Three methods for treating heart failure with preserved ejection fraction from water,deficiency and blood stasis
10.3969/j.issn.1006-2157.2024.06.002
- VernacularTitle:从水、虚、瘀论述射血分数保留的心力衰竭治疗三法
- Author:
Xin ZHAO
1
,
2
;
Qingyong HE
;
Jie WANG
;
Yuzhi JIA
;
Yaping YOU
;
Xinyu LU
;
Haifang WU
Author Information
1. 中国中医科学院广安门医院心血管科 北京 100053
2. 北京中医药大学
- Keywords:
heart failure with preserved ejection fraction;
water-fluid;
yang deficiency;
qi deficiency;
blood stasis;
staging treatment
- From:
Journal of Beijing University of Traditional Chinese Medicine
2024;47(6):747-752
- CountryChina
- Language:Chinese
-
Abstract:
This study investigated the primary pathogenesis and syndrome evolution of different heart failure with preserved ejection fraction(HFpEF)stages based on the classical and clinical experience of traditional Chinese medicine(TCM),combined with the clinical characteristics of pre-heart failure,symptomatic heart failure,and advanced heart failure.This study summarizes and refines the three core syndrome factors:water,deficiency and blood stasis.Water-fluid retention was observed throughout these three stages,from the beginning to the end.With the advancement of the disease,the heart yang changes from stagnation to deficiency,water-fluid retention gradually increases,blood stasis becomes increasingly prominent,and the disease location develops dynamically from the upper to the middle and lower jiao.This study proposes three methods of treating HFpEF.The main pathogenesis of pre-heart failure is lung qi dysfunction-induced water retention,which can be treated by dispersing lung qi and transforming water retention using Fuling Xingren Gancao Decoction.The primary pathogenesis of symptomatic heart failure is yang and qi deficiency-induced water retention,which can be treated with tonifying yang,supplementing qi,and transforming water retention using Shengxian Decoction combined with Linggui Zhugan Decoction.The primary pathogenesis of advanced heart failure is yang deficiency with blood stasis and water retention affecting the heart,which can be treated with tonifying yang,circulating blood,and expelling water retention using Zhenwu Tingli Decoction.Chinese medicine can be flexibly added or subtracted according to the patients'concurrent patterns.However,the daily care of patients should be considered.This study explores the staging treatment of HFpEF from water,deficiency and blood stasis to provide a TCM clinical reference for treating HFpEF.
