文章摘要
黄明艳,陈光,高嘉良,刘超,王阶.基于冠心病全程管理的“治未病”理论和实践[J].中国临床保健杂志,2019,22(6):860-864.
基于冠心病全程管理的“治未病”理论和实践
The theory and practice of preventing diseases based on the whole process of coronary heart disease management
投稿时间:2018-09-20  
DOI:10.3969/J.issn.1672-6790.2019.06.037
中文关键词: 冠心病  疾病管理  上工治未病  中医治法
英文关键词: Coronary disease  Disease management  Superior treat before sick  Therapeutic methods
基金项目:国家自然科学基金面上项目(81673847);中央级公益性科研院所基本科研业务专项(Z210-013);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015248);北京市科技计划十病十药研发(Z161100001816045);中国中医科学院博士研究生创新人才培养基金项目(CX201802)
作者单位E-mail
黄明艳 中国中医科学院广安门医院心血管科,北京 100053 huangmingyan011@163.com 
陈光 北京中医药大学  
高嘉良 中国中医科学院广安门医院心血管科,北京 100053  
刘超 中国中医科学院广安门医院心血管科,北京 100053  
王阶 中国中医科学院广安门医院心血管科,北京 100053 wangjie0103@126.com 
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中文摘要:
      中医“治未病”理论从未病先防、既病防变和愈后防复三个方面为冠心病的全程防治提供了具体的思路和方法,对预防冠心病的发生、发展及介入术后再狭窄都具有重要的指导意义。未病先防是指改善冠心病易患人群的危险因素以预防冠心病的发生,主要包括饮食、运动和情绪调摄以改变不健康的生活方式和调理易患体质,冠心病的易患体质主要包括痰湿体质、瘀血体质和湿热体质,通过调理易患体质可改善冠心病患者的危险因素进而减少冠心病的发生;既病防变主要为稳定斑块,痰瘀互结是斑块形成的基本病机,热毒内蕴影响斑块的稳定性,中药化痰活血抑制斑块进展,清热解毒防止斑块破裂,联合应用以稳定斑块;愈后防复主要为预防介入术后再狭窄,冠心病介入术后正气未复,瘀血内停是冠心病复发的基本病机,中药补益正气、活血化瘀合用以固本培元、调通脉道以预防术后再狭窄。
英文摘要:
      The theory of "preventing diseases" in traditional Chinese medicine has provided the specific ideas and methods for the whole process of the prevention and treatment for coronary heart disease in the three aspects including "prevention before disease onset","preventing disease from exacerbating" and "preventing recurrence after recovery".It has important guiding significance for preventing the occurrence and development of coronary heart disease and restenosis after interventional intervention."Prevention before disease onset" refers to the improvement of coronary heart disease risk factors to prevent the occurrence of coronary heart disease,including diet,exercise,emotion and recuperate susceptible physique."preventing disease from exacerbating"is mainly to stabilize plaque,including "resolving phlegm and blood circulation" to inhibit plaque progression and "heat-clearing and detoxifying" to prevent plaque rupture."Preventing recurrence after recovery" is mainly to prevent restenosis after intervention by "promoting blood circulation" and "replenishing vital energy.
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