Discussion on the staged treatment of chronic heart failure based on the theory of "deficiency, blood stasis, water and toxin"
10.3760/cma.j.cn115398-20221222-00296
- VernacularTitle:基于“虚、瘀、水、毒”理论探讨慢性心力衰竭的分期论治
- Author:
Kun LIAN
1
;
Shumin HUANG
;
Ge FANG
;
Haobo JIANG
;
Peng LUO
;
Zizheng WU
;
Zhixi HU
Author Information
1. 湖南中医药大学中医学院2021级硕士研究生，长沙 410208
- Keywords:
Heart failure;
Theory of "deficiency, blood stasis, water and toxin";
Treatment by stages;
Traditional Chinese medicine
- From:
International Journal of Traditional Chinese Medicine
2023;45(11):1350-1355
- CountryChina
- Language:Chinese
-
Abstract:
Deficiency, stasis, water and toxin are of great significance in the pathogenesis and pathologic evolution of chronic heart failure (CHF). Based on "deficiency, blood stasis, water and toxin", the pathogenesis and treatment of CHF were discussed in this article. It was found that in the pathogenesis, deficiency--deficiency of heart qi and deficiency of heart yang were the origin of the disease, and blood stasis, water and toxin were the markers of the disease. Among them, blood stasis was the central pathological link, and also an important mechanism that could aggravate the disease and cause a vicious cycle; water-phlegm and water dampness were the basic pathological products; toxin-heat toxin, water toxin, and stasis toxin were the final results of disease progress and product accumulation. In terms of treatment, CHF can be divided into four stages: early, middle, late and end. In the early stage, tonifying qi and regulating heart can be used for the treatment of root cause, and promoting blood circulation and water can be used for the treatment of symptoms; tonifying qi and yin and reinforcing the healthy qi, reducing blood stasis, purging turbid, and eliminating pathogenic factors can be used in the middle stage; reducing blood stasis and removing toxic materials should be used in the late stage, supplemented with warming yang and increasing urine excretion; astringing yang,generating body fluids, tonifying qi and yang should be used in the end stage. At the same time of treating by stages, attention should be paid to adhering to a holistic concept and dialectical treatment; pay attention to timing and flexible medication; adopting a combination of Chinese and Western approaches and integrating them.
