张培影治疗冠心病的学术观点和临床经验探讨

摘要

[Objective] This paper sums up professor Zhang Peiying's scholar thought and clinical experience in diagnosing and treating coronary heart dis-ease. [Methods] From the aspects of the pathological mechanism, and treatment based on syndrome differentiation of coronary heart disease, and the exam-ple of medical record, elaborate that the pathological mechanism is the deficiency of cardiac Yang.Yang deficiency may cause the devitalized chest Yang, which may enable the external pathogenic cold to invade the body.The retention of cold and the stagnation of Qi and blood wil hinder the chest Yang and the circulation of blood in the chest vessels,causing the occurrence of the disease.[Results] The pathological mechanism of coronary heart disease is the deficiency of cardiac Yang and excess of pathogenic factor .Its root belongs to deficiency while its branch belongs to excess. On this base, professor forms Zhang Peiying's treatment principle focusing on relieving both the secondary and primary symptoms, such as replenishing Yang-Qi,and warming up the heart yang and dispel ing cold ,removing blood stasis.Taking an example for the therapy to prove it.[Conclusions]Professor Zhang Peiying's scholar thought and clinical experience in diagnosing and treating coronary heart disease is effective and is trusted and welcomed by patients. His thought and clinical expe-rience are worth to extend and apply.%[目的]探讨张培影教授治疗冠心病的学术观点和临床经验。[方法]分别以阳虚为主，兼夹寒凝、气滞血瘀为病因；阳气虚衰，胸阳不振，心脉失于温煦，外寒袭内，久之形成气机痹阻，血行瘀滞，而发胸痹为病机，结合张师的治疗方法及病案举例予以论述。[结果]根据以上病因病机形成了以温补阳气、振奋心阳为主，散寒、活血化瘀为辅的治则，案例论证此法应用于临床收效显著。[结论]张培影教授振奋心阳为主，散寒、活血化瘀为辅的诊疗冠心病的经验临床行之有效，具有推广应用价值。