郭维琴教授防治冠心病支架术后再狭窄经验介绍

摘要

Professor GUO Weiqin has unique insights on restenosis after coronary stent,and she believes deficiency,blood stasis and heat toxic are key pathogenesis.The pathogenesis is blood stasis due to qi deficiency and stagnated toxic heat.Benefiting qi for activating blood circulation and removing toxic sub-stance and resolving stagnation is an important method for treating restenosis after coronary stent and she picks up herbs to make the empirical formula,Fangzhai Huayu Decoction.Professor GUO emphasizes u-sing clearing heat and cooling blood and removing toxic substance and resolving stagnation as soon as pos-sible based on benefiting qi for activating blood circulation after coronary stent.The most common herbs are Mudanpi,Chishao,Jinyinhua,Lianqiao,Shancigu and Ezhu,etc.%郭维琴教授对防治冠心病支架术后再狭窄有独特认识，认为虚、瘀、热毒是支架术后再狭窄的病机关键，气虚血瘀、热毒内结是支架术后再狭窄的重要病机，益气活血、解毒化结是防治支架术后再狭窄的重要治法，并精选药物，组成经验方防窄化瘀汤。郭教授强调冠心病支架术后应在益气活血的基础上尽早使用清热凉血、解毒化结的药物，如牡丹皮、赤芍、金银花、连翘、山慈菇、莪术等。