浙江中医药大学学报2025，Vol.49Issue(10)：1242-1247,6.DOI:10.16466/j.issn1005-5509.2025.10.004
基于"循环变易观"论治冠心病的思路与方法
Ideas and Methods of Treating Coronary Heart Disease Based on"the Concept of Circular Transformation"
摘要
Abstract
[Objective]To deepen the theoretical grasp of"the concept of circular transformation"and apply it to unpack the complex pathogenesis of coronary heart disease(CHD),offering a holistic,unified,and adaptable diagnostic and management framework.[Methods]Through historical review and medical principle analysis,it elucidates"the concept of circular transformation"basics and nuances.Merging this with modern research,it discerns CHD's tangled progression,also refers classic formulas,common drugs and diverse clinical practice to pinpoint effective therapeutic approaches.[Results]"The concept of circular transformation"posits that all phenomena are in cyclic and dynamic flux,with human life exhibiting three cycles:Yin-Yang dynamics,the five elements and Qi movement.This framework can explain CHD pathogeneses as:Yin-Yang imbalance from Yang's failure to disperse and Yin evil obstruction;five elements disharmony due to heart and spleen malnourishment and kidney water overflowing into the heart;and Qi circulation disruption from chaotic ascending-descending and misdirected entry-exit.The treatment strategies include warming Yang Qi,dissipating pathogens,harmonizing Yin-Yang;invigorating the spleen and protecting,the heart warming the kidney,supporting Yang and promoting element interaction;and balancing Qi's movements.This work aims to refine"the concept of circular transformation"and offer systematic,dynamic traditional Chinese medicine(TCM)approaches for CHD diagnosis and treatment.[Conclusion]"The concept of circular transformation"blends concepts of perpetual cycles and evolutionary shifts with traditional Chinese medicine's views on Yin-Yang balance,the five elements'interplay and the movements of Qi.This perspective facilitates sophisticated analysis of CHD's complexity,guiding medication choices and dynamic treatment applications in clinical settings.关键词
冠心病/循环变易观/阴阳/五行/气机/五行制化/动态干预/温阳化气Key words
coronary heart disease/the concept of circular transformation/Yin-Yang/five phases/Qi movement/five elements control and transformation/dynamic intervention/warm Yang to transform Qi分类
医药卫生引用本文复制引用
王俨杰,徐凤凯,张天星,朱爱松..基于"循环变易观"论治冠心病的思路与方法[J].浙江中医药大学学报,2025,49(10):1242-1247,6.基金项目
国家中医药管理局科技司-浙江省中医药管理局共建科技计划项目(GZY-ZJ-KJ-24011) （GZY-ZJ-KJ-24011）
浙江省"尖兵领雁+X"研发攻关计划项目(2024C03192) （2024C03192）
国家自然科学基金项目(82474362) Science and Technology Department of State Administration of Traditional Chinese Medicine-Zhejiang Provincial Administration of Traditional Chinese Medicine Co-construction Project(GZY-ZJ-KJ-24011) （82474362）
"Pioneer"and"Leading Goose"R&D Project of Zhejiang Province(2024C03192) （2024C03192）
National Natural Science Foundation Project(82474362) （82474362）
