胸痹以心前区憋闷疼痛,兼以乏力、汗出等症多见。相当于西医学冠心病范畴,西医常予药物治疗、介入支架、冠状动脉旁路移植术等以缓解症状。中医药治疗胸痹以心为中心,兼治他脏,调节机体阴阳,使机体整体调和。胸痹之病记载历史悠久,祖古医学对胸痹的病因病机、治疗随着朝代的更迭各家学术思想百花齐放,现通过田芬兰教授治疗胸痹三则来阐述田芬兰教授对胸痹治疗的“痰瘀互结,五脏相关”“整体施治,调节阴阳”“五脏一体观”等学术思想。Chest obstruction is characterized by discomfort and pain in the precordial area, as well as symptoms such as fatigue and sweating. Equivalent to the category of coronary heart disease in Western medicine, Western medicine often provides medication treatment, interventional stents, coronary artery bypass grafting, etc. to alleviate symptoms. Traditional Chinese medicine focuses on treating chest obstruction with the heart as the center, while also treating other organs, regulating yin and yang in the body, and achieving overall harmony. The disease of chest obstruction has a long history of recorded history. With the change of dynasties, various academic thoughts on the etiology, pathogenesis, and treatment of chest obstruction have flourished in ancient medicine. Now, through Professor Tian Fenlan’s three principles of treating chest obstruction, we will elaborate on his academic ideas on the treatment of chest obstruction, such as “phlegm and blood stasis are intertwined, the five organs are related”, “holistic treatment, regulating yin and yang”, and “the view of the integration of the five organs”.
