唐祖宣通阳化瘀辨治胸痹经验及中医研究进展

Tang Zuxuan’s Experience in Treating Chest Obstruction through Promoting Yang and Resolving Stasis, and the Research Progress of Traditional Chinese Medicine

摘要: 国医大师唐祖宣为中原温阳流派第二代代表性传承人，从医六十余载深耕心系疾病、周围血管病及内科疑难慢病诊疗，构建起以温阳益气、活血通络为核心的特色学术体系。胸痹为临床高发的慢性心系病证，基于《黄帝内经》阳气理论与中原地域临证经验，唐教授提出胸痹多由胸阳不振、瘀阻心脉引起，确立通阳化瘀的基本治则。近年来，随着唐祖宣学术传承工作室的推广，其通阳化瘀辨治胸痹经验逐步得到临床证实，在改善症状、降低心绞痛发作频率、改善患者运动耐量、减少不良反应及提高生活质量方面显现出独特的优势。本文系统梳理唐祖宣通阳化瘀辨治胸痹的学术渊源与理论内涵，总结其传承现状与研究进展，为丰富胸痹中医辨治体系、推动国医大师学术经验传承创新提供参考。

Abstract: National Medical Master Tang Zuxuan is the second-generation representative inheritor of the Central Plains Yang-Warming School. With over six decades of experience in medicine, he has dedicated himself to the diagnosis and treatment of heart diseases, peripheral vascular diseases, and complex internal chronic diseases, establishing a distinctive academic system centered on warming yang, replenishing qi, and promoting blood circulation to remove obstruction. Chest obstruction is a clinically prevalent chronic heart disease syndrome. Based on the yang theory from the “Huangdi Neijing” and clinical experience from the Central Plains region, Professor Tang proposes that chest obstruction is often caused by yang deficiency in the chest and blood stasis in the heart meridians, establishing the basic treatment principle of promoting yang and resolving blood stasis. In recent years, with the promotion of Tang Zuxuan’s Academic Inheritance Studio, his experience in treating chest obstruction through promoting yang and resolving blood stasis has been gradually validated clinically, demonstrating unique advantages in improving symptoms, reducing the frequency of angina attacks, enhancing patients’ exercise tolerance, minimizing adverse reactions, and enhancing quality of life. This article systematically reviews the academic origins and theoretical connotations of Tang Zuxuan’s approach to treating chest obstruction through promoting yang and resolving blood stasis, summarizes his current status of inheritance and research progress, and provides references for enriching the TCM differentiation and treatment system for chest obstruction and promoting the inheritance and innovation of academic experiences of National Medical Masters.