论《内经》心系理论对冠心病心力衰竭辨证施治指导-on the guidance of heart system theory in neijing on syndrome differentiation and treatment of coronary heart disease and heart failure.docxVIP

脾-肾），最后及肾，出现大气陷下，阴盛阳衰而发心力衰竭，最终阴阳离决而终亡。其提出的大气理论对后世诸多疾病具有指导意义，尤其在冠心病、心力衰竭的防治方面有着不可忽视的作用。其治疗注重在固护人体真元之气的前提下倡导宗气的重要、营卫气血的通调。其次须兼顾有形实邪碍阻气机，注重血瘀、水饮、痰浊的驱逐，可兼用（开鬼门）发汗、（洁净府）利小便、（去宛陈莝）活血通瘀涤痰的方法。病后康复强调了“心主血脉，和心藏神的两大生理特点，结合现代心血管专家胡大一教授”双心医学“模式等，提出了较为合理的建议。（3）《内经》倡导辨证论治，异病同治，虽未单独言明冠心病、冠心病心力衰竭，然其提供的整体辨证思路抓住了疾病的共性，通过对营卫、脏腑经络之气、宗气、元气的相关论述及五脏六腑相关思路，言明了一气周流的重要，揭示了疾病的传变和转归，深刻的影响着后世医家的遣方用药。导师方显明教授治疗冠心病、心力衰竭的经验及其他医家相关案例进一步体现出后世医家对内经理论的继承和发扬。结论:（1）《内经》对心系理论作出了详细的阐述。（2）《内经》较为清晰的阐明了冠心病、冠心病心力衰竭的发病时间特点、病因、病机、治法、传变预后及康复措施。其提出的大气理论对后世诸多疾病具有指导意义，通过理论和临床文献的分析证明了大气理论在冠心病、心力衰竭方面的重要作用。（3）通过后世医家的相关案例，及导师方显明教授治疗冠心病、心力衰竭的经验，进一步体现出后世医家对《内经》理论的继承和发扬。关键词：黄帝内经；冠心病心力衰竭；大气Differentialtreatmentinpatientswithchroniccongestiveheartfailureduetocoronaryarterydiseasewith《TheHuangDisCanonofInternalMedicine》hearttheoryguidanceAbstractObjective:learning《TheHuangDisCanonofInternalMedicine》，summedupthehearttheory,andtodiscussitcombinedwithcoronaryheartdisease.TocollecttherelevantprovisionsoftheNeiJing,focusedoncoronaryheartpathogenesis,treatmentprinciplesandpost-rehabilitation.andwewillStressedtheNeiJingatmospheretheory,whichhasagreatinfluencetoguidethetreatmentofcoronaryheartdiseaseandheartfailure.Finally,wewillexplainedthehearttheorybyancientcases,combinedwithmentorProfessorFangXianmingexperienceinthetreatmentofchroniccongestiveheartfailure,ToreflecttheDoctorslaterinheritandcarryforwardthetheory.Methods:(1)Withthemethodsofphilology,TocollecttherelevantprovisionsoftheNeiJing,anddiscussthehearttheory,combinedwithcoronaryheartdisease.(2)TocollecttherelevantprovisionsaboutcoronaryheartdiseaseandheartfailureoftheNeiJing,andworkthemintotherightphrase.thefollowingsixitemswillbediscussed:Characteristicsofthetimeofonset,etiology,pathogenesis,therapyprinciples,prognosismasschange,andguidingsignificancefordiseaserehabilitation.Andbringstogetherbibliographicinformationabouttheatmospheretheory,whichguidetreatmentofcoronaryarterydisease,heartfailure,andanalyzetheinformation.⑶wewillexplainedthehearttheorybyancientcases,combinedwit