心(xin)(xin)絞(jiao)痛(tong)屬祖國醫學胸(xiong)痹、心(xin)(xin)痛(tong)、真心(xin)(xin)痛(tong)范(fan)疇,《素(su)問(wen)(wen)·藏氣法時(shi)論》:“心(xin)(xin)病(bing)者,胸(xiong)中痛(tong)。”《素(su)問(wen)(wen)·舉痛(tong)論》:“心(xin)(xin)痛(tong)者,脈(mo)不通(tong)。”中醫認為(wei)冠心(xin)(xin)病(bing)心(xin)(xin)絞(jiao)痛(tong)的發生(sheng)是(shi)在素(su)體(ti)陽(yang)(yang)虛(xu)(xu)、胸(xiong)陽(yang)(yang)不振的基礎上,因寒邪內侵、飲食(shi)不當、情志不調(diao)、年(nian)老體(ti)虛(xu)(xu)等(deng)因素(su)誘發。病(bing)因有(you)虛(xu)(xu)實兩個(ge)方面,實為(wei)寒凝、氣滯、血瘀(yu)、痰濁痹阻胸(xiong)陽(yang)(yang),阻滯心(xin)(xin)脈(mo);虛(xu)(xu)為(wei)臟腑虛(xu)(xu)損,功能失調(diao)所致。其(qi)病(bing)位在心(xin)(xin),主要為(wei)心(xin)(xin)陽(yang)(yang)不振,氣虛(xu)(xu)血瘀(yu),血脈(mo)痹阻,不通(tong)則痛(tong)。發作(zuo)期以標實為(wei)主,主要是(shi)陰寒、痰濁、血瘀(yu)為(wei)患;緩解期以本虛(xu)(xu)為(wei)主,主要是(shi)邪氣久留而致陰陽(yang)(yang)氣血虧虛(xu)(xu)。治(zhi)則為(wei)芳香溫通(tong)、益氣活血化瘀(yu)、通(tong)絡(luo)止痛(tong)等(deng)原(yuan)則。
復方丹(dan)參片收載(zai)于《中(zhong)(zhong)國藥典》。主(zhu)要(yao)成(cheng)分為丹(dan)參、三七(qi)、冰片。其(qi)中(zhong)(zhong)丹(dan)參為君,苦中(zhong)(zhong)微(wei)寒(han),歸心、肝經(jing),專入血(xue)(xue)分,其(qi)功在于活(huo)(huo)血(xue)(xue)、行血(xue)(xue),達肺腑(fu)而化(hua)瘀滯,血(xue)(xue)行則瘀祛絡(luo)通(tong)(tong),可活(huo)(huo)血(xue)(xue)通(tong)(tong)脈,又可祛瘀養血(xue)(xue);三七(qi)為臣(chen),味甘微(wei)苦,歸肝胃、大腸經(jing),為活(huo)(huo)血(xue)(xue)化(hua)瘀之(zhi)(zhi)要(yao)藥,可增加冠(guan)(guan)脈血(xue)(xue)流(liu)量;其(qi)中(zhong)(zhong),丹(dan)參和三七(qi)是(shi)常用(yong)的(de)(de)藥對,丹(dan)參功擅活(huo)(huo)血(xue)(xue)化(hua)瘀,又能涼(liang)血(xue)(xue)消(xiao)癰止(zhi)痛(tong)(tong)、養血(xue)(xue)安神(shen),有(you)(you)(you)化(hua)瘀而不(bu)傷氣(qi)血(xue)(xue)之(zhi)(zhi)特(te)點;三七(qi)有(you)(you)(you)止(zhi)血(xue)(xue)、化(hua)瘀、消(xiao)腫、止(zhi)痛(tong)(tong)之(zhi)(zhi)功,具有(you)(you)(you)“止(zhi)血(xue)(xue)而不(bu)留瘀”之(zhi)(zhi)特(te)點。二(er)藥合用(yong),相輔相成(cheng),使(shi)活(huo)(huo)血(xue)(xue)化(hua)瘀、通(tong)(tong)絡(luo)止(zhi)痛(tong)(tong)之(zhi)(zhi)力倍增。為冠(guan)(guan)心病、心絞痛(tong)(tong)常用(yong)。冰片為佐使(shi)藥,性(xing)辛寒(han),為開竅(qiao)醒神(shen)、清熱(re)止(zhi)痛(tong)(tong)之(zhi)(zhi)上(shang)品,以上(shang)諸藥配(pei)伍(wu),有(you)(you)(you)活(huo)(huo)血(xue)(xue)化(hua)瘀、通(tong)(tong)經(jing)活(huo)(huo)絡(luo)、理(li)氣(qi)止(zhi)痛(tong)(tong)、醒神(shen)開竅(qiao)之(zhi)(zhi)功效(xiao)。用(yong)于心血(xue)(xue)管疾病可顯著擴張冠(guan)(guan)狀動脈,增加血(xue)(xue)流(liu)量,減少(shao)(shao)心肌耗氧量,改善血(xue)(xue)液流(liu)變性(xing),對心血(xue)(xue)管疾病有(you)(you)(you)很好的(de)(de)預(yu)防和治(zhi)療(liao)作用(yong)。由于其(qi)配(pei)伍(wu)合理(li)、療(liao)效(xiao)確(que)切、不(bu)良反應少(shao)(shao),適用(yong)于心腦血(xue)(xue)管疾病的(de)(de)防治(zhi)。
蜀中牌(pai)復(fu)方(fang)丹參(can)片是全國制藥(yao)工業百(bai)強企業四川蜀中藥(yao)業集團精選地道(dao)優質藥(yao)材、采用現代(dai)工藝(yi)精制而(er)成的現代(dai)中成藥(yao),國家基本藥(yao)物目錄(lu)產(chan)品。蜀中復(fu)方(fang)丹參(can)片采用醇提技(ji)術,制法(fa)更為合理,使藥(yao)物中有效(xiao)成分(fen)丹參(can)ⅡA和丹酚酸B含量更高,療效(xiao)更好。(子木)
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