Analysis of the Treatment Strategy of Heart Failure with Preserved Ejection Fraction Based on ZHANG Boli's Theory of “Damp-turbidity and Phlegm-rheum Type of Diseases”
10.13288/j.11-2166/r.2024.01.007
- VernacularTitle:基于张伯礼“湿浊痰饮类病”学说浅析射血分数保留的心力衰竭治疗策略
- Author:
Guangning QIN
1
;
Xinyao JIN
1
;
Yaoyuan LIU
1
;
Kai WANG
2
;
Feng JIANG
1
;
Ming HUANG
1
Author Information
1. Tianjin University of Traditional Chinese Medicine， Tianjin， 301617
2. Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
heart failure with preserved ejection fraction （HFpEF）;
damp-turbidity;
phlegm-rheum;
weak pulse at yang and wiry pulse at yin;
ZHANG Boli
- From:
Journal of Traditional Chinese Medicine
2024;65(1):35-38
- CountryChina
- Language:Chinese
-
Abstract:
Professor ZHANG Boli believed that the core pathogenesis of heart failure with preserved ejection fraction （HFpEF） is weak pulse at yang and wiry pulse at yin. By referring to the theory of “damp-turbidity and phlegm-rheum type of diseases”， he proposed that yin pathogens of damp-turbidity and phlegm-rheum may damage yang qi in each stage of HFpEF， thus aggravating the trend of weak pulse at yang and wiry pulse at yin， which played an important role in the deterioration of HFpEF. Therefore， Professor ZHANG Boli advocated that importance should be attached to the elimination of yin pathogen and the protection of yang qi during the various stages of HFpEF in order to delay the aggravation of weak pulse at yang and wiry pulse at yin； he put forward the idea of staged treatment that “yin pathogen should be dispelled and yang qi should be demonstrated”； and he formulated the treatment strategy of treating the disease as early as possible， eliminating pathogens and protecting yang， interrupting the disease trend， using warm-like medicinals， and activating blood circulation， to enrich the theoretical system of traditional Chinese medicine in the treatment of HFpEF.
