The author thought the heart and the spleen are the mother and child relate in five lines, the acute cardiac arrest occurrence development and the spleen have the close relation, therefore in treatment, regardless of synstom all should discuss from the spleen governs.