资源描述：
《糖尿病性冠心病中医研究进展_庞健丽.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、#150#辽宁中医杂志2009年第36卷第1期糖尿病性冠心病中医研究进展庞健丽,林兰,倪青,王洪武(中国中医科学院广安门医院,北京100053)摘要:糖尿病性冠心病是糖尿病的慢性大血管并发症之一,是糖尿病的主要死因,对其积极有效的防治,具有重要的意义。从糖尿病性冠心病的中医病名、病因病机、辨证分型、辨证施治等方面进行综述。认为本病病机为气阴两虚,瘀血痰浊内阻,心脉不通;病位在心,与肝、脾、肾有关;为本虚、标实之证,本虚为气阴两虚,标实为血瘀、痰浊互阻。临床辨证各有心得,或以阴阳、脏腑、病因、气血津液辨证;或以辨证与辨病相结合;或辨病为主;或一方为主,
2、随证加减;或突出治法,辨证贯穿始终。关键词:糖尿病性冠心病;中医研究;进展中图分类号:R587;R54114文献标识码:A文章编号:1000-1719(2009)01-0150-03ProgressinChineseMedicineonDiabeticCoronaryHeartDiseasPANGJian-li,LINLan,NIQi,WANGHong-wu(Guanga'nmenHospital,ChinaAcademyofChineseMedicalSciences,Beijing100053,China)Abstract:Diabeticcor
3、onaryheartdiseaseisachronicdiabeticvascularcomplicationsofdiabetes,whichisthemaincauseofdeath,itspositiveandeffectivepreventionandtreatmentisofgreatsignificance.Thisarticlesummarizedfromthenomenclature,pathogenesisandetiology,syndrometype,treatmentbasedonsyndromedifferentiation
4、,andotherareasofdiabeticcoronaryheartdiseaseinChinesemedicine.ThepathogenesisofthisdiseaseisconsideredtobelackinginbothQiandYin,internalstagnationofbloodstasisormurkyphlegmandfluid,blockincardiacvascular;ThelocationofthediseaseisinHeart,relatingLiver,SpleenandKidney;Thesymptoma
5、ppearedtobeexcess,whiletherootofthediseaseisdeficiency.ThedeficiencyofrootmeanslackingofbothQiandYin,whiletheexcessofbranchmeansinternalstagnationofbloodstasisandmurkyphlegmandfluid.Eachhastheirownexperienceonclinicalsyndromedifferentiationofthisdisease,someofthembasedonYinandY
6、ang,Zang-visceralandFu-viscera,letiologyorQ,ibloodandbodyfluid;someothersbasedonthecombinationsofdiseasedifferentiationandsyndromedifferentiation,ortheyonlyconcentratedondiseasedifferentiation;Therealsohavebodiesbasedononeformulaandplusorminuswithdifferentsyndromes;Ortheystress
7、ontreatments,withsyndromedifferentiationrunthroughfrombeginningtoend.Keywords:Diabeticcoronaryheartdisease;TCMresearch;Progress糖尿病性心脏病(DiabeticCandiopathy,简称DC)载。5灵枢#本脏6:/心脆则善病消瘅热中0。5灵枢是糖尿病心血管并发症之一,是指糖尿病并发或伴发#邪气脏腑病形6:/心脉微小为消瘅0。张仲景在5伤的心脏病,包括糖尿病性冠心病、糖尿病性心肌病及糖寒论6中也有/消渴,气上撞心,心中痛热0的
8、记载。心尿病自主神经病变,尤其以冠心病为多。2型糖尿病主神明,主血脉。巢元方在5诸病源候论6载有/消渴患者中
