中医药临床杂志2026，Vol.38Issue(4)：638-642,5.DOI:10.16448/j.cjtcm.2026.0404
从"痰、热、瘀、虚"论难治性心绞痛的辨治
Diagnosis and Treatment of Refractory Angina Pectoris Based on"Phlegm,Heat,Blood Stasis,and Deficiency"
摘要
Abstract
Refractory angina pectoris is characterized by recurrent,persistent angina lasting at least 3 months,ac-companied by evidence of myocardial ischemia.It is a type of angina that cannot be controlled by drug therapy or re-vascularization and falls under the category of"chest pain and heart pain"in Traditional Chinese Medicine(TCM).Modern research has found that TCM has significant advantages in treating refractory angina.This article,starting from the concept of"phlegm-heat,blood stasis,and deficiency,"argues that the complex pathogenesis of refractory angina involves phlegm turbidity,heat toxin,blood stasis,and heart deficiency.Through the organic integration of TCM and Western medicine theories,the article analyzes the pathogenesis of refractory angina to gain a more comprehensive understanding of its underlying nature.It proposes that,targeting the predominance of"phlegm-heat,blood stasis,and deficiency"in refractory angina,the main treatment methods should be phlegm-resolving and turbidity-eliminating,heart-clearing and detoxifying,blood-nourishing and blood-activating,and Qi-Tonifying and Yin-Nourishing,which can provide a certain reference for the prevention and treatment of refractory angina with TCM.关键词
难治性心绞痛/痰热瘀虚/病机/治法/中医药治疗Key words
Refractory angina pectoris/Phlegm-heat,blood stasis and deficiency/Pathogenesis/Treatment methods/TCM treatment分类
医药卫生引用本文复制引用
孟贺曈,宋婷婷,王东海..从"痰、热、瘀、虚"论难治性心绞痛的辨治[J].中医药临床杂志,2026,38(4):638-642,5.基金项目
辽宁省"兴辽英才计划"医学名家项目(YXMJ-QNMZY-12) （YXMJ-QNMZY-12）
