调脾胃以治心绞痛浅论
Regulating the Spleen and Stomach to Treat Angina Pectoris: A Brief Introduction
摘要: 中医治疗疾病重视整体观念,认为脏腑之间关系甚大。一脏受损,则其他脏腑皆受牵连。以整体观念来看,心绞痛的病位虽然在心,其病因却不止于心,诸脏不利皆可引发心绞痛,脾胃失调就为其重要原因。脾胃者,后天之本。后天水谷精微之气全赖脾胃化生。脾胃运化失常,则水谷精微化生不足,无源上输心肺化为气血,致以全身脏腑气血乏源。因心绞痛其本质为心肌缺血,缺氧引起的胸痛。所以以不荣则痛这则关系推倒之,可以治脾胃以治心绞痛。且脾胃为病,水液代谢失常,内生湿邪,湿邪郁久而化痰饮,影响气血运行导致致痰瘀互结,致使心脉不利则可发为胸痹。以不通则痛关系推到之,也可治脾胃以治心绞痛。
Abstract: Chinese medicine attaches importance to the overall concept of disease treatment, and believes that there is a great relationship between the internal organs. If one organ is damaged, all other organs will be affected. From a holistic point of view, although angina pectoris is located in the heart, its cause is not limited to the heart, and angina pectoris can be triggered by the unfavorable conditions of all organs, with the disorders of the spleen and the stomach as the major causes. Spleen and stomach, the foundation of the latter day. The essence of the water and grains in the latter day all depend on the spleen and stomach to produce. Spleen and stomach dysfunction, then the water and grain essence micro-generation are insufficient, there is no source of upward transmission of the heart and lungs into qi and blood, resulting in a lack of source of qi and blood of the internal organs. Because angina pectoris is essentially myocardial ischemia, hypoxia caused by chest pain. Therefore, if you do not honor the pain, the relationship is reversed, you can cure angina by treating the spleen and stomach. And the spleen and stomach for the disease, water metabolism is not normal, the endogenous dampness, dampness and long and turn into phlegm, affecting the qi and blood operation leads to phlegm and stagnation of each other, resulting in the heart pulse is not conducive to the development of thoracic paralysis. The relationship of “no passage is pain” can be deduced, and the spleen and stomach can also be treated for angina pectoris.
文章引用:杨洲, 刘莉. 调脾胃以治心绞痛浅论[J]. 临床医学进展, 2025, 15(6): 1523-1528. https://doi.org/10.12677/acm.2025.1561882

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