Ideas and Methods of Treating Coronary Heart Disease Based on"the Concept of Circular Transformation"
10.16466/j.issn1005-5509.2025.10.004
- VernacularTitle:基于"循环变易观"论治冠心病的思路与方法
- Author:
Yanjie WANG
1
;
Fengkai XU
1
;
Tianxing ZHANG
1
Author Information
1. 浙江省中医"瘀毒证"重点实验室,浙江中医药大学基础医学院 杭州 310053;中医"治未病"智慧健康浙江省工程研究中心,浙江中医药大学
- Publication Type:Journal Article
- Keywords:
coronary heart disease;
the concept of circular transformation;
Yin-Yang;
five phases;
Qi movement;
five elements control and transformation;
dynamic intervention;
warm Yang to transform Qi
- From:
Journal of Zhejiang Chinese Medical University
2025;49(10):1242-1247
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To deepen the theoretical grasp of"the concept of circular transformation"and apply it to unpack the complex pathogenesis of coronary heart disease(CHD),offering a holistic,unified,and adaptable diagnostic and management framework.[Methods]Through historical review and medical principle analysis,it elucidates"the concept of circular transformation"basics and nuances.Merging this with modern research,it discerns CHD's tangled progression,also refers classic formulas,common drugs and diverse clinical practice to pinpoint effective therapeutic approaches.[Results]"The concept of circular transformation"posits that all phenomena are in cyclic and dynamic flux,with human life exhibiting three cycles:Yin-Yang dynamics,the five elements and Qi movement.This framework can explain CHD pathogeneses as:Yin-Yang imbalance from Yang's failure to disperse and Yin evil obstruction;five elements disharmony due to heart and spleen malnourishment and kidney water overflowing into the heart;and Qi circulation disruption from chaotic ascending-descending and misdirected entry-exit.The treatment strategies include warming Yang Qi,dissipating pathogens,harmonizing Yin-Yang;invigorating the spleen and protecting,the heart warming the kidney,supporting Yang and promoting element interaction;and balancing Qi's movements.This work aims to refine"the concept of circular transformation"and offer systematic,dynamic traditional Chinese medicine(TCM)approaches for CHD diagnosis and treatment.[Conclusion]"The concept of circular transformation"blends concepts of perpetual cycles and evolutionary shifts with traditional Chinese medicine's views on Yin-Yang balance,the five elements'interplay and the movements of Qi.This perspective facilitates sophisticated analysis of CHD's complexity,guiding medication choices and dynamic treatment applications in clinical settings.
