张培影教授辨治冠心病不稳定性心绞痛经验

摘要

Objective This paper sums up professor Zhang Peiying's clinical experience in diagnosing and treating unstable angina(UA) of coronary heart disease. [Methods]Generalizing the pathogenesis, rules of treatment and principle of diagnosis about UA, through the reference of classical theory of Traditional Chinese medicine and clinical observation. Then analyse professor Zhang Peiying's characteristics about diagnosing and treating UA by two examples of medical record.[Results]Professor Zhang considers deficiency of Qi and stagnation of phlegm is the premise and foundation of UA, holds that stagnation of phlegm, stagnation of blood and spasm of heart vessel are the key causes of the disease and removing blood stasis, relieving spasm of vessel, strengthening the spleen and reducing phlegm is the basic treatment principle. He divides UA into 4 categories: stagnation of heart blood syndrome, stagnation of phlegm and blood syndrome, deficiency of Qi and stagnation of blood syndrome,weakness of Yang with stagnation of phlegm and blood. [Conclusions]Professor Zhang Peiying's scholar thought and clinical experience in diagnosing and treating UA of coronary heart disease is effective. His thought and clinical experience are worth extending and applying.%[目的]总结张培影教授辨治冠心病不稳定性心绞痛（unstable angina，UA）的经验。[方法]通过中医经典理论文献参考、临床观察，对UA病机、治则、辨证原则进行归纳，并以两则案例具体分析张培影教授辨治冠心病UA的特点。[结果]张培影教授提出了气虚痰滞是冠心病UA发病的前提和基础；痰滞瘀阻、心脉挛急是UA的病机关键；祛瘀和脉、健脾化痰是基本治疗原则；UA分为心血瘀阻证、痰滞瘀阻证、气虚血瘀证、阳虚痰瘀证4型。[结论]张培影教授针对UA痰滞瘀阻、心脉挛急的病机特点，设立了祛瘀和脉、健脾化痰的治疗原则，临床应用疗效显著，具有推广应用价值。