Professor Xu Hao′s Clinical Experience in Treating Chest Stuffiness and Pains

    GUO ZhiyingLI YufengXU Hao

    1.Beijing Changping District Hospital of Traditional Chinese Medicine， Beijing 102200， China; 2.Xiyuan Hospital， China Academy of Chinese Medical Sciences， National Clinical Research Center of Cardiovascular Disease of Traditional Chinese Medicine

    Corresponding Author "XU Hao， E-mail： xuhaotcm@hotmail.com

    Keywords""chest stuffiness and pains; prescriptions corresponding to syndromes; governing syndrome based on diseases; pathogenesis identification; experience of famous doctors; Xu Hao

    摘要""总结徐浩教授治疗胸痹心痛的临床经验。提出“方症(机)对应-以病统证-病机辨证”三位一体、层层递进的辨证思路。治疗胸痹心痛首选方证辨证，擅用经方，若无相应方证，则在病证结合、以病统证基础上，采用病机辨证方法，可执简驭繁。病性辨证，首辨寒热虚实，临床用药多扶正祛邪，攻补兼施，寒热并用；十纲辨证，重视气血，临床用药多气血并治；审因论治，重视“痰、瘀、毒”，临床用药痰瘀同治，对于高危胸痹病人要活血解毒。

    关键词""胸痹心痛；方证辨证；以病统证；病机辨证；名医经验；徐浩

    doi：10.12102/j.issn.1672-1349.2025.04.026

    胸痹心痛是指因心脉挛急或闭塞引起的一类病证，轻者仅感胸闷，重者疼痛剧烈，伴有面色苍白、大汗淋漓、四肢不温等。胸痹心痛发病率高，是影响人类健康的重要疾病之一，本病大多先实后虚，在临床证候方面多虚实夹杂，且病程较长，易反复发作^[1]，临床治疗颇为棘手 ......