中医药学报2025，Vol.53Issue(9)：6-9,4.DOI:10.19664/j.cnki.1002-2392.250179
从"宣可去壅"视角探讨胸痹心痛的临床证治
Exploring the Clinical Treatment of Chest Impediment and Heart Pain from the Perspective of"Dispersion Can Remove Stagnation"
摘要
Abstract
The theory of"dispersion can remove stagnation"originally refers to the use of dispersing agents such as ginger and tangerine peel to resolve stagnation,and has been further developed by later generations to mean using"dispersion"as the core therapeutic method to eliminate stagnation.This article explores the clinical treatment of chest impediment and heart pain from the perspective of"dispersion can remove stagnation",proposing that the pathogenesis of chest impediment and heart pain should be excessive stagnation of blood vessels.Although the pathogenesis may involve cold,heat,deficiency,and excess,factors such as cold congelation,stagnant heat,or deficiencies of qi,blood,yin,or yang can all lead to vascular stagnation,with"stagnation"remaining the central pathological feature.Therefore,the treatment methods and formula for chest impediment and heart pain should focus on"dispersion".For stagnation caused by cold congelation,warming yang and dispersing to unblock should be applied;for stagnation caused by stagnant heat,clearing heat and dispersing to unblock should be used;for stagnation due to deficiency,dispersing and supplementing qi and blood should be employed to achieve unblocking.Since stagnation always manifests as blood stasis and obstruction,dispersing stasis should be adopted to unblock blood vessels and relieve chest impediment and heart pain.All the above treatment methods adhere to the overarching principle of"dispersion".关键词
宣可去壅/胸痹心痛/病机/治法方药Key words
Dispersion can remove stagnation/Chest impediment and heart pain/Pathogenesis/Treatment methods and prescriptions分类
医药卫生引用本文复制引用
许韵,陈兴娟,肖璐,冯玲..从"宣可去壅"视角探讨胸痹心痛的临床证治[J].中医药学报,2025,53(9):6-9,4.基金项目
中国中医科学院科技创新工程(CI2021A03001) （CI2021A03001）
国家重点研发计划项目(2019YFC1708404) （2019YFC1708404）
中央高水平中医医院临床科研业务费资助(HLCMHPP2023042) （HLCMHPP2023042）
