南京中医药大学学报2026，Vol.42Issue(4)：500-509,10.DOI:10.14148/j.issn.1672-0482.2026.0500
基于《黄帝内经》时空观与络病"三维立体网络系统"论治心力衰竭
Treatment of Heart Failure Based on the Spatiotemporal View of The Yellow Emperor's Inner Classic and the"Three-Dimensional Network System"of Collateral Disease
摘要
Abstract
Heart failure is the terminal stage of various cardiovascular diseases,clinically characterized by high prevalence and high mortality.Based on the spatiotemporal view of The yellow emperor's inner classic and the"three-dimensional network system"of collateral disease,this paper systematically explores the evolution law of spatiotemporal pathogenesis and clinical syndrome differentia-tion and treatment ideas of heart failure,and holds that its onset has distinct dual attributes of time and space.In the temporal dimen-sion,the disease presents a dynamic pathogenesis evolution,with the circadian rhythm as the pivot of the growth and decline of yin and yang,the four-season rhythm as the foundation of the vicissitude of yang qi,and the disease course rhythm as the guideline of the pro-gression of disease condition.In the spatial dimension,it follows the hierarchical lesion characteristics that Sunluo stasis is the initial link,large collaterals obstruction is the core of progression,and water retention in the whole collateral network is the terminal outcome.On this basis,the core therapeutic principle of"spatio-temporal unblocking of collaterals"is established.Medication is administered in accordance with temporal rhythm and spatial structure to exert the comprehensive effect of regulating qi,blood and body fluid in the heart collaterals,aiming to provide theoretical basis and new clinical ideas for TCM syndrome differentiation and staging as well as full-cycle targeted intervention of heart failure.关键词
心力衰竭/《黄帝内经》/时空观/三维立体网络系统/病机演变/时空通络/络病Key words
heart failure/The yellow emperor's inner classic/spatiotemporal view/three-dimensional network system/pathogenesis evolution/spatio-temporal unblocking of collaterals/collateral disease分类
医药卫生引用本文复制引用
宁博,李嘉华,谢卓,沈悦,邹荣军,赵明君,杨志敏,范小平..基于《黄帝内经》时空观与络病"三维立体网络系统"论治心力衰竭[J].南京中医药大学学报,2026,42(4):500-509,10.基金项目
国家自然科学基金面上项目(82374240) （82374240）
国家中医药管理局高水平中医药重点学科建设项目-中医药人才培养重点学科建设项目"中医心病学"(zyyzdxk-2023160) （zyyzdxk-2023160）
广东省基础与应用基础研究基金项目(2024A1515012174,2024A1515013184,2025A1515012690) （2024A1515012174,2024A1515013184,2025A1515012690）
广东省中医药局科研项目(20241120) （20241120）
国家中医药传承创新发展示范试点项目-广州中医药大学与中山市中医院(第十临床医学院)高水平医院共建项目(GZYZS2024G15) （第十临床医学院）
广东省中医院名中医药学术经验传承工作室建设项目(中医二院[2025]17号) （中医二院[2025]17号）
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(2024ZD0528206,2024ZD0528200) （2024ZD0528206,2024ZD0528200）
广东省中医院范小平科研启动经费项目(2021KT1709) （2021KT1709）
