陈晓虎六经辨证论治冠心病探赜

Chen Xiaohu’s Exploration in Treating Coronary Heart Disease with Six-Channel Syndrome Differentiation

摘要: 总结陈晓虎教授基于六经辨证论治冠心病的经验。认为冠心病属中医疑难杂症，证素庞杂，常规脏腑辨证有其局限，六经辨证优势明显。可以病位、病性为纲，方证、条文为目：太阳病证在表，实证有风寒、水饮、寒饮，虚证有心阳不足；阳明病证多实，气分邪气依靠胃肠代谢，病在血分当活血破血；少阳病证多表现为情志问题，当区分气机升降；太阴病证在中焦脾胃，当分辨阴虚、阳虚、虚痨；少阴多急危重症，当区分寒化、热化；厥阴为迁延期，无主证主方，以协和阴阳为要。临证分经论治可提高疗效，改善预后。

Abstract: To summarize professor Chen Xiaohu’s experience in treating coronary heart disease (CHD) based on the six-channel syndrome differentiation and treatment, this disease is considered complex and difficult in traditional Chinese medicine, with numerous syndrome elements. The conventional organ differentiation has its limitations, while the six-channel syndrome differentiation offers significant advantages. Establishing a six-channel syndrome differentiation and treatment system for CHD bears positive significance. This system can be structured with disease location and nature as the main themes, and prescriptions and scriptures as the sub-themes. Specifically, the Taiyang channel syndromes manifest on the surface, with excess syndromes including wind-cold, water retention, and cold retention, while deficiency syndromes encompass heart-yang deficiency. The Yangming channel syndromes are mostly excess, with pathogenic qi in the qi aspect relying on gastrointestinal metabolism, and those affecting the blood aspect require promoting blood circulation and dispelling blood stasis. The Shaoyang channel syndromes often present as emotional issues, necessitating differentiation between qi movement ascent and descent. The Taiyin channel syndromes center around the middle jiao (spleen and stomach), necessitating discrimination within yin deficiencies, yang deficiencies and general debilitation. The Shaoyin channel syndromes often involve emergency and severe cases, requiring differentiation between cold and heat transformations. Finally, the Jueyin channel represents the prolonged phase of disease, lacking a dominant syndrome or prescription, with the key focus on harmonizing yin and yang. Clinical practice should employ syndrome differentiation based on the six channels to enhance efficacy and improve prognosis.