中医治疗慢性心力衰竭中有待解决的问题.docVIP

中医治疗慢性心力衰竭中有待解决的问题 缓慢心力衰竭（CHF）为各类异质性的基础心脏病展开而 来的临床概括征，是心脏疾病的严肃时间，这些年发病率 持续增高。虽然近20年来西医在心力衰竭领域的基础和临 床研讨取得严重展开，但当时看来现代的心衰治疗对预后 的改善仍不能令人满意，各种汗水管工作发生率仍很高， 国外流行病学资料标明，心衰5年存活率为50%，40%的患 者一年内会因心衰再次入院，有临床体现的患者5年存活 率更与恶性肿瘤邻近。怎样前进CHF患者的生存率，为当 时所注重的抢手。中医药治疗CHF有共同的优势，这些年 中医药在治疗缓慢心力衰竭方面取得了较大展开，其作用 得到广泛认同。 Slow heart failure ( CHF ) for various types of heterogeneity of underlying heart disease clinical generalization to sign, t ime is serious heart disease, the incidence rates continued to increase? Although nearly 20 years in the field of basic Western heart failure and clinical research have serious, but it seems the modern treatment of heart failure on the prognosis of improvement is still not satisfactory, various Khan pipe work rate is still high， foreign epidemiological data indicate, heart failure 5 years survival rate was 50%， 40% of patients within one year due to heart failure readmissions, patients with cl inical manifestations of 5 years survival rate is adjacent and malignant tumor. How to advance the survival rate of patients with CHF, pay attention to the demand for. Chinese medicine treatment of CHF have a common advantage, has made great development these years, Chinese medicine in the treatment of slow heart failure, its role has been widely recognized? 二.中医对缓慢心衰的晓得及治疗概略 Two. Know and treatment of heart failure TCM slow compendium 病因病机 pathogenesis 关于心衰病因的论说最早见于《内经》：劳则喘息汗出， 外内皆越，故气耗矣、”是故多食咸，则脉凝泣而色变、 味过于甘，心气喘满说明缓慢心衰的病因多为过劳，过 食等。 About heart failure etiology theory was first seen in Neijing n: n pain, breathing and sweating, outside and inside are more, so the gas consumption. n is it eat salty, pulsating coagulating and color H taste too sweet, cardiac asthma full the cause of slow heart failure is fatigue, food etc?? 当时认为CHF的发生首要是心脏自病或它病累及于 心，使心之气阴缺少或阳气受损，无力鼓动血脉，然后使 血脉瘀阻，而痰、水、瘀等病理产物又进一步损及阴阳， 然后引发咳喘、水肿、心悸等一系列证候临床体现，构成 恶性循环，结束体现为阳气厥脱之危象。其底子病机是本 虚标实，本虚首要心之气、阴、阳亏虚，标实首要是血瘀、 水饮为患，多为真假搀和。杜廷海［1］认为其发病机理首 要是因为人体脏腑功用受损，阴阳气血失调，致使中焦运 化失调，气机升降反常，痰浊水湿内生，气滞血瘀，心阳 不振，心脉瘀阻而本钱虚标