治療冠心病經(jīng)驗(yàn)課件

國(guó)醫(yī)大師李士懋治療冠心病的經(jīng)驗(yàn)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療1國(guó)醫(yī)大師李士懋治療冠心病的思路冠心病可導(dǎo)致心絞痛、心功能不全、心梗、心衰休克、心律不齊,以及室壁瘤、猝死等。在門診多見(jiàn)的是冠心病心絞痛、心功能不全、律不齊、慢性心衰等這類病人常見(jiàn)的主癥有心前區(qū)疼痛、胸悶、喘憋、心悸、短氣等,根據(jù)這些癥狀,結(jié)合脈舌神色進(jìn)行辨證論治,但李老尤以脈診為重。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路2國(guó)醫(yī)大師李士懋治療冠心病的思路冠心病的臨床表現(xiàn);(一)疼痛(二)胸悶、喘憋、短氣(三)心悸Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路3國(guó)醫(yī)大師李士懋治療冠心病的思路(四)對(duì)382例冠心病心絞痛的粗略分類和用方統(tǒng)計(jì)1火熱者84例,占22.0%(1)心經(jīng)郁熱梔子豉湯4例梔子豉湯加枳實(shí)3例新加升降散四逆散合梔子豉湯1例(2)火郁夾瘀升降散加活血之品1例(3)氣血兩燔清瘟敗毒飲(4)熱+痰小陷胸湯7例升降散合小陷胸湯3例黃連溫膽湯黃連溫膽湯合滾痰丸黃連溫膽湯合旋覆代赭湯1例滌痰湯合人參白虎湯1例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路4國(guó)醫(yī)大師李士懋治療冠心病的思路(5)熱+痰+瘀小陷胸湯合血府逐瘀湯(6)熱+痰+風(fēng)湯加息鳳之品2例(7)水熱互結(jié)木防己湯2例升降散合己椒藶黃丸2例(8)余熱未清竹葉石膏湯1例(9)熱+風(fēng)白虎湯加息風(fēng)之品1例(10)熱+濕甘露消毒丹合升降散菖蒲郁金湯合升降散11)木火擾心一貫煎1例貫煎合百合地黃湯(12)痰瘀熱+陰傷活血化痰湯加清熱養(yǎng)陰之品1例(13)陽(yáng)盛陰虛玉女煎1例(14)上熱下寒附子瀉心湯(15)痰熱+心陽(yáng)不振陷胸湯合桂枝、附子Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路5國(guó)醫(yī)大師李士懋治療冠心病的思路2.寒盛(包括虛寒)208例,占54%(1)寒遏飲蓄麻黃湯1例麻黃半夏丸(2)寒襲夾飲小青龍湯10例小青龍湯加附子小青龍湯加活血之品10例小青龍湯合苓桂術(shù)甘湯6(3)寒濕痹阻五積散(4)寒束熱郁防風(fēng)通圣散1例(5)心陽(yáng)虛柱枝甘草湯加附子3例桂枝去芍藥湯桂枝加附子湯桂枝加龍骨牡蠣湯(6)陽(yáng)虛血瘀溫陽(yáng)活血12例7)陽(yáng)虛飲泛附子理中湯3例六君子湯加桂枝苓桂術(shù)甘湯合四逆湯18例苓桂五味姜辛湯桂甘姜棗麻辛附湯32例苓桂術(shù)甘湯加附子、鳥(niǎo)頭27例真武湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路6國(guó)醫(yī)大師李士懋治療冠心病的思路8)心腎陽(yáng)虛真武湯合小青龍湯2例真武湯加益氣之品真武湯合澤瀉湯真武湯合桂枝龍骨牡蠣湯(9)心陽(yáng)虛+痰瘀痹阻桂枝附子湯加活血化痰之品20例苓桂術(shù)甘湯合血府逐瘀湯苓桂術(shù)甘湯加干姜1例(10)心陽(yáng)虛、相火旺振心陽(yáng)、瀉相火11)肝虛烏梅丸19烏梅丸加活血之品2傷烏梅丸加化濕之品1例烏梅丸加風(fēng)藥例(12)肝寒+血虛當(dāng)歸四逆湯合溫肝湯1例13