山东中医杂志2025，Vol.44Issue(5)：504-509,6.DOI:10.16295/j.cnki.0257-358x.2025.05.004
基于肝主筋理论辨治冠状动脉痉挛
Differentiation and Treatment for Coronary Artery Spasm Based on Theory of Liver Governing Sinews
摘要
Abstract
Coronary artery spasm(CAS)is an important pathogenic mechanism of non-obstructive ischemic heart disease.It is a kind of vascular vasomotor dysfunction caused by the increased sensitivity of coronary artery vessels and microvascular smooth muscles under stimulation.Blood vessels and smooth muscles can correspond to the generalized sinews in traditional Chinese medicine in terms of function and structure.Therefore,CAS can be classified into the category of sinew diseases in traditional Chinese medicine.Under the guidance of the theory that the liver governs the sinews,CAS can be divided into two types,namely"sinew spasm"and"sinew impediment"based on the changes in the functional state of the sinews.The pathogenesis of"sinew spasm"can be divided into deficiency and excess.The deficiency types are commonly seen as liver yin deficiency and insufficient liver blood,and treatment adopts the method of nourishing yin,tonifying the liver,and enriching the blood.The excess types are mostly due to exuberant liver fire scorching yin fluid.The treatment requires clearing away the liver-fire,calming the liver,and soothing the liver on the basis of nourishing yin to restore the flexibility of the sinews and vessels.The pathogenesis of"muscular arthralgia"is mostly characterized by underlying deficiency and superficial excess.It is based on the deficiency of the liver meridian and is caused by exogenous wind,cold,and dampness pathogens.The pathogens invade the interior and the viscera,resulting in chest pain.The prognosis is of high-risk characteristics,and the treatment is mainly to warm the liver,resolve masses,and eliminate impediment.关键词
冠状动脉痉挛/肝主筋/筋病/筋急/筋痹/芍药甘草汤/暖肝煎Key words
coronary artery spasm/the liver governing the sinews/sinew diseases/sinew spasm/sinew impediment/Shaoyao Gancao Decoction/Nuangan Jian分类
中医学引用本文复制引用
马明茹,杨洁..基于肝主筋理论辨治冠状动脉痉挛[J].山东中医杂志,2025,44(5):504-509,6.基金项目
泰山学者岗位建设项目(编号:tsqn202211352) （编号:tsqn202211352）
山东省中医药科技项目(编号:M-2023058) （编号:M-2023058）
