CAJ | 학술논문

肥厚型心肌病是内科疑难疾病，中医药以其独特的思想和理念指导治疗该病，优势显著。刘如秀教授根据临床30余年的临证经验，认为肾元亏虚、心失所养是本病之根，病久入络、痰瘀互结是本病之标，其病位在心，病本在肾，属本虚标实之证，然更以心肾本虚为主。临证善于中西药配合应用，最大限度改善患者的临床症状，同时预防心肌肥厚发展。中药治疗标本兼顾，治以补肾益气养心为主，兼以化痰祛瘀，常用保元汤、首乌延寿丹、瓜蒌薤白半夏等方加减，疗效满意。现将相关经验总结如下，以飨同道。
비후형심기병시내과의난질병，중의약이기독특적사상화이념지도치료해병，우세현저。류여수교수근거림상30여년적림증경험，인위신원우허、심실소양시본병지근，병구입락、담어호결시본병지표，기병위재심，병본재신，속본허표실지증，연경이심신본허위주。림증선우중서약배합응용，최대한도개선환자적림상증상，동시예방심기비후발전。중약치료표본겸고，치이보신익기양심위주，겸이화담거어，상용보원탕、수오연수단、과루해백반하등방가감，료효만의。현장상관경험총결여하，이향동도。
Hypertrophic cardiomyopathy is the difficult disease in internal medicine.Chinese medi-cine has the significant advantages in the treatment of it with its unique thoughts and ideas.In Prof.Liu Rux-iu′s clinical experiences for over 30 years,Prof.Liu believed that kidney deficiency and malnutrition of heart are the root of the disease,invasion to the collateral and interaction of phlegm and stasis in the chronic condi-tion are the secondary of the disease.The disease is localized in the heart and rooted in the kidney and it is the mixed syndrome of the deficiency and excess,but the deficiency of the heart and kidney is considered the most.The integrated Chinese and western medicine utmost relieves the clinical symptoms of the patients and prevents from the development of hypertrophic cardomyopathy.Chinese materia medica treats the primary and secondary of the disease simultaneously,tonifying kidney qi and nourishing the heart,in association with re-solving phlegm and removing stasis.The common formulas are Baoyuan Decoction,Shouwu Yanshou Pills,the modified formula of Gualou Xiebai Banxia,etc.The efficacy is satisfactory.