主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (1): 27-31.doi: 10.3969/j.issn.2095-6606.2021.01.006

• 名老中医经验 • 上一篇    下一篇

郭维琴教授益气活血利水法治疗心力衰竭的经验*

毕然, 于赛飞, 王亚红#   

  1. 北京中医药大学东直门医院 北京 100700
  • 收稿日期:2020-05-15 出版日期:2021-01-30 发布日期:2021-02-02
  • 通讯作者: #王亚红,女,博士,教授、主任医师,博士生导师, E-mail:wyh411@hotmail.com
  • 作者简介:毕然,女,在读硕士生
  • 基金资助:
    *第四批全国中医(临床、基础)优秀人才研修项目,北京中医药“薪火传承3+3工程”室站建设项目(No.2011-SZ-C-33)

Prof. Guo Weiqin's experience in treating heart failure by invigorating qi, promoting blood circulation and disinhibiting water*

Bi Ran, Yu Saifei, Wang Yahong#   

  1. Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700
  • Received:2020-05-15 Online:2021-01-30 Published:2021-02-02

摘要: 心力衰竭(简称心衰)是指因心脏的结构和(或)功能异常导致的心室充盈或射血能力降低的一种临床综合征,属于中医“心水”“喘证”“水肿”等范畴。郭维琴教授认为心衰是在正气亏虚的前提下,产生瘀血、水饮、痰浊等病理产物,上凌心肺、外溢肌肤而发病,其基本病机为气虚血瘀、阳虚水泛。郭教授在治疗心衰时分别从气、血、水3个方面入手,以益气温阳、活血化瘀、泻肺利水为法。郭教授自拟益气泻肺汤治疗心衰,该方具有益气、活血、利水的功效,辨证加减后应用于心衰的治疗中,临床取得较好疗效。

关键词: 心力衰竭, 益气温阳, 活血化瘀, 泻肺利水, 名医经验, 郭维琴

Abstract: Heart failure (Hereafter HF), which refers to the structural and/or functional abnormalities of the heart caused by ventricular filling or decreased ejection capacity of a clinical syndrome, falls into the categories of “heart water”, “panting syndrome”, “water swelling” and others in traditional Chinese medicine. Prof. Guo Weiqin holds that HF is caused by pathological products such as static blood, water rheum and turbid phlegm under the premise of deficiency of healthy qi. The pathogenesis of HF is the deficiency of qi and yang, and the redundance of blood stasis and water retention. Prof. Guo treats HF from the three aspects of qi, blood and water with the treatment principles of invigorating qi and warming yang, promoting blood circulation to remove blood stasis, purging the lung to alleviate water retention. Prof. Guo intends to treat HF with Yiqi Xiefei Decoction, which has the effects of tonifying qi, promoting blood circulation and alleviating water retention. It is applied in the treatment of HF based on syndrome differentiation and subtraction, and good clinical effect has been achieved.

Key words: heart failure, invigorating qi and warming yang, promoting blood circulation to remove blood stasis, purging the lung to alleviate water retention, famous physician's experience, Guo Weiqin

中图分类号: 

  • R256.2