冠心病的发生多与情志失调、寒邪内侵、劳倦过度、饮食失节、年老久病等因素有关。气、血、阴、阳亏虚或脏腑功能失调是血瘀证形成的基本病机,多由寒邪、热邪、痰湿等实邪阻碍血液运行,导致瘀血停滞于心胸,不通则痛;或由郁怒伤肝,肝失疏泄,肝郁气滞而使血行失畅,脉络不利而致气血瘀滞,胸阳不运,心脉痹阻,不通则痛。并对冠心病血瘀证细化分型为痰瘀互结、寒凝血瘀、气滞血瘀、气虚血瘀、阳虚血瘀等,分别采用活血化痰、温经活血、行气活血、补气活血、温阳活血等法,以提高临床疗效。
Coronary heart disease is associated with emotional disorders,cold attacking,improper diet,overstrain,chronic illness and other factors. Deficiency of Qi,blood,Yin and Yang or Zang-Fu dysfunction is the basic pathogenesis of blood stasis syndrome. It is manily due to cold,heat,phlegm and other excess evils,leading to stasis stagnation in mind to cause pain because of obstruction or due to depression damaging liver which fail to soothe,leading to iver qi stagnation and blood stasis in chest and heart collaterals to cause pain. And coronary heart disease blood stasis syndromes can be divided into accumulation of phlegm and blood stasis type,blood stasis due to cold type,blood stasis due to Qi stagnation type,blood stasis due to Yang deficiency type,which can be treated respectively by methods of activating blood circulation and resolving phlegm,warming meridians and activating blood circulation,promoting Qi movement and activating blood circulation,supplementing Qi and activating blood circulation,warming Yang and activating blood circulation to promote the clinical effect.