基于“阳化气，阴成形”理论探讨心力衰竭的防治思路

Discussion on the Prevention and Treatment of Heart Failure Based on the Theory of “Yang Transforming Qi, Yin Forming Shape”

摘要: 心力衰竭是多种心血管疾病晚期共同表现，其病理机制复杂，预后较差，属中医学“心衰”“心悸”等范畴。本文基于《黄帝内经》中“阳化气，阴成形”理论，阐述心衰发生发展的关键病机，阳气亏虚与阴浊内阻的失衡，并提出以“温阳化气、畅化三焦”为核心的防治思路。通过温补心阳、通调三焦气机、化浊利水，辅以运动导引，从整体上改善机体阴阳平衡，以期为心衰的中医防治提供理论依据与实践指导。

Abstract: Heart failure represents a common and critical manifestation in the advanced stages of various cardiovascular diseases. Its pathophysiological mechanisms are intricate, leading to a generally poor prognosis. According to traditional Chinese medicine (TCM), heart failure can be categorized under the syndromes of “heart qi deficiency” and “palpitations”. Drawing on the “Huangdi Neijing” principle that “yang transforms qi while yin forms shape”, this paper elucidates the core pathogenesis of heart failure as an imbalance between yang qi deficiency and internal obstruction by yin turbidity. It proposes a therapeutic strategy centered on “warming yang to transform qi and unblocking the three jiao”. This approach involves warming and tonifying heart yang, regulating the qi movement within the three jiao, eliminating turbidity, promoting diuresis, and complementing these efforts with qigong exercises. The overall aim is to restore the body’s yin-yang equilibrium, thereby providing a theoretical foundation and practical guidance for the prevention and treatment of heart failure from a TCM perspective.