冠心病中医病因病机学说分析--基于省部级二等奖以上科技成果的文献分析

摘要

In order to study the coronary heart disease pathogenesis theories in modern Chinese medicine,the author researched the lit-eratures on national science and technology progress winning provincial and ministerial scientific research achievement above the second prize in diagnosis and treatment of coronary heart disease under the guidance of the theory of traditional Chinese before 2012.The results showed 33 scientific research achievement and 149 related papers.Coronary heart disease pathogenesis theory had a bigger development with representative views of blood stasis,blood stasis and toxin,phlegm and blood stasis,phlegm and blood stasis of spleen,spleen and stomach relation,collateral disease,blood stasis included Qi deficiency and blood stasis,Yang deficiency and blood stasis,Qi stagna-tion and blood stasis,phlegm and stasis of different types.Pathogenesis of various theories had different focus on asthenia of healthy qi, or asthenia of pathogenic factors,but their essence were consistent,and stressed coronary heart disease was asthenia healthy qi and as-thenia pathogenic factor syndrome.%作者为总结现代以来中医诊治冠心病的基本规律和各家特点，提炼和阐明中医诊治冠心病的基本理论框架，开展中医诊治冠心病的学术调研。作为调研内容之一，首先就2012年以前，在中医理论指导下诊治冠心病并获得国家科技进步奖或省部级二等奖以上的科技成果进行文献调研。文献调研的初步结果表明：有相关科技成果33项，期刊论文149篇。关于冠心病的病因病机，代表性学说有血瘀说、瘀毒从化说、痰瘀互结说、心脾痰瘀相关说、脾胃相关说、络病说等。其中，血瘀说又有气虚血瘀、阳虚血瘀、气滞血瘀、痰阻血瘀等不同类型。上述病机学说，有侧重正虚、邪实的差异，共同点是均强调冠心病为本虚标实之证，并据此开展了不同角度的临床和基础研究。