中文摘要：

冠状动脉粥样硬化性心脏病归属于中医学“胸痹”范畴,张仲景于《伤寒论》中以“阳微阴弦”概括胸痹心痛本虚标实之病机特点,治疗总以寒热辨证为宗.文章从以下三个方面对《伤寒论》寒热辨证治疗胸痹进行分析总结：从寒论治,包括温通心阳、温经散寒、峻温回阳;从“热”论治,包括清化开结、清宣胸膈;“寒热”并进法,包括半夏泻心汤证、炙甘草汤证.应用《伤寒论》经方治疗冠心病疗效满意,但多以个案或医家心得为主,目前研究多以对其临床疗效的考证及现代药理研究为主.以冠心病为例,文章认为精研《伤寒论》辨证思想,对提高中医药疗效及促进中医辨证体系的系统化与规范化有重要作用.

英文摘要：

Coronary atherosclerotic heart disease is in the category of＂ xiong bi＂ in TCM.Zhang Zhongjing had summarized the pathogeneses characters of this disease as the deficiency in the primary and the excess in the secondary based on＂ yang wei yin xue＂ in Treaties on Febrile Diseases.The general treating principle is based on cold and heat differentiation.Three aspects had been analyzed in this paper.Treatment focusing on cold：warming up heart yang,eliminating cold and rescuing heat.Treatment focusing on heat：clearing heat,removing stagnation and relaxing the chest.Treatment focusing on both cold and heat：including banxia xiexin tang syndrome and zhigancao tang syndrome.The satisfactory efficacy has been achieved with the classical formula in Treaties on Febrile Diseases in the treatment of coronary heart disease based on the records of individual medical cases and experiences.Currently,the study is focused on the investigation of clinical efficacy and modern pharmacology.By taking this disease as the example,it is viewed in the paper that the thought on the pattern/syndrome differentiation in Treaties on Febrile Diseases provides the significant role in improving the efficacy and promoting the normalization and standardization of pattern/syndrome differentiation system in TCM.