彭丽琪 邓旭 蔡虎志 陈新宇

    〔摘要〕 國家级名中医陈新宇认为慢性心力衰竭(chronic heart failure， CHF)是心脏阴阳互损的终末状态，病因病机多责于阴阳失调、气血失常。陈教授从“阴阳”辨治CHF，按病程轻重缓急进行分期分型辨治，兼顾五脏施治和病机论治。缓解期分为“肺肾两虚，脾虚湿盛证”“肝肾阴虚，心阴耗伤证”和“心肺气虚，心神不宁证”，急性发作期常见证型为“阴寒凝聚，气虚血瘀证”“心肾亏损，阳虚水泛证”和“心阳不足，水凌心肺证”，危重期以“热陷心包，痰蒙心窍证”和“阴竭阳脱，元气暴亡证”居多。针对CHF不同分期、不同证型，施以阴阳同治、温补肺肾、平肝潜阳、回阳救逆等治法。并将中医“治未病”思想贯穿于CHF防治的各个阶段。

    〔关键词〕 慢性心力衰竭;分期分型辨治;阴阳;治未病;陈新宇

    〔中图分类号〕R256.2? ? ? ?〔文献标志码〕B? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.10.025

    TCM Understanding and Prevention of Chronic Heart Failure： Research on Chen

    Xinyus Academic Thought and Clinical Experience

    PENG Liqi1， DENG Xu2， CAI Huzhi2， CHEN Xinyu2*

    (1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Affiliated

    Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China)

    〔Abstract〕 Professor Chen Xinyu believes that chronic heart failure (CHF) is the terminal state of mutual loss of Yin and Yang of the heart， the etiology and pathogenesis are mostly responsible for the imbalance of Yin and Yang， Qi and blood disorders. Professor Chen advocates the differentiation and treatment of CHF from "Yin and Yang" ......