吉林中医药2026，Vol.46Issue(4)：408-411,4.DOI:10.13463/j.cnki.jlzyy.2026.04.003
代谢紊乱背景下心脑血管病治则由"活血化瘀"向"痰瘀同治"转化的探讨
Evolution of therapeutic strategies for cardio-cerebrovascular diseases from activating blood circulation to resolving both phlegm and blood stasis in the modern metabolic context
摘要
Abstract
The pathogenesis of cardiovascular and cerebrovascular diseases in traditional Chinese medicine(TCM)has been evolving constantly with the changes in lifestyles and disease patterns.The classical theory highlights blood stasis as their core pathogenesis and treats them by promoting blood circulation.With the changes in modern lifestyle and diet structure,metabolic disorders play an increasingly prominent role in the occurrence and development of these diseases.It is held in traditional Chinese medicine that the viscous and obstructive characteristics caused by the accumulation of metabolic products correspond to the pathological attribute of endogenous turbid phlegm.Accordingly,their core pathogenesis has shifted from simple blood stasis to intermingled phlegm and blood stasis,while their therapeutic strategies transmit as well from activating blood circulation alone to resolving both phlegm and blood stasis.Based on a review of the pathogenesis evolution of cardio-cerebrovascular diseases,combined with the background of metabolic disorders,this study re-examines their core pathogenesis of intermingled phlegm and blood stasis,in a bid to provide theoretical references for future research on their related treatment methods and principles.关键词
代谢紊乱/痰瘀同治/冠心病/脑卒中/态靶辨治Key words
metabolic disorders/simultaneous treatment of phlegm and blood stasis/coronary heart disease/stroke/state-target based treatment分类
医药卫生引用本文复制引用
杨小霏,谢伟楠,唐程,仝小林..代谢紊乱背景下心脑血管病治则由"活血化瘀"向"痰瘀同治"转化的探讨[J].吉林中医药,2026,46(4):408-411,4.基金项目
北京中医药大学壶天客座教授科研启动经费资助项目(2023-XJ-KYQD-006) （2023-XJ-KYQD-006）
