北京中医药2025，Vol.44Issue(10)：1250-1254,5.DOI:10.16025/j.1674-1307.2025.10.005
基于"禀赋"和"瘀毒"探讨肥厚型心肌病的辨治
Syndrome differentiation and treatment of hypertrophic cardiomyopathy based on theory of endowment and stasis-toxin
庞清华 1陈一帆 2欧阳嘉慧 2阿如娜 2刘龑姣 1姜众会 2高铸烨3
作者信息
- 1. 北京中医药大学研究生院,北京 100029
- 2. 中国中医科学院西苑医院,北京 100091
- 3. 中国中医科学院眼科医院,北京 100040
- 折叠
摘要
Abstract
In traditional Chinese medicine(TCM),the etiology and pathogenesis of hypertrophic cardiomyopathy can be explained from the perspectives of endowment and stasis-toxin.This article divides the disease course into three stages.In the early stage,poor endowment,a tendency toward deficiency and stasis,and latent stasis and toxin form the basis of pathogenesis.In the progressive stage,the key pathological mechanisms include the entanglement of stasis and toxin,obstruction of the collaterals by stasis,and toxin-induced damage to the heart.In the late stage,the combination of stasis and toxin,blockage of blood and qi,and exhaustion of yang and yin result in critical consequences.The diagnostic and therapeutic approach is as follows:in the early stage,identify endowment predispositions and regulate body constitution to achieve prevention;in the progressive stage,focus on activating blood circulation to resolve stasis,reinforcing healthy qi,and removing toxin,with modifications based on syndrome differentiation;in the late stage,promote detoxification and dredge obstructions while preserving primordial qi to manage critical and variable conditions.关键词
肥厚型心肌病/禀赋/瘀毒/病因病机/治则治法Key words
hypertrophic cardiomyopathy/endowment/stasis and toxin/etiology and pathogenesis/treatment principles and therapeutic methods引用本文复制引用
庞清华,陈一帆,欧阳嘉慧,阿如娜,刘龑姣,姜众会,高铸烨..基于"禀赋"和"瘀毒"探讨肥厚型心肌病的辨治[J].北京中医药,2025,44(10):1250-1254,5.
