中国中医急症2025，Vol.34Issue(12)：1862-1866,5.DOI:10.3969/j.issn.1004-745X.2025.12.010
从"心络干血"辨治不稳定型心绞痛探析
Exploration on the Diagnosis and Treatment of Unstable Angina Pectoris from the Perspective of"Xinluo Ganxue"
摘要
Abstract
Objective:Unstable angina(UA)belongs to the categories of"chest bi"(chest painful impediment)and"Xintong"(heart pain)in traditional Chinese medicine(TCM),characterized by acute onset and variable con-ditions.Based on"Xinluo Ganxue"(stagnant and dried blood in the heart collaterals)as the core pathogenesis,combined with the"Ganxue"(dry blood)syndrome in Synopsis of the Golden Chamber and relevant discussions of later physicians,the authors analyze that the root cause of UA lies in healthy qi deficiency,and the branch cause is blood stasis.Prolonged stasis turns into dryness,and extreme dryness generates dry blood,eventually leading to dry blood stagnating in the heart collaterals and blocking qi and blood,resulting in sudden and intractable pain.Clinically,the differentiation of dry blood should follow the principle of"observing the exterior to infer the interi-or",including signs such as rough skin,dark eyes,purple-dark tongue,and astringent pulse with scanty fluid;its characteristics include hard texture difficult to resolve,fixed pain location,and poor response to conventional blood stasis-resolving treatments.Treatment should be carried out in stages:first determine whether dry blood has formed,take expelling dry blood as the main principle assisted by acrid and moistening collaterals-unblocking methods,then promote tissue regeneration and tonify deficiency to protect the heart collaterals,so as to eliminate pathogens,restore healthy qi,and address both the root and branch causes.关键词
不稳定型心绞痛/心络干血/胸痹/瘀血/络燥/辨证论治Key words
Unstable angina/Xinluo Ganxue/Chest bi/Stasis blood/Collateral dryness/Syndrome differentia-tion and treatment分类
医药卫生引用本文复制引用
刘汉青,王朝亮..从"心络干血"辨治不稳定型心绞痛探析[J].中国中医急症,2025,34(12):1862-1866,5.基金项目
安徽省名中医工作室——太和县王朝亮名中医工作室(中医药发展秘[2018]11号) （中医药发展秘[2018]11号）
