Analysis on Pathogenesis and Syndrome Differentiation in Post-PCI Coronary Heart Disease Based on the Theory of"Fire and Original Qi Cannot Coexist"
10.19879/j.cnki.1005-5304.202503558
- VernacularTitle:基于"火与元气不两立"探析经皮冠状动脉介入治疗术后冠心病的病机与辨证
- Author:
Ruiling ZHOU
1
;
Jixin LI
;
Zelong NIU
;
Shengjing LIU
;
Haosen ZHAO
;
Weijie REN
;
Jiahao LI
;
Peili WANG
Author Information
1. 中国中医科学院西苑医院,北京 100091
- Publication Type:Journal Article
- Keywords:
percutaneous coronary intervention;
coronary heart disease;
fire and original qi cannot coexist;
toxin-stasis;
hemodynamics;
Danggui Buxue Decoction;
Yixin Hemai Prescription
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2025;32(9):170-173
- CountryChina
- Language:Chinese
-
Abstract:
Percutaneous coronary intervention(PCI),as one of the primary approaches for revascularization,still faces complications such as restenosis,myocardial ischemia-reperfusion injury and no-reflow/slow-flow phenomena,with no currently effective interventions ensuring long-term efficacy.Based on Li Dongyuan's theory that"fire and original qi cannot coexist",this article inherited Academician Chen Keji's academic perspective on"toxin-stasis pathogenesis"and the hemodynamic characteristics of coronary arteries to propose a"four-stage pathological progression"in post-PCI patients,namely spleen-stomach impairment-original qi deficiency-endogenous yin-fire-toxin-stasis accumulation.It emphasized that the heart vessels rely on qi and blood for nourishment and patency for function,elucidated the therapeutic rationale of Danggui Buxue Decoction,and presented the self-formulated Yixin Hemai Prescription,modified through syndrome differentiation,and performed simultaneous reinforcement and dredging,in order to provide diagnosis and treatment ideas for coronary heart disease after PCI treated with TCM.
