从"三焦气化-玄府开阖"论治慢性心力衰竭探析
Journal of Emergency in Traditional Chinese Medicine（2021）
Abstract
慢性心力衰竭(CHF)是气血水代谢异常而致一种复杂的临床综合征,是因脏腑阳虚动能不足,蒸腾气化无力,不能制化阴津,遂凝滞而成水饮、血瘀等阴邪渣浊之物,积于玄府,着而不去,造成水瘀互结为患.阳化气不足,阴成形太过是CHF形成的重要发病机理,水饮和瘀血是主要的病理产物.结合CHF不同阶段的症候特点及病程演变规律,以"阳化气,阴成形"及"气液宣通"理论为指导,依据邪结不同部位及相应脏腑阴阳的多寡,确立"气化三焦-开通玄府-气液宣通"三位一体的治疗法则,三焦气化不利,当时时扶阳,适时消阴以纠正"阳化气"之动能不足,病邪繁杂胶着于玄府,当开宣玄府以利官窍.
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