充血性心力衰竭的中医病机探讨

充血性心力衰竭，一般属中医喘息，水肿，心悸，怔忡，心痹，心水等病证范畴，阴阳两虚，心脉瘀带为其基本病机，虽阴阳俱损，但总以阳虚为主，兼有阴虚，为五脏精气虚衰，功能失调的疑难重症，在脏腑病理上虽为多系统虚损性改变，但病变重点以心肾为主，因虚致瘀是充血性心力衰竭血瘀证的病理特点，气虚血滞，是导致体内水液潴留的始动因素，气血阴阳之虚与瘀血，水饮水实的标本虚实之间，表现为因果错杂的转化关系。

Pathogenesis of Congestive Heart Failure

The basic factors in the pathogenesis of congestive heart failure include deficiency of both yin and yang and stagnation of the heart vessels. Although both yin and yang are involved, the main factor is deficiency of yang accompanied by deficiency of yin. It is a serious and intractable disease with exhaustion of the essence qi of the five zang organs and functional disturbance. Though manifested by systemic deficiency pathologically, the disease mainly affects the heart and the kidney. The pathological feature of congestive heart failure is deficiency leading to stagnation, and the primary causative factor of the disease is stagnation of qi and blood. The disease is mixed with both deficiency of qi, blood, yin and yang, and excess of blood stasis and body fluid.