)陽(yáng)虛血弱當(dāng)歸四逆湯2例(14)陽(yáng)虛濕盛,清陽(yáng)不升溫陽(yáng)化濕,升清15)陰盛痰凝溫膽湯加桂枝、附子3例(16)陽(yáng)虛陰弱桂枝湯合百合地黃湯1例(17)心虛+痰桂枝去芍藥加蜀漆牡蠣龍骨救逆湯1例(18)陽(yáng)虛陰泣+陰虛苓桂術(shù)甘湯合百合地黃湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路7國(guó)醫(yī)大師李士懋治療冠心病的思路3邪實(shí)(痰、瘀52例3.61)痰瘀互結(jié)生風(fēng)活血滌痰息風(fēng)(2)痰蘊(yùn)滌痰湯例(3)濕阻清陽(yáng)升降散合小柴胡湯4)痰瘀互結(jié)滌痰活血例瓜蔞薤白湯加活血之品(5)氣滯痰郁肝風(fēng)滌痰息風(fēng)3例(6)血瘀風(fēng)動(dòng)血府逐瘀湯加息風(fēng)之品(7)血瘀血府逐瘀湯5例8)氣滯痰郁、清陽(yáng)不升升降散合滌痰氵9)濕熱蘊(yùn)阻,清陽(yáng)不升升降散加化濕之品1例升陽(yáng)益胃湯10)氣滯四逆散合升降散11)氣滯血瘀膈下逐瘀湯1例·(12)風(fēng)痰瘀天麻鉤藤湯1例半夏白術(shù)天麻湯例13)氣滯小柴胡湯1例四七湯1例·(14)支欽澤瀉湯加風(fēng)藥(15)痰阻陽(yáng)郁瓜蔞薤白白酒湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路8國(guó)醫(yī)大師李士懋治療冠心病的思路(1)陽(yáng)盛陰虛復(fù)脈湯玉女煎2例(2)水虧火旺黃連阿膠湯2例(3)陰虛氣滯一貫煎合百合地黃湯(4)氣陰兩虛炙甘草湯6例(5)陰虛風(fēng)動(dòng)、血脈凝泣三甲復(fù)脈湯加活血之品3例(6)痰瘀互結(jié)化熱傷陰活血化痰湯加清熱養(yǎng)陰之品1例(7)陰虛陽(yáng)亢化風(fēng)8)心肝血虛酸棗仁湯1例(9)腎陰虛地黃飲子2例(10)陰陽(yáng)兩虛桂枝龍牡湯合百合地黃湯1例(11)腎虛風(fēng)動(dòng)濟(jì)生腎氣湯加龜板1例(12)支飲陰虛苓桂術(shù)甘湯合百合地黃湯1例(13)心陰虛百合地黃湯2例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路9國(guó)醫(yī)大師李士懋治療冠心病的思路5脾腎兩虛11例,占2.8%(1)脾虛肝郁歸脾湯1例(2)氣血不足夾瘀歸脾湯加活血之品1例(3)脾腎兩虛脾腎雙補(bǔ)2例鞭丸1例4)陰陰兩虛桂枝、附子加麥冬、生地1例(5)痰阻腎虛補(bǔ)腎滌痰例(6)氣血不足黃芪建中湯加龍骨、牡蠣4例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路10治療冠心病經(jīng)驗(yàn)課件11治療冠心病經(jīng)驗(yàn)課件12治療冠心病經(jīng)驗(yàn)課件13治療冠心病經(jīng)驗(yàn)課件14治療冠心病經(jīng)驗(yàn)課件15治療冠心病經(jīng)驗(yàn)課件16治療冠心病經(jīng)驗(yàn)課件17治療冠心病經(jīng)驗(yàn)課件18治療冠心病經(jīng)驗(yàn)課件19治療冠心病經(jīng)驗(yàn)課件20治療冠心病經(jīng)驗(yàn)課件21治療冠心病經(jīng)驗(yàn)課件22治療冠心病經(jīng)驗(yàn)課件23治療冠心病經(jīng)驗(yàn)課件24治療冠心病經(jīng)驗(yàn)課件25治療冠心病經(jīng)驗(yàn)課件26治療冠心病經(jīng)驗(yàn)課件27治療冠心病經(jīng)驗(yàn)課件28治療冠心病經(jīng)驗(yàn)課件29治療冠心病經(jīng)驗(yàn)課件30治療冠心病經(jīng)驗(yàn)課件31治療冠心病經(jīng)驗(yàn)課件32治療冠心病經(jīng)驗(yàn)課件33治療冠心病經(jīng)驗(yàn)課件34治療冠心病經(jīng)驗(yàn)課件35治療冠心病經(jīng)驗(yàn)課件36治療冠心病經(jīng)驗(yàn)課件37治療冠心病經(jīng)驗(yàn)課件38治療冠心病經(jīng)驗(yàn)課件39治療冠心病經(jīng)驗(yàn)課件40治療冠心病經(jīng)驗(yàn)課件41治療冠心病經(jīng)驗(yàn)課件42治療冠心病經(jīng)驗(yàn)課件43治療冠心病經(jīng)驗(yàn)課件44治療冠心病經(jīng)驗(yàn)課件45治療冠心病經(jīng)驗(yàn)課件46治療冠心病經(jīng)驗(yàn)課件47治療冠心病經(jīng)驗(yàn)課件48治療冠心病經(jīng)驗(yàn)課件49治療冠心病經(jīng)驗(yàn)課件50治療冠心病經(jīng)驗(yàn)課件51治療冠心病經(jīng)驗(yàn)課件52治療冠心病經(jīng)驗(yàn)課件53治療冠心病經(jīng)驗(yàn)課件54治療冠心病經(jīng)驗(yàn)課件55治療冠心病經(jīng)驗(yàn)課件56治療冠心病經(jīng)驗(yàn)課件57治療冠心病經(jīng)驗(yàn)課件58治療冠心病經(jīng)驗(yàn)課件59治療冠心病經(jīng)驗(yàn)課件60治療冠心病經(jīng)驗(yàn)課件61治療冠心病經(jīng)驗(yàn)課件62治療冠心病經(jīng)驗(yàn)課件63治療冠心病經(jīng)驗(yàn)課件64治療冠心病經(jīng)驗(yàn)課件65治療冠心病經(jīng)驗(yàn)課件66治療冠心病經(jīng)驗(yàn)課件67治療冠心病經(jīng)驗(yàn)課件68治療冠心病經(jīng)驗(yàn)課件69治療冠心病經(jīng)驗(yàn)課件70治療冠心病經(jīng)驗(yàn)課件71治療冠心病經(jīng)驗(yàn)課件72治療冠心病經(jīng)驗(yàn)課件73治療冠心病經(jīng)驗(yàn)課件74治療冠心病經(jīng)驗(yàn)課件75治療冠心病經(jīng)驗(yàn)課件76治療冠心病經(jīng)驗(yàn)課件77治療冠心病經(jīng)驗(yàn)課件78治療冠心病經(jīng)驗(yàn)課件79治療冠心病經(jīng)驗(yàn)課件80治療冠心病經(jīng)驗(yàn)課件81治療冠心病經(jīng)驗(yàn)課件82治療冠心病經(jīng)驗(yàn)課件83治療冠心病經(jīng)驗(yàn)課件84治療冠心病經(jīng)驗(yàn)課件85治療冠心病經(jīng)驗(yàn)課件86治療冠心病經(jīng)驗(yàn)課件87治療冠心病經(jīng)驗(yàn)課件88治療冠心病經(jīng)驗(yàn)課件89治療冠心病經(jīng)驗(yàn)課件90治療冠心病經(jīng)驗(yàn)課件91治療冠心病經(jīng)驗(yàn)課件92治療冠心病經(jīng)驗(yàn)課件93治療冠心病經(jīng)驗(yàn)課件94治療冠心病經(jīng)驗(yàn)課件95治療冠心病經(jīng)驗(yàn)課件96治療冠心病經(jīng)驗(yàn)課件97治療冠心病經(jīng)驗(yàn)課件98治療冠心病經(jīng)驗(yàn)課件99治療冠心病經(jīng)驗(yàn)課件100治療冠心病經(jīng)驗(yàn)課件101治療冠心病經(jīng)驗(yàn)課件102治療冠心病經(jīng)驗(yàn)課件103治療冠心病經(