四川中医2025，Vol.43Issue(7)：34-38,5.DOI:10.26946/j.cnki.1000-3649.sczy.2503040001
从"肺心同治"理论探析参七补肺养心汤在慢性肺源性心脏病缓解期的临床运用
Discussion on the application of Shenqi Bufei Yangxin Decoction in the diagnosis and treatment of chronic pulmonary heart disease during the remission period from the theory of"simultaneous treatment of lung and heart"
摘要
Abstract
Chronic Pulmonary Heart Disease(CPHD)is a common chronic disease in clinical practice,which has the characteristics of persistent illness and complex pathogenesis.CPHD patients are susceptible to external pathogens,which leads to continuous aggravation of the disease.According to the principle of seeking the root of the disease,root is the key of the cure,remission period is the key to the treatment of the disease.The theory of"simultaneous treatment of lung and heart"is rooted in the holism and the theory of Zangfu channels in Huangdi Neijing.Its ideas were systematically elaborated and developed by doctors such as Zhang Zhongjing and Cheng Jie,which laid an important theoretical foundation for the differentiation and treatment of lung and heart diseases.Based on the theory of"simultaneous treatment of lung and heart",this review analyzes the core pathogenesis of CPHD in remission:"Deficiency of Zhengqi,mutual accumulation of phlegm and blood stasis",deficiency of lung and heart,resulting in endogenous phlegm and blood stasis.The review clarifies the prescription and medication ideas of Shenqi Bufei Yangxin Decoction,an empirically effective formula created by integrating the clinical experience of academician Chen Keji,a master of traditional Chinese medicine,Professor Shi Dazhuo,a Qihuang scholar,and Professor Wang Chengxiang,a renowned traditional Chinese medicine expert in the capital:treating both qi and blood to nourish the lung and heart,combining acrid and sour ingredients to promote qi circulation,using warming and dredging methods to transport yang qi,and employing both attacking and supplementing strategies to eliminate phlegm and blood stasis.By consolidating the foundation to clear the source,the aim is to improve adverse outcomes such as ventricular remodeling and heart failure in CPHD patients,to expand new ideas for the effective prevention and treatment of CPHD in the remission period.关键词
肺心同治/慢性肺源性心脏病/参七补肺养心汤/心室重构Key words
Simultaneous treatment of lung and heart/Chronic pulmonary heart disease/Shenqi Bufei Yangxin Decoction/Ventricular remodeling分类
医药卫生引用本文复制引用
周凯龙,刘陆阳,杨漪,梁帅,仲伟伟,范丽萍,孙月,顾晓通,孙慧媛..从"肺心同治"理论探析参七补肺养心汤在慢性肺源性心脏病缓解期的临床运用[J].四川中医,2025,43(7):34-38,5.基金项目
国家自然科学基金面上项目(82174203) （82174203）
北京中医药新时代125工程领衔人才项目(京中医药科字[2025]2号) （京中医药科字[2025]2号）
北京中医药大学第三附属医院精诚青年人才项目(2025-QNKY-004) （2025-QNKY-004）
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号). （国中医药人教函[2022]76号）
