Exploring the Mechanism and Prevention and Treatment Strategies of Microvascular Angina Pectoris Based on the \"Qi-Blood-Venation\" Theory

    CAI Yongyuan¹， LI Mengran²， Hou Zhonghao³， NIU Tianfu⁴

    1.Guang'anmen Hospital，China Academy of Chinese Medical Sciences，Beijing 100053，China; 2.Shanxi Institute of Traditional Chinese Medicine; 3.Graduate School of Shanxi University of Chinese Medicine; 4.Shanxi Traditional Chinese Medicine Hospital， Taiyuan 030012， Shanxi， China

    Corresponding Author"NIU Tianfu， E-mail：13509732106@163.com

    Keywords" microvascular angina; \"Qi-Blood-Venation\" theory; pathogenesis

    摘要" 基于“气-血-脉络”理论体系，提出微血管性心绞痛是以元气渐耗、虚气留滞为起病根源，气郁不调、宗气失宣、络脉壅挛为主要病机，津气不利、痰湿内生、困滞血分为病之进展，营亏血少、浊瘀搏结为病之加重，心络闭损、大脉并伤、恶性循环为久病后果，具有以“气→血→脉络病”为轴心，分期加重、相互影响的病机演变特点。故提出：以调气和血，通补脉络为总则，强调“益气调元、养心荣络、纠其所偏”贯穿治疗始终。以气病期行气化滞、清透宣郁、柔和血络；血病进展期和利津气、化湿除痰、泻浊通络；血病加重期活血补血、逐瘀生新；脉络病期涤络开闭、攻中寓补为分期防治用药策略。

    关键词" 微血管性心绞痛；“气-血-脉络”理论；病机

    doi：10.12102/j.issn.1672-1349.2025.03.023

    原发性微血管性心绞痛(MVA)是指临床上反复出现劳力或静息性胸痛，且具有明确心肌缺血证据，但排除冠状动脉阻塞性病变或其他心血管病因素影响的一类临床综合征^[1] ......