jīng)驗(yàn)課件104治療冠心病經(jīng)驗(yàn)課件105治療冠心病經(jīng)驗(yàn)課件106治療冠心病經(jīng)驗(yàn)課件107治療冠心病經(jīng)驗(yàn)課件108治療冠心病經(jīng)驗(yàn)課件109治療冠心病經(jīng)驗(yàn)課件110治療冠心病經(jīng)驗(yàn)課件111治療冠心病經(jīng)驗(yàn)課件112治療冠心病經(jīng)驗(yàn)課件113治療冠心病經(jīng)驗(yàn)課件114治療冠心病經(jīng)驗(yàn)課件115治療冠心病經(jīng)驗(yàn)課件116治療冠心病經(jīng)驗(yàn)課件117治療冠心病經(jīng)驗(yàn)課件118治療冠心病經(jīng)驗(yàn)課件119治療冠心病經(jīng)驗(yàn)課件120治療冠心病經(jīng)驗(yàn)課件121治療冠心病經(jīng)驗(yàn)課件122治療冠心病經(jīng)驗(yàn)課件123治療冠心病經(jīng)驗(yàn)課件124國(guó)醫(yī)大師李士懋治療冠心病的經(jīng)驗(yàn)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療125國(guó)醫(yī)大師李士懋治療冠心病的思路冠心病可導(dǎo)致心絞痛、心功能不全、心梗、心衰休克、心律不齊,以及室壁瘤、猝死等。在門診多見(jiàn)的是冠心病心絞痛、心功能不全、律不齊、慢性心衰等這類病人常見(jiàn)的主癥有心前區(qū)疼痛、胸悶、喘憋、心悸、短氣等,根據(jù)這些癥狀,結(jié)合脈舌神色進(jìn)行辨證論治,但李老尤以脈診為重。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路126國(guó)醫(yī)大師李士懋治療冠心病的思路冠心病的臨床表現(xiàn);(一)疼痛(二)胸悶、喘憋、短氣(三)心悸Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路127國(guó)醫(yī)大師李士懋治療冠心病的思路(四)對(duì)382例冠心病心絞痛的粗略分類和用方統(tǒng)計(jì)1火熱者84例,占22.0%(1)心經(jīng)郁熱梔子豉湯4例梔子豉湯加枳實(shí)3例新加升降散四逆散合梔子豉湯1例(2)火郁夾瘀升降散加活血之品1例(3)氣血兩燔清瘟敗毒飲(4)熱+痰小陷胸湯7例升降散合小陷胸湯3例黃連溫膽湯黃連溫膽湯合滾痰丸黃連溫膽湯合旋覆代赭湯1例滌痰湯合人參白虎湯1例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路128國(guó)醫(yī)大師李士懋治療冠心病的思路(5)熱+痰+瘀小陷胸湯合血府逐瘀湯(6)熱+痰+風(fēng)湯加息鳳之品2例(7)水熱互結(jié)木防己湯2例升降散合己椒藶黃丸2例(8)余熱未清竹葉石膏湯1例(9)熱+風(fēng)白虎湯加息風(fēng)之品1例(10)熱+濕甘露消毒丹合升降散菖蒲郁金湯合升降散11)木火擾心一貫煎1例貫煎合百合地黃湯(12)痰瘀熱+陰傷活血化痰湯加清熱養(yǎng)陰之品1例(13)陽(yáng)盛陰虛玉女煎1例(14)上熱下寒附子瀉心湯(15)痰熱+心陽(yáng)不振陷胸湯合桂枝、附子Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路129國(guó)醫(yī)大師李士懋治療冠心病的思路2.