赤麒麟散治疗动脉粥样硬化的理论基础与应用实践

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关键词：赤麒麟散；动脉粥样硬化；阴疽；温消；温托；温补；三七；血竭；红曲中图分类号：R259.435 文献标志码：A 文章编号：1007-3213（2025）02-0499-06DOI：10.13359/j.cnki. gzxbtcm.2025.02.035

Theoretical Basisand Application Practiceof Chiqilin Powder intheTreatmentofAtherosclerosis

JIABochao'，HUYuanhui²，CHENG Tao'，YUANChenlu 2 ，WEI Yi²，CHU Yuguang²，SHI Shuai²

（1.Graduate SchoolofBeijing UniversityofChinese Medicine，Beijing 10oO29，China；2.CardiovascularDept.，Guang’anmen Hospital，China Academy of Chinese Medical Sciences，Beijing 1Ooo53，China）

Abstract：Atherosclerosis（AS）is the important pathological foundationofcardiovascular and cerebrovascular diseases.There isa high degree of consistency betweenASand yin-nature carbuncles in terms of etiology， disease location，severityof illness，pathogenesis，therapies and progression of disease.Based on the theory of yin-nature carbuncles and after the analysis of the characteristicsof zang-fuorgans mainly involved inAS and the intricate pathogenesis of AS，this paper put forward the use of warming-eliminating，warming-expulsing and warming-tonifying therapies togetherfortreating AS，and established Chiqilin Powder，theexperienced prescription including triplet medicinals，i.e.，Notoginseng Radix et Rhizoma，Draconis Sanguis，and Fermentum Rubrum.In the prescription，Notoginseng Radix et Rhizoma mainly has the warming-tonifying and warming-expulsing actions， and also exerts the warming-eliminating actions；Draconis Sanguis exerts eliminating，expulsing and tonifying actions simultaneously；Fermentum Rubrum mainly has the warming-tonifying and warming-eliminating actions， and also exerts the warming expulsing actions.In clinical practice，the application of Chiqilin Powder in the treatmentof AS patients with yang deficiencyand phlegm blended with blood stasis syndrome hasachieved remarkable therapeutic effcts，which will provide reference fortheclinical useof Chinese herbal medicine in the treatment of AS.

Keywords： Chiqilin Powder； atherosclerosis；yin-nature carbuncles； warming-eliminating； warming-expulsing；warming-tonifying；Notoginseng Radix et Rhizoma；Draconis Sanguis；Fermentum Rubrum

动脉粥样硬化（atherosclerosis，AS）是一种脂质代谢异常驱动的慢性动脉血管疾病，表现为动脉血管壁增厚和管腔狭窄，可累及心、脑、肾等主要脏器和外周血管系统，是常见心脑血管疾病的重要发病基础[1-3]。（剩余10520字）