《医学物理学》课程中科学问题探索实践(一)——中医活血化瘀疗法内涵的物理学探讨

Exploration and Practice of Science Problems in the Course of Medical Physics (I)—Physical Discussion on the Connotation of Traditional Chinese Medicine Therapy of Promoting Blood Circulation and Removing Blood Stasis

摘要: 《医学物理学》是医学类院校开设的一门基础课程，为了更好地开展以科学问题为导向的教学改革，提升本科教学质量，本文对中医活血化瘀疗法内涵的物理学进行探讨。心脑血管疾病多为气机运行不畅、寒热郁结体内不散、痰浊阻滞、瘀血肿块等因素导致，而活血化瘀法具有活血行血、消肿散结、调经止痛等功效。因此，活血化瘀法是心脑血管疾病治疗中一种十分有效的方法。传统文章着重探讨活血化瘀法的药效治疗，而本篇文章将活血化瘀作用机制通过血液与物理泊肃叶定律Q = πr4Δp/(8ηL)，R = 8ηL/(πr4)联系起来，从物理学角度对活血化瘀内涵进行分析，并将物理学串并联理论延伸到毛细血管结构中，从而对血管各级分支的意义进行探讨，使活血化瘀法作用机制与物理学的联系更加深刻。以期由纳米级机器人进入人体血管治疗心血管疾病，为实现中医现代科学化做出进一步的贡献。

Abstract: “Medical Physics” is a basic course offered by medical colleges and universities. In order to better carry out the teaching reform oriented by scientific problems and improve the quality of undergraduate teaching, this paper discusses the physics of the connotation of the TCM therapy of activating blood circulation and removing stasis. Most cardiovascular and cerebrovascular diseases are caused by such factors as poor qi circulation, stagnation of cold and heat stagnation in the body, block of phlegm and turbidness, blood stasis mass, etc., while activating blood circulation and removing blood stasis method has the functions of promoting blood circulation, reducing swelling and dispersing knot, regulating meridian and analgesia, etc. Therefore, activating blood circulation and removing blood stasis is a very effective method in the treatment of cardiovascular and cerebrovascular diseases. Traditional paper focuses on the pharmacodynamic treatment of activating blood circulation and removing blood stasis, and this article promotes blood circulation to remove blood stasis mechanism through blood and Poiseuille law of physics Q = πr4Δp/(8ηL), R = 8ηL/(πr4). From the perspective of physics, this paper analyzes the connotation of promoting blood circulation and removing blood stasis, and extends the theory of physics series and parallel to the capillary structure, so as to discuss the significance of the branches of blood vessels at all levels, which makes the connection between the mechanism of activating blood circulation and removing blood stasis more profound. It is expected that nanoscale robots will enter human blood vessels to treat cardiovascular diseases, making further contributions to the realization of modern science of traditional Chinese medicine.