寒盛(包括虛寒)208例,占54%(1)寒遏飲蓄麻黃湯1例麻黃半夏丸(2)寒襲夾飲小青龍湯10例小青龍湯加附子小青龍湯加活血之品10例小青龍湯合苓桂術(shù)甘湯6(3)寒濕痹阻五積散(4)寒束熱郁防風(fēng)通圣散1例(5)心陽(yáng)虛柱枝甘草湯加附子3例桂枝去芍藥湯桂枝加附子湯桂枝加龍骨牡蠣湯(6)陽(yáng)虛血瘀溫陽(yáng)活血12例7)陽(yáng)虛飲泛附子理中湯3例六君子湯加桂枝苓桂術(shù)甘湯合四逆湯18例苓桂五味姜辛湯桂甘姜棗麻辛附湯32例苓桂術(shù)甘湯加附子、鳥(niǎo)頭27例真武湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路130國(guó)醫(yī)大師李士懋治療冠心病的思路8)心腎陽(yáng)虛真武湯合小青龍湯2例真武湯加益氣之品真武湯合澤瀉湯真武湯合桂枝龍骨牡蠣湯(9)心陽(yáng)虛+痰瘀痹阻桂枝附子湯加活血化痰之品20例苓桂術(shù)甘湯合血府逐瘀湯苓桂術(shù)甘湯加干姜1例(10)心陽(yáng)虛、相火旺振心陽(yáng)、瀉相火11)肝虛烏梅丸19烏梅丸加活血之品2傷烏梅丸加化濕之品1例烏梅丸加風(fēng)藥例(12)肝寒+血虛當(dāng)歸四逆湯合溫肝湯1例13)陽(yáng)虛血弱當(dāng)歸四逆湯2例(14)陽(yáng)虛濕盛,清陽(yáng)不升溫陽(yáng)化濕,升清15)陰盛痰凝溫膽湯加桂枝、附子3例(16)陽(yáng)虛陰弱桂枝湯合百合地黃湯1例(17)心虛+痰桂枝去芍藥加蜀漆牡蠣龍骨救逆湯1例(18)陽(yáng)虛陰泣+陰虛苓桂術(shù)甘湯合百合地黃湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路131國(guó)醫(yī)大師李士懋治療冠心病的思路3邪實(shí)(痰、瘀52例3.61)痰瘀互結(jié)生風(fēng)活血滌痰息風(fēng)(2)痰蘊(yùn)滌痰湯例(3)濕阻清陽(yáng)升降散合小柴胡湯4)痰瘀互結(jié)滌痰活血例瓜蔞薤白湯加活血之品(5)氣滯痰郁肝風(fēng)滌痰息風(fēng)3例(6)血瘀風(fēng)動(dòng)血府逐瘀湯加息風(fēng)之品(7)血瘀血府逐瘀湯5例8)氣滯痰郁、清陽(yáng)不升升降散合滌痰氵9)濕熱蘊(yùn)阻,清陽(yáng)不升升降散加化濕之品1例升陽(yáng)益胃湯10)氣滯四逆散合升降散11)氣滯血瘀膈下逐瘀湯1例·(12)風(fēng)痰瘀天麻鉤藤湯1例半夏白術(shù)天麻湯例13)氣滯小柴胡湯1例四七湯1例·(14)支欽澤瀉湯加風(fēng)藥(15)痰阻陽(yáng)郁瓜蔞薤白白酒湯Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路132國(guó)醫(yī)大師李士懋治療冠心病的思路(1)陽(yáng)盛陰虛復(fù)脈湯玉女煎2例(2)水虧火旺黃連阿膠湯2例(3)陰虛氣滯一貫煎合百合地黃湯(4)氣陰兩虛炙甘草湯6例(5)陰虛風(fēng)動(dòng)、血脈凝泣三甲復(fù)脈湯加活血之品3例(6)痰瘀互結(jié)化熱傷陰活血化痰湯加清熱養(yǎng)陰之品1例(7)陰虛陽(yáng)亢化風(fēng)8)心肝血虛酸棗仁湯1例(9)腎陰虛地黃飲子2例(10)陰陽(yáng)兩虛桂枝龍牡湯合百合地黃湯1例(11)腎虛風(fēng)動(dòng)濟(jì)生腎氣湯加龜板1例(12)支飲陰虛苓桂術(shù)甘湯合百合地黃湯1例(13)心陰虛百合地黃湯2例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL國(guó)醫(yī)大師李士懋治療冠心病的思路133國(guó)醫(yī)大師李士懋治療冠心病的思路5脾腎兩虛11例,占2.8%(1)脾虛肝郁歸脾湯1例(2)氣血不足夾瘀歸脾湯加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