[1]田恩成,范 虹,时 岩,等.基于长安雷氏心病痰瘀流派“痰瘀毒”理论辨治新型冠状病毒感染相关心肌损伤[J].陕西中医,2024,(3):387-390,419.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.023]
　TIAN Encheng,FAN Hong,SHI Yan,et al.Based on Chang'an Lei's heart disease phlegm-stasis school Tan Yu Du theory treatment of novel coronavirus related myocardial injury[J].,2024,(3):387-390,419.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.023]
点击复制

基于长安雷氏心病痰瘀流派“痰瘀毒”理论辨治新型冠状病毒感染相关心肌损伤
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年3期
页码:
387-390,419
栏目:
长安医学
出版日期:
2024-03-05

文章信息/Info

Title:
Based on Chang'an Lei's heart disease phlegm-stasis school Tan Yu Du theory treatment of novel coronavirus related myocardial injury
作者:
田恩成1; 范 虹2; 时 岩1; 陈 敏1; 董咪哩1; 申海飞2; 张 祥1; 杨 佳1
(1.陕西中医药大学,陕西 咸阳712046; 2.陕西省中医医院,陕西 西安 710003)
Author(s):
TIAN Encheng; FAN Hong; SHI Yan; CHEN Min; DONG Mili; SHEN Haifei; ZHANG Xiang; YANG Jia
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
新型冠状病毒感染;  心肌损伤;  长安雷氏心病痰瘀流派;  分毒论治
Keywords:
Corona virus disease 2019;  Myocardial injury;  Chang'an Lei's heart disease phlegm-stasis school;  Treatment based on various poisons
分类号:
R 256.1
DOI:
DOI:10.3969/j.issn.1000-7369.2024.03.023
文献标志码:
A
摘要:
新型冠状病毒感染患者不仅会出现呼吸道症状,也会累及心血管系统,出现胸闷、胸痛、气短、心慌等症状。国医大师雷忠义认为,新型冠状病毒感染相关心肌损伤的病机为时邪疫毒伤及正气,历经传变直客于心,病性以禀赋不足为本,时邪疫毒为标。长安雷氏心病痰瘀流派应用“痰瘀毒”理论诊治本病时认为,毒邪是新型冠状病毒感染相关心肌损伤的重要病理因素,并从“阴阳毒”“寒湿疫毒”“水毒”“郁毒”“积毒”等方面进行论治,为新型冠状病毒感染相关心肌损伤的诊断和治疗提供经验。
Abstract:
Patients with novel coronavirus infections not only can respiratory symptoms occur,but also involved in cardiovascular system,with symptoms such as chest tightness,chest pain,shortness of breath,and palpitation.Chinese medical master Lei Zhongyi believes that pathogenesis of novel coronavirus related myocardial injury in traditional Chinese medicine caused by seasonal pathogens and epidemic toxin,which becomes straight in heart after transmission.Chang'an Lei's heart disease phlegm-stasis school applies the theory of Tan Yu Du in diagnosis and treatment,it believed that toxicity was an important pathological factor in novel coronavirus related myocardial injury,and treatments based on the aspects of Yinyang Du,Hanshi Yidu,Shuidu,Yudu,Jidu and so on.Provide experience for the diagnosis and treatment of novel coronavirus related myocardial injury.

参考文献/References:

[1] CHIMENTI C,MAGNOCAVALLO M,BALLATORE F,et al.Prevalence and clinical implications of COVID-19 myocarditis[J].Card Electrophysiol Clin,2022,14(1):53-62.
[2] 金成强,黄敏,郭姗姗,等.基于“治未病”思想指导疫病防治的策略[J].甘肃科技,2023,39(10):110-113,117.
[3] 巢元方.诸病源候论[M].北京:人民卫生出版社,1980:261.
[4] 牛文璇,邓旻.中医疫病源流与发展[J].浙江中西医结合杂志,2023,33(3):280-283.
[5] 郑旭锐,李京涛,闫曙光,等.从《温疫论》浅谈新型冠状病毒肺炎[J].陕西中医药大学学报,2022,45(5):6-9.
[6] 刘耀岽,杨逸淦,柯丽萍.“温邪上受,首先犯肺,逆传心包”之辨析[J].中国中医基础医学杂志,2018,24(2):155-156.
[7] 何星灵,林晓涵,连珍,等.基于“逆传心包”理论探讨新型冠状病毒所致心血管损害的证治[J].福建中医药,2021,52(4):36-37,46.
[8] 王清任.医林改错[M].北京:中国中医药出版社,1995:5-19.
[9] 刘彧杉,张晓梅,杨华升,等.姜良铎教授从状态辨治新型冠状病毒肺炎[J].陕西中医,2020,41(11):1646-1650.
[10] 周永学.新型冠状病毒肺炎中医病因病机与病名探讨[J].陕西中医,2020,41(4):411-414.
[11] 申力,唐丹丽,曹洪欣.中医药治疗新型冠状病毒肺炎心肌损伤[J].中国实验方剂学杂志,2020,26(19):80-83.
[12] 李祎铭,王显.从“络风内动”论治新型冠状病毒肺炎相关心肌损伤[J].中西医结合心脑血管病杂志,2021,19(4):688-690.
[13] 张璋,邱玏,王河宝,等.中医学“痰”之形与意简析[J].中医杂志,2019,60(10):811-814.
[14] 文颖娟.基于国医大师雷忠义痰瘀互结理论的临床思维启示[J].陕西中医,2020,41(7):948-950,998.
[15] 孙国星,范虹,高晶晶,等.长安雷氏心病痰瘀流派“痰瘀毒风”理论辨治高血压病[J].陕西中医,2022,43(12):1787-1789.
[16] 谢华宁,高小龙,范虹,等.国医大师雷忠义从痰瘀毒论治胸痹心痛经验[J].现代中医药,2022,42(4):114-118.
[17] 吉锋,李展绒,任耀龙,等.化痰通瘀除痹方治疗冠心病合并颈动脉粥样硬化斑块痰瘀困阻证疗效研究[J].陕西中医,2022,43(9):1212-1214.
[18] 李燕钰.心肌肥厚之“痰瘀相关”理论探讨[J].陕西中医,2004,25(7):619-620.
[19] 罗建文,刘超峰.高血压病的中医治疗进展[J].世界最新医学信息文摘,2018,18(34):123-124,126.
[20] 张伟,张艳,康伊,等.心力衰竭的“虚瘀水毒”理论内涵[J].时珍国医国药,2020,31(6):1432-1434.
[21] 仝小林,李修洋,赵林华,等.从“寒湿疫”角度探讨新型冠状病毒肺炎的中医药防治策略[J].中医杂志,2020,61(6):465-470,553.
[22] 王艳霞,张艳.谈心力衰竭津液代谢障碍的中医思辨[J].湖北中医药大学学报,2020,22(1):48-51.
[23] 何盈,高敏,李秋宇,等.高敏名中医基于浊毒理论以通论治抑郁症经验[J].陕西中医,2021,42(4):514-516.
[24] 阎路达,唐润东,梁雪松,等.针灸从“心胆论治”治疗新型冠状病毒疫情后致焦虑障碍探讨[J].湖北中医杂志,2021,43(1):7-10.
[25] 李莎,寇少杰,薛敬东.薛敬东运用“浊毒理论”治疗非酒精性脂肪肝经验总结[J].陕西中医,2021,42(3):363-365.

