探讨"发散法"治疗冠心病PCI术后的理论内涵
Journal of Liaoning University of Traditional Chinese Medicine（2023）
Abstract
冠心病患者经历经皮冠状动脉介入(PCI)手术之后,病机发生微妙变化,术后体虚,瘀血久滞,情郁气结,易化热生毒,甚至形成瘀毒郁结的重症,诱发术后心绞痛、术后再狭窄、术后抑郁焦虑等并发症.根据其瘀毒郁结的病机特点,参考《黄帝内经》"火郁发之""结者散之"的理论,当结合中医"发散法"治之.文章将探讨"发散法"的理论内涵和用药特点.在PCI术后胸痹治疗中以"发散法"为纲,结合"发散郁火、通阳散结、升阳散火"等治法,加入理气散瘀、疏风散热、解毒散结之中药,使瘀血、热毒、情郁得解,进而缓解PCI术后胸痛再发等情况,为PCI术后胸痹治疗提供了新思路.
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