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1、浅析中医辩证施治治疗心肌梗死临床观王敬波黑龙江省绥化市北林区第五医院152000摘要：目的研究分析中医辩证施治治疗心肌梗死的临床观察。方法此次研宄的对象是选择我院2014年3月〜2015年4月治疗的62例心肌梗死患者，将其临床资料进行回顾性分析。中医分型：阳气虚损型10例，阴血亏虚型12例,瘀血阻滞型14例，痰浊闭塞型22例，寒凝心脉型4例。痰浊闭塞型治疗原则:豁痰散结，通阳泄浊。治疗方法：瓜蒌薤白半夏汤加味。寒凝心脉型治疗原则:散寒活血，宣痹通阳。治疗方法：乌头赤石脂丸配服苏合香丸。阳气虚损型治疗原则：温阳益气，活络止痛。治疗方法：桂枝人参汤（《伤寒论》）加味。阴血亏虚型治疗原则：滋阴补
2、血，活络止痛。治疗方法：桃红四物汤送服六味地黄丸。瘀血阻滞型治疗原则：活血化瘀，通脉止痛。治疗方法：血府逐瘀汤加味。结果62例患者经过治疗显效32例，有效21例，无效9例，总有效率为85.5%，其中阳气虚损型总有效率为90.0%,阴血亏虚型总有效率为83.3%,瘀血阻滞型总有效率为78.6%,痰浊闭塞型总有效率为90.9%,寒凝心脉型总有效率为75.0%。结论中医辩证施治治疗心肌梗死疗效显著，值得推广。关键词：心肌梗死；中医辩证施；中医分型Abstract:ObjectiveTostudytheclinicalobservationonthetreatmentofmyocardialinf
3、arctionandthedialecticalanalysisoftraditionalChinesemedicine.Methodsthestudywasconductedin62patientswithmyocardialinfarctiontreatedinourhospitalfromMarch2014toApril2015.Theclinicaldatawereretrospectivelyanalyzed.TCMType:10casesofYangQideficiencytype,12casesofdeficiencyofyinandblood,bloodstasistype
4、14casesofphlegmobstructiontypein22cases,4casesofcoldheartveintype.Theprincipleoftreatmentofphlegmobstructiontype:phlegmSanjie,Yangxiezhuo.Treatmentmethods:GualouXiebaiBanxiadecoction.Thetreatmentprincipleofcoldcoagulationheartandpulsetype:dispersingcoldandactivatingblood,activatingyang.Treatmentme
5、thods:WutouChishizhipillservedwithSuhexiangpill.YangQideficiencytype:thetreatmentprincipleofYangQi,activatingbloodcirculationandrelievingpain.Treatmentmethods:guizhirenshenDecoction("Treatiseon"modified).Yindeficiencytype:thetherapeuticprincipleofnourishingyinandblood,activatingbloodcirculationand
6、relievingpain.Treatmentmethods:Taohongsiwutangtakesixtasteglutinousrehmanniapill.Theprincipleoftreatmentofbloodstasistype:HuoxueHuayuTongmaipain.Treatment:BloodStasisdecoction.Results62patientsaftertreatmentof32casescured,21caseseffective,9casesineffective,thetotaleffectiveratewas85.5%,thetotaleff
7、iciencyofYangQideficiencytypewas90%,yindeficiencytype,thetotaleffectiveratewas83.3%,thebloodstasistypeofthetotaleffectiveratewas78.6%,phlegmobstructiontypetotaleffectiveratewas90.9%.Coldheartveintypethetotaleffec
