CAJ | 학술논문

关心胀的论述首见《灵枢?胀论第三十五》,:“夫心胀者,烦心短气,卧不安.”根据历代中医文献中关心胀的论述以及中医对扩张型心肌病的认识,二者无论在临床表现、病病机及治则治法等方面极具相似性,可将扩张型心肌病归心胀.本病病机多虚实错杂,少见实证.心气亏虚为本病之基础,心阳不振为后期根本,血瘀、水湿为病理产物,是疾病发展及加重的重要素,发病多虚、瘀、水湿交杂.本病辨证须紧抓正气虚弱这个根本,根据疾病的不同阶段,结合气血津液辨治,扶正祛邪,补心气、心阳、心,逐瘀血、化水湿,标本兼治,方可奏效.
관심창적논술수견《령추?창론제삼십오》,:“부심창자,번심단기,와불안.”근거역대중의문헌중관심창적논술이급중의대확장형심기병적인식,이자무론재림상표현、병병궤급치칙치법등방면겁구상사성,가장확장형심기병귀심창.본병병궤다허실착잡,소견실증.심기우허위본병지기출,심양불진위후기근본,혈어、수습위병리산물,시질병발전급가중적중요소,발병다허、어、수습교잡.본병변증수긴조정기허약저개근본,근거질병적불동계단,결합기혈진액변치,부정거사,보심기、심양、심,축어혈、화수습,표본겸치,방가주효.
Cardiac distention was first recorded in Lingshu Zhangzhang The Thirty-fifth. According to the cognition of cardiac distention and dilated cardiomyopathy in TCM literature, they are similar in clinical manifestation, etiopathogenisis and therapeutical principle. Deficiency of vial QI is the fundamental etiopathogenisis of this disease. Based on the different developing stage, combined with differentiation of Qi, blood and body fluid, strengthening healthy qi to eliminate pathogens, expelling haemostasis and dissolving water treatments were applied to treat the disease.