Discussion on the diagnosis and treatment of chest impediment based on the method of "opening pores with wind-dispelling medicinals"

LIU Mengnan; CHEN Mingtai; DONG Li; LUO Gang; LIU Ping; YANG Sijin

doi:10.3969/j.issn.2095-6606.2023.04.014

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Discussion on the diagnosis and treatment of chest impediment based on the method of "opening pores with wind-dispelling medicinals"

Ideas and Methodologies | 更新时间：2023-08-07

- Discussion on the diagnosis and treatment of chest impediment based on the method of "opening pores with wind-dispelling medicinals"
- Modern Chinese Clinical Medicine Vol. 30, Issue 4, Pages: 66-68,83(2023)
- 作者机构：
  
  1.西南医科大学附属中医医院心血管内科　泸州　646000
  2.澳门科技大学中医药学院
  3.深圳市中医院心血管内科
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.04.014
  CLC： R222.16
- Received：06 September 2022，
  
  Published：30 July 2023
- 稿件说明：
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LIU Mengnan, CHEN Mingtai, DONG Li, et al. Discussion on the diagnosis and treatment of chest impediment based on the method of "opening pores with wind-dispelling medicinals"[J]. Modern Chinese Clinical Medicine, 2023, 30(4): 66-68,83.
DOI：

LIU Mengnan, CHEN Mingtai, DONG Li, et al. Discussion on the diagnosis and treatment of chest impediment based on the method of "opening pores with wind-dispelling medicinals"[J]. Modern Chinese Clinical Medicine, 2023, 30(4): 66-68,83. DOI： 10.3969/j.issn.2095-6606.2023.04.014.

摘要

胸痹是指以胸部闷痛、甚则胸痛彻背，喘息不得卧为主要表现的一种疾病。中西医均认为本病存在“不通”的情况。玄府是人体气液流通最为微观的通道结构，心玄府通畅则心可行使“君主之职”。胸痹为病，属心络不通所致，从微观而言即“心玄闭塞”，保持“心玄”通畅，则心脏气机运转正常。风药可开通玄府，在外开泄腠理，在内通达脏腑。风药在治疗胸痹实证方面，可理气开玄、化瘀开玄、辛温开玄、祛痰开玄。

Abstract

The term

xiongbi

(chest impediment) refers to a disease characterized by severe chest pain

even involving the back in severe cases

accompanied by sleeplessness due to dyspnea. Both traditional Chinese and Western medicine believe that there are "blockages" in this disease.

Xuanfu

(pore) is the most microscopic channel structure of qi and liquid circulation in the human body. The heart can play the role as the governor of the blood and vessels in the body only when

Xinxuanfu

(heart pore) is unobstructed. Chest impediment is a disease caused by obstruction of the heart collaterals. From a microscopic point of view

it can be regarded as obstruction of heart pores. Keeping them unobstructed is thus vital to the normal movement of heart qi. Wind-dispelling medicinals or wind herbs

can open the

xuanfu

discharge the striae and interstices externally and interact with the

zang

organs internally. It has been clinically proven that wind-dispelling drugs can open the

xuanfu

by regulating qi

dissolving stasis

dissipating cold

or dispeling phlegm.

关键词

Keywords

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