中医学报2026，Vol.41Issue(1)：20-24,5.DOI:10.16368/j.issn.1674-8999.2026.01.004
姚魁武从"寒伏致瘀"分期辨治颈动脉粥样硬化
Professor Yao Kuiwu's Experience in Staged Treatment of Carotid Atherosclerosis Based on Theory of"Latent Cold Inducing Blood Stasis"
摘要
Abstract
The progression of carotid atherosclerosis(CAS)exhibits distinct stages,starting with thickening of the carotid intima-media,progressing to plaque formation,and eventually leading to carotid stenosis and/or triggering cardiovascular and cerebrovascular e-vents.Professor Yao Kuiwu treats CAS based on the theory of"latent Cold induced blood stasis",integrating cold disease theory with modern medicine.He proposes that in the early stage of CAS,pathological factors are primarily"Qi stagnation"and"Phlegm and Tur-bidity";in the middle stage,"blood stasis"and"Phlegm and Turbidity"are predominant;and in the late stage,"blood stasis"and"Toxin Evil Factor"are the key ones.He established the major treatment principle of"warming Yang to transform plaques",adopting differentiated treatment strategies at different stages of CAS:"invigorating Yang to release stagnation and regulating Qi to resolve turbid-ity"in the early stage,"warming Yang to promote Zhong Qi and eliminating stagnation to transform plaques"in the middle stage,and"assisting Yang to dredge meridians and detoxify to stabilize the condition without plaques"in the late stage.关键词
颈动脉粥样硬化/"寒伏致瘀"/分期辨治/温阳化斑/调脂化斑汤/姚魁武Key words
Carotid atherosclerosis/"latent Cold induced blood stasis"/staged treatment/warming Yang to transform plaques/Tiaozi Huaban Decoction/Yao Kuiwu分类
医药卫生引用本文复制引用
ZHANG Xiaoxiao,YAO Kuiwu,XIAO Ye,HUANG Mengwen,WANG Qingqing,LI Cheng,YANG Yuhan,TONG Tong,JUAN Wenxi,WANG Zeqi..姚魁武从"寒伏致瘀"分期辨治颈动脉粥样硬化[J].中医学报,2026,41(1):20-24,5.基金项目
癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项项目(四大慢病重大专项)(2024ZD0528300,2024ZD0528304) （四大慢病重大专项）
2024年岐黄学者培养项目(中医药领军人才培养项目){国中医药人教函[2025]182号} （中医药领军人才培养项目）
北京市自然科学基金项目(7232324) （7232324）
中国中医科学院科技创新工程项目(CI2021B004) （CI2021B004）
