成都中医药大学学报2026，Vol.49Issue(4)：23-27,5.DOI:10.13593/j.cnki.51-1501/r.2026.04.004
基于"痰瘀胜则阳气微"理论的慢性肺源性心脏病病机析微与辨治
Analysis of Pathogenesis and Treatment of Chronic Pulmonary Heart Disease Based on the Theory of"Dominance of Phlegm and Blood Stasis Leading to Yang Qi Deficiency"
摘要
Abstract
Chronic Pulmonary Heart Disease(CPHD)is a common and frequently occurring disease with complex pathogenesis,se-verely affecting patients' quality of life.This paper proposes that"the dominance of phlegm and Blood stasis leading to deficiency of Yang Qi"constitutes the core pathogenesis of CPHD.The disease is fundamentally characterized by deficiency of the Lung,Spleen,and Kidney,with external pathogen invasion,phlegm-turbidity,and Blood stasis as secondary manifestations.Phlegm,Blood stasis,and Yang Qi are in a dynamic relationship of mutual influence and causation:as pathological products,phlegm and Blood stasis block qi movement and weaken the warming and promoting effects of Yang Qi,while Yang deficiency further exacerbates the accumulation of phlegm and Blood stasis,forming a vicious cycle.Treatment should adhere to the principles of eliminating phlegm and removing Blood stasis,warming Yang and transforming Qi,and addressing both the root cause and superficial symptoms simultaneously.Attention should be paid to regulating the balance of Qi and Blood to broaden the therapeutic approaches of traditional Chinese medicine.关键词
慢性肺源性心脏病/痰瘀/阳气/涤痰逐瘀/温阳化气/标本兼治Key words
Chronic pulmonary heart disease/Phlegm and Blood stasis/Yang Qi/Eliminating Phlegm and removing Blood stasis/Warming Yang and transforming Qi/Addressing both Root cause and symptoms分类
医药卫生引用本文复制引用
马建黎,曹爔瑜,李刘英,杨菲菲,党开杰,张传涛..基于"痰瘀胜则阳气微"理论的慢性肺源性心脏病病机析微与辨治[J].成都中医药大学学报,2026,49(4):23-27,5.基金项目
2022年度"天府青城计划"天府科技领军人才项目(川青城第1090号) （川青城第1090号）
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) （国中医药人教函[2022]1号）
四川省科技计划资助(2024YFFK0170) （2024YFFK0170）
