李军教授治疗冠心病心绞痛经验
World Journal of Integrated Traditional and Western Medicine（2021）
Abstract
冠心病心绞痛属于中医"胸痹、心痛"范畴,其基本病机为"阳微阴弦",即各种原因导致胸中阳气虚衰,不能温煦、推动血液,同时寒、痰、饮等阴邪趁虚侵袭,痹阻心脉的本虚标实之证.李军教授在心绞痛的治疗上强调要顾护阳气、通利血脉,并应遵循"急则治标、缓则治本"的原则.若患者处于心绞痛的发作期,表现为邪实偏盛,血脉不通之标实证,当以祛邪疏通为要,针对性地采用行气活血、化痰祛湿、散寒通脉、通腑降浊等治疗,在患者心绞痛得到缓解的阶段,则以益气、温阳、滋阴等治本之法为主.
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