調和五臓氣血治療缺血性心臓病的中西醫理論

Hypothesis of Chinese and Western Medicine By Coordinating the Qi and Blood on The Five Viscera For Management of Ischemic Heart Disease

許堯欽(Yao-Chin Hsu) ； 陳榮洲(Jung-Chou Chen)

《中西整合醫學雜誌》 5卷1期 (2003/12) Pp. 17-28

https://doi.org/10.29613/JICWM.200312.0002

摘要

中西醫理論，缺血性心臓病的主要病理在於細胞的氛氣供需失衡，其病因多來自於心肌的血液灌流量不足所造成的缺氧，其治療原則包括降低心肌的耗氧量，與提高冠狀動脈的血流量。基於中醫的整體觀診療思想，調和五臓氧血，是治療缺血性心臓病最重要的治則，它能用以調節與充盈人體全身重要臓器的能量與血流，同時藉以穩定冠狀動脈的血液灌流量與降低心臓的負荷。
本文從名老中醫的臨床治療經驗，及作者的臨床觀察，認為調和五臓氧血乃經由全身性的氧血調節，來改善心臓的血液灌流量，及治療心肌缺氧，能夠有效提升患者的生活品質。

關鍵字

調和五臓氣血 ； 缺血性心臓病 ； 心臓血液灌流

並列摘要

The major pathology of ischemic Heart Disease (IHD) is an imbalance between oxygen supply and demand resulted usually from the lack of oxygen due to inadequate myocardial blood perfusion. Management of the IHD includes either reduction in myocardial oxygen demand or elevation in coronary blood flow.
On basis of generalized concept for diagnosis and treatment in Chinese Medicine. It is the most important principle for treatment of IHD by coordinating the Qi and Blood of the Five Viscera. It serves to satisfy and regulating the energy and blood perfusion of all vital organs. Meanwhile, it's thought to be beneficial to the heart by stabilizing the blood flow of myocardium and reducing load of the heart.
The assay from the distinguished Chinese physician experience and our observation in clinic. The thinking process of coordinating the Qi and Blood of the Five Viscera is through by regulating the systemic Qi and Blood that can improve myocardial blood perfusion and ischemia as well as enhance the life quality of coronary heart disease.

並列關鍵字

Coordinating the Qi and Blood of the Five Viscera ； Ischemic Heart Disease ； Myocardial blood Perfusion