相似文献/References:

[1]赵 彬,彭筱平,谭蓉慧.养心汤加减联合依那普利对慢性心力衰竭患者血清sST2、miR-423-5p水平的影响*[J].陕西中医,2020,(9):1212.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.009]
[2]张阳阳,孙 琮,杨兴嫕,等.炙甘草汤加减联合依那普利治疗慢性阻塞性肺疾病合并心力衰竭疗效研究[J].陕西中医,2021,(9):1219.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.017]
　ZHANG Yangyang,SUN Cong,YANG Xingyi,et al.Efficacy study on modified Zhigancao decoction combined with enalapril in treatment of chronic obstructive pulmonary disease with heart failure[J].,2021,(3):1219.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.017]
[3]龙 敏,张玉琴,岳 煜,等.黄连解毒汤联合西药治疗脓毒症心肌损伤疗效研究[J].陕西中医,2022,(3):329.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.014]
　LONG Min,ZHANG Yuqin,YUE Yu,et al.Study on clinical efficacy of Huanglian Jiedu decoction combined with western medicine on myocardial injury caused by sepsis[J].,2022,(3):329.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.014]
[4]王 琪,吴 限,刘 丰,等.黄连温胆汤通过PI3K/Akt通路对缺氧复氧诱导心肌细胞损伤作用机制[J].陕西中医,2023,(7):859.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.007]
　WANG Qi,WU Xian,LIU Feng,et al.Impacts and mechanism of Huanglian Wendan decoction on myocardial cell injury induced by hypoxia reoxygenation through PI3K/Akt pathway[J].,2023,(3):859.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.007]
[5]张 芹,周思远,刘如秀.名中医刘如秀从肾论治新型冠状病毒感染后心律失常经验[J].陕西中医,2023,(11):1606.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.027]
[6]衣雪锋,汪远军,阮晓冬.温阳复脉益心汤治疗心力衰竭合并房颤疗效研究[J].陕西中医,2024,(7):909.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.010]
[7]刘果果,龙卫平,石 磊,等.小柴胡汤合炙甘草汤治疗新型冠状病毒感染相关性心肌炎临床研究[J].陕西中医,2024,(12):1634.[doi:DOI:10.3969/j.issn.1000-7369.2024.12.010]
　LIU Guoguo,LONG Weiping,SHI Lei,et al.Observation on the effect of Xiaochaihu decoction combined with Zhigancao decoction in intervening myocarditis associated with novel coronavirus infection[J].,2024,(3):1634.[doi:DOI:10.3969/j.issn.1000-7369.2024.12.010]
[8]后亚芳,刘 园,陆晨曦,等.冠心舒通胶囊调节PI3K/AKT/mTOR信号通路保护H9c2心肌细胞机制研究[J].陕西中医,2025,46(3):296.[doi:DOI:10.3969/j.issn.1000-7369.2025.03.002]
　HOU Yafang,LIU Yuan,LU Chenxi,et al.Guanxin Shutong capsule treats damage protection mechanism of H9c2 cardiomyocytes through PI3K/AKT/mTOR pathway[J].,2025,46(3):296.[doi:DOI:10.3969/j.issn.1000-7369.2025.03.002]

备注/Memo

备注/Memo:
基金项目:陕西省中医药管理局-秦创原中药创新研发项目(2022-QCYZH-001); 陕西省中医药管理局-国医大师临床经验真实世界研究项目[陕中药发(2023)3号]; 陕西省中医药管理局-长安雷氏心病痰瘀流派传承工作室建设项目[陕中医药发(2018)40号]; 中国中医科学院科技创新工程项目(CI2022E040XB)
更新日期/Last Update: 2024-03-08