【摘要】目的：探讨补阳还五汤加减治疗气虚血瘀型冠心病心绞痛的疗效。方法：80例气虚血瘀型冠心病心绞痛患者，随机分为两组，治疗组40例采用补阳还五汤加减配合西药治疗，对照组40例采用单纯西药治疗。结果：治疗组疗效明显优于对照组(P<0．01)。结论：补阳还五汤加减治疗气虚血瘀型冠心病心绞痛有良好的效果。

【关键词】补阳还五汤；气虚血瘀型；冠心病心绞痛

          Clinical observationg on angina pectoris of coronary heart disease in Buyanghuanwu Decoction in the treatment of Qi deficiency and blood stasis type

Wen  Ping

(Hengyang Hospital of TCM，Hengyang 421001，Hunan，China)

【Abstract】Objective：To investigate the effects of Buyanghuanwu Decoction in the treatment of Qi deficiency and blood stasis type of angina pectoris of coronary heart disease . Method：80 cases angina patients,randomly divided into two groups,patients in treat group received Buyanghuanwu Decoction combimed with western medicine and the patients in the control group were received western medicine.Results：The curative effect of treatment group  

was better than that of  the control group(P<0.01). Conclusion：the good effect of Buyanghuanwu Decoction in the treatment of Qi deficiency and blood stasis type

【Keywords】 Buyanghuanwu Decoctiong；Qi deficiency and blood  stasis type; angina pectoris of coronary heart disease.

冠心病是因冠状动脉粥样硬化导致血管狭窄，使冠状动脉供血不足，心肌负荷增加引起心肌急剧的、暂时的缺血与缺氧的临床综合征。属于中医学“胸痹”、“真心痛”范畴。多由于年老体衰、正气亏虚、脏腑功能损伤、阴阳气血失调，加上七情内伤、饮食不节、寒冷刺激、劳逸失度等因素的影响，导致气滞血瘀、胸阳不振、痰浊内生、心脉痹阻而发病。笔者在西医常规治疗基础上加用补阳还五汤治疗气虚血瘀型冠心病心绞痛患者，取得较为明显的疗效，现报道如下。

1 临床资料

1．1一般资料  80例病例均为本院住院及门诊病人，随机分为中西医结合组(治疗组)及单纯西药组(对照组)。治疗组40例，其中男性30例，女性10例，年龄50~75岁，平均(60．2±9．6)岁；病程最短五个月，最长18年，平均(5.26±3.25)年。对照组40例，其中男性29例，女性11例，年龄48~72岁，平均(58．4±8．7)岁；病程最短半年，最长19年，平均(5.12±3.60)年。两组性别、年龄、病程、病情程度经统计学处理(P>0．05)，具有可比性。