从气血津液论治慢性心力衰竭

Treatment of Chronic Heart Failure from the Viewpoint of Qi, Blood and Fluids

摘要: 慢性心力衰竭是临床常见疾病，其本质是心脏功能不全的综合表现，通常是多种心脏疾病长期发展的必然结果。随着人口老龄化和生活方式的改变，慢性心力衰竭的发病率逐年上升，已成为全球范围内人类健康的重要威胁。慢性心力衰竭的最根本病机在于心气不足，心阳亏虚。心之气血阴阳虚衰，脏腑功能失调，致津液代谢失常，心失所养，心血不运，血脉瘀阻，最终形成慢性心力衰竭。病机总概括在于虚、瘀、水。总体治疗原则为补气温阳，活血利水，兼顾阴津。

Abstract: Chronic heart failure is a common clinical condition, which is essentially a comprehensive manifestation of cardiac insufficiency and is usually the inevitable result of the long-term development of multiple cardiac diseases. With the aging of the population and changes in lifestyle, the incidence of chronic heart failure is increasing year by year and has become an important threat to human health worldwide. The most fundamental mechanism of chronic heart failure lies in the insufficiency of heart qi and deficiency of heart yang. The deficiency of heart qi, blood, yin, and yang, along with the dysfunction of the viscera, leads to abnormal body fluid metabolism, malnourishment of the heart, impeded circulation of heart blood, and blood stasis, ultimately resulting in chronic heart failure. The disease mechanism is summarized in deficiency, stasis and water. The overall treatment principle is to replenish qi, warmth and yang, activate blood circulation and promote water circulation, and take into account yin and fluids.