Discussion on the Syndrome Differentiation and Treatment of Senile Chronic Heart Failure Complicated with Sarcopenia from Heart Water and Consumptive Disease in the Treatise on Exogenous Febrile and Miscellaneous Diseases
10.13359/j.cnki.gzxbtcm.2025.01.035
- VernacularTitle:从《伤寒杂病论》"心水"与"虚劳"探讨老年慢性心力衰竭合并肌少症的辨治
- Author:
Xinmei LI
1
;
Xiaozhong LIN
Author Information
1. 广州中医药大学第二附属医院,广东省中医院综合二科,广东广州 510120
- Keywords:
Treatise on Exogenous Febrile and Miscellaneous Diseases;
heart water;
consumptive disease;
senile chronic heart failure;
sarcopenia;
Ling Gui Zhu Gan Tang;
Zhenwu Tang;
Sini Tang;
classical prescriptions
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(1):237-242
- CountryChina
- Language:Chinese
-
Abstract:
Senile chronic heart failure(CHF)complicated with sarcopenia can further degrade patients'quality of life,and increase the occurrence of falls,disability and mortality.Currently,western medicine preventive and treatment for sarcopenia mainly depend on nutritional support and exercise therapy,but their efficacy remained uncertain.Traditional Chinese medicine(TCM)therapy has the advantages of holism and syndrome differentiation and treatment,and its application in senile CHF complicated with sarcopenia is worthy of further exploration.This paper sorted out the relevant statements in the Treatise on Exogenous Febrile and Miscellaneous Diseases,and concluded that the clinical manifestations of senile CHF complicated with sarcopenia are similar to those of heart water and consumptive disease in the Treatise on Exogenous Febrile and Miscellaneous Diseases.The statements in Treatise on Exogenous Febrile and Miscellaneous Diseases will guide the identification of etiology and pathogenesis as well as the diagnosis and treatment for senile CHF complicated with sarcopenia.The analysis of the pathogenesis indicated that heart water and consumptive disease were induced by deficiency of heart and spleen and kidney,five kinds of overstrain and seven types of impairment,water pathogen insulting heart,and internal stagnation of blood stasis.Therefore,it is proposed that the core pathogenesis of senile CHF complicated with sarcopenia is due to the deficiency of heart,spleen and kidney yang,and water blended with blood stasis.The classical prescriptions such as Ling Gui Zhu Gan Tang,Zhenwu Tang,Sini Tang,Shenqi Pills,Jianzhong Tang and Wuling Powder can be used by modification or combination based on syndrome differentiation in treating senile CHF complicated with sarcopenia.For both of the congenital and acquired origin(spleen and kidney)of elderly patients with CHF complicated with sarcopenia are deficient,the utilization of herbs for invigorating spleen and boosting kidney on the basis of syndrome differentiation may achieve good efficacy.
