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从气血津液辨证论治心力衰竭
基金项目:北京市首都区域特色重点专科项目(京中医政便函【2018】29 号)
摘    要:心力衰竭是心血管系统常见的危重疾病,会严重降低患者的生活质量,也是导致心脏疾病患者死亡的主要病因。单纯的西医治疗可短期改善患者症状,但远期疗效欠佳。中医中药对于延长心衰患者的寿命、提高生存质量有明显的优势。赵含森教授认为调理气血津液是治疗心衰的关键,心衰的病机总属气血津液功能失调,气之虚为本,血之瘀、津之阻、液之亏为标,其气血津液的变化为基本病机,且贯穿心衰发生、发展始终。根据心衰不同阶段病机侧重,使用益气、活血、利水之法治疗心衰,尽可能恢复气血津液的正常运行,从而提高患者的生活质量,延长患者寿命。

关 键 词:气血津液  心力衰竭  赵含森  辨证论治

Treating heart failure by syndrome differentiation from Qi-blood and body fluid
Abstract:Heart failure is a common critical illness of the cardiovascular system,which can severely reduce the quality of life of patients,and is also the main cause of death in patients with heart disease.Simple western medicine treatment can improve patients'' symptoms in the short term,but its long-term effect is not good.Traditional Chinese medicine has obvious advantages in prolonging the life of patients with heart failure and improving the quality of life.Professor Zhao Hansen believes that regulating qi-blood and body fluid is the key to the treatment of heart failure.The pathogenesis of heart failure is always the dysfunction of qi-blood and body fluid.The deficiency of qi is the basis,blood stasis,body resistance,and fluid deficiency are the criteria.The change of body fluid is the basic pathogenesis and runs through the occurrence and development of heart failure.According to the focus of the pathogenesis of different stages of heart failure,the methods of replenishing qi,promoting blood circulation and diuresis are used to treat heart failure,to restore the normal operation of qi-blood and body fluid as much as possible,thereby improving the quality of life of the patient and extending the life of the patient.
Keywords:Qi-blood and body fluid  Heart failure  ZHAO Hansen  Syndrome differentiation and treatment
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