国医大师张磊治疗胸痹心痛经验介绍
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R249

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河南省中医药文化与管理研究项目重点课题(TCM2020001);河南省中医药拔尖人才培养项目(豫卫中医函[2021]15号)


Experience Introduction of Chinese Medicine Master ZHANG Lei in Treating Chest Impediment and Heart Pain
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    摘要:

    介绍国医大师张磊教授治疗胸痹心痛的经验。张磊教授认为胸痹心痛的病因病机比较复杂,但致病之关键在于脉不通。因此,张磊教授治疗胸痹心痛无论虚实,以祛邪通络为先,并贯穿始终。在治法上善用通法,在用药上顺应心的脏腑之性,注重“活”与“养”的关系。常以丹参饮为基础方,随证加减,气滞血瘀者,合百合汤加减;寒凝血瘀者,合薏苡附子散;瘀浊互结者,合瓜蒌薤白半夏汤;气阴不足者,合生脉散加减;心阳虚衰者,合附子理中汤加减。

    Abstract:

    Abstract: This paper introduces the experience of Prof. ZHANG Lei, a Chinese medicine master, in treating chest impediment and heart pain. Prof. ZHANG Lei thinks that the etiology and pathogenesis of chest impediment and heart pain are complicated,but the key to the disease lies in the pulse obstruction. Therefore,Prof. ZHANG Lei gives priority to dispelling pathogen and unblocking the collaterals and throughout the whole treatment when treating chest impediment and heart pain. In terms of methods, he is good at unblocking and in terms of medication, he complies with the nature of the heart, focusing on the relationship between "quickening" and "nourishing". He often uses Danshen yin as basic prescription and modifies it according to different syndromes. For patients with qi stagnation and blood stasis, he combines the basic prescription with modified Baihe tang;for patients with cold congealing and blood stasis,he combines with Yiyi Fuzi power; for patients with binding of stasis and turbidity,he combines with Gualou Xiebai Banxia tang;for patients with deficiency of qi and yin,he combines with modified Shengmai powder;and for patients with deficiency and debilitation of heart yang,he combines with modified Fuzi Lizhong tang. Good effect can be obtained and there are two cases attached as proof.

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陈召起,高青,王永霞,指导:张磊.国医大师张磊治疗胸痹心痛经验介绍[J].新中医,2021,53(20):209-212

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  • 在线发布日期: 2021-10-22
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