中药在慢性稳定型心绞痛治疗中的潜在作用:综述主要中药,并举例说明中药治疗方法的探索

K. O’Brien, L. Vitetta
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引用次数: 6

摘要

几个世纪以来,在不同的文化中,草药一直被用来治疗心血管疾病,包括稳定型心绞痛。然而,草药的使用在天然医学的传统中各不相同,而且它们如何被理解为在诸如中医这样的系统中起作用,与寻求将草药减少到其活性成分的药物模型有很大不同。本综述首先单独讨论了西方、印度和中国草药治疗稳定型心绞痛的主要草药及其主要有效成分和药理作用。论文的第二部分具体探讨了如何用传统的中草药治疗心绞痛,这是一种独特的理解健康和疾病的方法,以哲学和理论为基础,用与生物医学截然不同的术语描述身体的生理功能和病理变化。在中医指导理论的基础叙述之后,从中医角度描述心血管系统和心绞痛的病因病机。这构成了理解治疗心绞痛的中药方剂构建的基本原理的基础。讨论了一些中药方剂疗效的科学依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The potential role of herbal medicines in the treatment of chronic stable angina pectoris: a review of key herbs, and as illustration, exploration of the Chinese herbal medicine approach
Herbal medicines have been used for centuries within different cultures to treat cardiovascular disease, including stable angina pectoris. However, the use of herbs varies within traditions of natural medicine, and how they are understood to work in systems such as Chinese medicine, for example, is vastly different from the pharmaceutical model that seeks to reduce herbs to their active constituents. This review first discusses, individually, key herbs used within Western, Indian, and Chinese herbalism to treat stable angina pectoris and their main active constituents and pharmacological actions. The second part of the paper then specifically explores how angina is treated traditionally with Chinese herbal medicine, a unique approach to the understanding of health and illness underpinned by philosophies and theories that describe the physiological functioning and pathological changes in the body in terms very different from those of biomedicine. A foundational account of the guiding theories of Chinese medicine is followed by a description of the cardiovascular system and the etiology and pathogenesis of angina from the Chinese medical perspective. This forms the basis for understanding the rationale for construction of Chinese herbal medicinal formulae for treating angina pectoris. The scientific evidence of the efficacy of some Chinese herbal formulae is discussed.
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