心力衰竭证治.ppt

心力衰竭证治 汪再舫 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  心力衰竭的基本病机 ■心力衰竭的中医辨病辨证治疗 ■常用于心衰的中药现代药理研究 ■心衰的中医治疗优势及适应证 Valadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  衰的基本病机 ■部位初在心肺,继则脾肾并涉及到肝 ■基本病机为本虚标实,本虚为气阳亏损,标实水 湿痰饮,血瘀。 Valadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  水湿 瘀血 痰饮 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  心力衰竭的中医辨病辨证治疗 ■急性发作期 ■缓解期 ■舒张性心力衰竭 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  急性发作期 ■主症 ■治疗大法 ■基本方益气强心汤 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  发作期 急性左心衰 加桑白皮,瓜蒌皮, 枳实,葶苈子 急性右心衰 加熟附片、北五加皮、天仙藤 鲜万年青根、葶苈子、益母草、猪茯苓 严重心衰 生晒参、熟附片、山萸肉、龙骨 牡蛎、麦冬、五味子、蟾酥 顽固性心力衰竭 配用补精填髓之品 配以白术和枳壳以注意健运脾气 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  不同病因心衰的药物选择 肺心病心力衰竭 冠心病心衰 甲亢及甲减心衰 糖尿病心衰 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  心衰缓解期 主症心悸怔忡,气短乏力,活动后尤甚,神疲乏力,苔薄白,脉细 弱 病机心气不足 治法补益心气 方药五味子汤 Evaluadon only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  舒张性心力衰竭 ■诊断标准:(1)有充血性心力衰竭的体征或症状,并排除心脏瓣膜 病、缩窄性心包炎和其它非心脏疾病;(2)左心室收缩功能