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基于"虚气留滞"理论探讨泛血管疾病的发病机制OA北大核心CSTPCD

Discussion on the pathogenesis of pan-vascular diseases based on the theory of"stagnation due to qi deficiency"

中文摘要英文摘要

泛血管医学是一门以动脉粥样硬化疾病为重点、以多学科整合为理念的新兴学科,强调从机体结构和功能的整体出发去探索疾病的发生发展机制.目前,泛血管疾病基本病机体系尚待完善.泛血管理念与中医学注重整体观的思想高度契合.诸气虚损为泛血管疾病的发病之本,痰浊、血瘀、水湿等有形之邪留滞脉络为发病之标,故其病机可高度概括为"虚气留滞",因虚而滞,阻滞脉络,因滞虚甚,损及脉道,故发为病.本文基于"虚气留滞"理论,以泛血管疾病内皮细胞功能失调为切入点,认为内皮细胞免疫功能低下为泛血管疾病的始动因素,微炎症状态广泛持续存在为泛血管疾病的病机关键.

Pan-vascular medicine is an emerging discipline focusing on atherosclerotic diseases,with the concept of multidisciplinary integration,emphasizing on exploring the mechanism of disease development from the whole of the organism's structure and function.At present,the basic mechanism system of pan-vascular diseases has yet to be perfected.The pan-vascular concept is highly compatible with the idea of Chinese medicine that focuses on the overall view.Deficiency of all qi is the root cause of pan-vascular diseases,while phlegm,blood stasis,and water-dampness and other tangible evils stagnate in the veins and channels as the symptoms of the disease,therefore,the disease mechanism can be highly summarized as"stagnation due to qi deficiency".Deficiency leads to the stagnation,blocking the veins and channels,and the deficiency worsens due to the stagnation and then damages the veins and channels,thus,it develops into a disease.Based on the theory of"stagnation due to qi deficiency",this paper takes endothelial cell dysfunction as the entry point of pan-vascular diseases,and considers that low endothelial cell immunity is the initiating factor of pan-vascular diseases,and that the widespread persistence of microinflammatory state is the key pathology to pan-vascular diseases.

张思祥;刘政;赵友民;李雨函;李奕萱;王颖蕊;张沁雨

山东中医药大学 济南 250013山东中医药大学附属医院

中医学

泛血管疾病虚气留滞内皮细胞免疫功能微炎症状态

pan-vascular diseasestagnation due to qi deficiencyendothelial cellsimmune functionmicroinflammatory state

《北京中医药大学学报》 2024 (007)

983-988 / 6

山东省自然科学基金创新发展联合基金项目(No.ZR202306170002) Project of Joint Fund for Innovation and Development of Natural Science Foundation of Shandong Province(No.ZR202306170002)

10.3969/j.issn.1006-2157.2024.07.015

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