北京中医药大学学报
北京中醫藥大學學報
북경중의약대학학보
Journal of Beijing University of Traditional Chinese Medicine
2015年
9期
581-586
,共6页
络脉%病络%络病%络风内动%理论探讨
絡脈%病絡%絡病%絡風內動%理論探討
락맥%병락%락병%락풍내동%이론탐토
collateral vessels%diseased collateral%collateral diseases%endogenous collateral wind%theo-retical discussion
络脉是气络、血络和络脉缠绊结构与功能的统一。从络脉、病络到络病的病理生理过程称为“络脉为病”,络脉为病出现动风征象称之“络风内动”。络风内动是“病络”的表达形式,包括络虚动风、热毒生风及外风引动3种。络风内动术语本身体现出络脉形质的易变性,络风内动与肝风内动含义既有交叉又有区别。目前,络风内动理论已用于经皮冠状动脉治疗术后、心衰急性发作或心肾综合征、快速性心律失常。以络风内动理论指导多种疑难或急危病证诊治的研究将成为中医药科研的方向。
絡脈是氣絡、血絡和絡脈纏絆結構與功能的統一。從絡脈、病絡到絡病的病理生理過程稱為“絡脈為病”,絡脈為病齣現動風徵象稱之“絡風內動”。絡風內動是“病絡”的錶達形式,包括絡虛動風、熱毒生風及外風引動3種。絡風內動術語本身體現齣絡脈形質的易變性,絡風內動與肝風內動含義既有交扠又有區彆。目前,絡風內動理論已用于經皮冠狀動脈治療術後、心衰急性髮作或心腎綜閤徵、快速性心律失常。以絡風內動理論指導多種疑難或急危病證診治的研究將成為中醫藥科研的方嚮。
락맥시기락、혈락화락맥전반결구여공능적통일。종락맥、병락도락병적병리생리과정칭위“락맥위병”,락맥위병출현동풍정상칭지“락풍내동”。락풍내동시“병락”적표체형식,포괄락허동풍、열독생풍급외풍인동3충。락풍내동술어본신체현출락맥형질적역변성,락풍내동여간풍내동함의기유교차우유구별。목전,락풍내동이론이용우경피관상동맥치료술후、심쇠급성발작혹심신종합정、쾌속성심률실상。이락풍내동이론지도다충의난혹급위병증진치적연구장성위중의약과연적방향。
It is well known that the collateral vessels, in TCM, is the unity of structures and functions of qi collaterals, blood collaterals and collateral loops.The term of “collateral vasculopathy” refers to the process of the normal collateral vessels turning into the diseased collateral vessels and leading to the col-lateral vessel diseases at last.And the syndrome of stirring wind arising from“collateral vasculopathy” is defined as“endogenous collateral-wind”, the presentation form of diseased collateral vessels, reflecting the mutability of shapes and characters of collateral vessels.The syndrome of “endogenous collateral-wind” is due to collateral deficiency, heat-toxin stagnation or exogenous wind.Furthermore, the concepts of “endogenous collateral-wind” and“endogenous liver-wind” have something in common, but not really the same.The theory of endogenous collateral-wind have been successfully applied to percutaneous coro-nary intervention ( PCI) post-operation, acute exacerbation of heart failure or cardiorenal syndrome, and tachyarrhythmias.It will become one of directions of TCM scientific research, we believe, that the study for the theory of endogenous collateral-wind to treat collateral vessel diseases guiding the treatment and diagnosis of multiple difficult and complicated diseases.