国医大师刘祖贻治疗冠心病经验
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摘要
国医大师刘祖贻认为冠心病的发病起于心气亏虚,成于脉络瘀滞,有阴阳痰水风之变,其治疗宜以益气通络贯穿治疗始终,擅用芪丹护心饮为基础方加减治疗:对于心气亏虚脉络瘀滞证,方用芪丹护心饮加减;气阴两虚脉络瘀滞证,合用生脉散;阳气亏虚脉络瘀滞证,合用桂枝甘草汤;心气亏虚痰瘀阻络证,合用瓜蒌薤白半夏汤;心气亏虚瘀水互结证,合用苓桂术甘汤;气虚络瘀阳亢风动证,合用天麻钩藤饮。
In the great master Liu Zuyi's opinion, coronary atherosclerotic heart disease is started by deficiency of heart Qi, formed by static blood blocking collaterals, influenced by yin, yang, phlegm, fluid and wind. In the whole course, he applied the method of benefiting Qi for removing obstruction in collaterals with the basic prescription Qidan Huxin Yin. The modified Qidan Huxin Yin was used for the syndrome of deficiency of heart Qi and static blood blocking collaterals.The syndrome of deficiency of both Qi and Yin, and static blood blocking collaterals was treated by combing the basic prescription and Shengmai powder. The syndrome of deficiency of Yang and static blood blocking collaterals was treated by combing the basic prescription and Guizhi Gancao decoction. The syndrome of deficiency of heart Qi and phlegm static blood blocking collaterals was treated by combining Qidan Huxin Yin and Gualou Xiebai Banxia decoction. The syndrome of deficiency of heart Qi and intermin-gled fluid and blood stasis was treated by combing Qidan Huxin Yin and Lingui Zhugan decoction. The syndrome of Qi deficiency blocking collaterals and wind act could be treated by combing Qidan Huxin Yin and Tianma Gouteng Yin.
In the great master Liu Zuyi's opinion, coronary atherosclerotic heart disease is started by deficiency of heart Qi, formed by static blood blocking collaterals, influenced by yin, yang, phlegm, fluid and wind. In the whole course, he applied the method of benefiting Qi for removing obstruction in collaterals with the basic prescription Qidan Huxin Yin. The modified Qidan Huxin Yin was used for the syndrome of deficiency of heart Qi and static blood blocking collaterals.The syndrome of deficiency of both Qi and Yin, and static blood blocking collaterals was treated by combing the basic prescription and Shengmai powder. The syndrome of deficiency of Yang and static blood blocking collaterals was treated by combing the basic prescription and Guizhi Gancao decoction. The syndrome of deficiency of heart Qi and phlegm static blood blocking collaterals was treated by combining Qidan Huxin Yin and Gualou Xiebai Banxia decoction. The syndrome of deficiency of heart Qi and intermin-gled fluid and blood stasis was treated by combing Qidan Huxin Yin and Lingui Zhugan decoction. The syndrome of Qi deficiency blocking collaterals and wind act could be treated by combing Qidan Huxin Yin and Tianma Gouteng Yin.
引文