郭晟 周承志

    [摘要] 心脑血管疾病是中老年人的常见病，具有发病率高、致残率高、死亡率高、复发率高、并发症多的特点，严重威胁人类的生命健康。血瘀证是各类心脑血管疾病的常见证型，贯穿临床各种疾病的病程始终。活血化瘀法是治疗中医血瘀证的基本治法，由于临床上各类心脑血管疾病的病程长短、病因病机存在差异，血瘀证又有急性血瘀证与慢性血瘀证之分。中医认为急性血瘀证的致病因素主要包括风邪、寒邪、气逆，而慢性血瘀证的致病因素则主要包括痰浊、本虚、络阻。在治疗时，应当辨证论治，在以活血化瘀为根本治法的前提下，结合其具体的致病因素，灵活地根据病情结合其他治法，以发挥更好的疗效。本文通过总结古今历代医家对血瘀证的认识及治疗方法，探究活血化瘀法在治疗血瘀型急慢性心脑血管疾病中的异与同。

    [关键词] 活血化瘀法;血瘀证;心脑血管疾病;辨证论治

    [中图分类号] R256.2、R277.7 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2020)07(a)-0140-04

    [Abstract] Cardio-cerebrovascular diseases is a common disease of middle-aged and elderly people. It has the characteristics of high morbidity， high disability， high mortality， high recurrence rate and many complications， which seriously threatens human life and health. Blood stasis syndrome is a common type of various cardio-cerebrovascular diseases， which runs through the course of various clinical diseases. The method of promoting blood circulation and removing blood stasis is a basic treatment method for treating blood stasis syndrome of traditional Chinese medicine. Due to the clinical course of various cardio-cerebrovascular diseases ......