郑旭锐 李翠娟 文颖娟 卫培峰 张军茹

摘要 国医大师雷忠义先生于20世纪70年代提出“痰瘀致病”理论，并将此理论广泛运用于临床，取得了良好的临床疗效。作者有幸作为弟子跟师学习，总结雷老“痰瘀”理论治疗胸痹经验，与同道分享。

关键词 雷忠义;痰瘀互结;气虚水停;胸痹;化痰宣痹;活血化瘀;理论探析;临证运用

Analysis of the Application of the Theory of “Phlegm Stasis” by Mr.LEI Zhongyi，Master of Traditional

Chinese Medicine，in the Treatment of Chest Painful Impediment

ZHENG Xurui1，LI Cuijuan1，WEN Yingjuan1，WEI Peifeng1，ZHANG Junru2

（1 Shaanxi University of Chinese Medicine，Xianyang 712046，China; 2 Shaanxi Provincial Hospital

of Traditional Chinese Medicine，Xi′an 710003，China）

Abstract In the 1970s，Mr.LEI Zhongyi，a master of Traditional Chinese Medicine，proposed the theory of “phlegm stasis”，which was widely used in clinical practice and achieved good clinical effects.As a pupil of Mr.LEI，the authors had the privilege to witness him applied such theory for clinical practice.To advocate such academic theory，this paper summed up his experiences and shared them to researchers and doctors.

Keywords LEI Zhongyi; “Phlegm stasis”; Syndrome of qi deficiency and fluid-stagnation; Chest painful impediment; Expelling phlegm and dredging channel blockade; Promoting blood circulation for removing blood stasis; Theoretical exploration and analysis; Analysis on clinical practice

中圖分类号：R249文献标识码：Bdoi：10.3969/j.issn.1673-7202.2021.05.023

胸痹是指以胸部憋闷、疼痛，甚则胸痛彻背，短气，喘息不得卧等为主要表现的病症。多因素体阳虚，感受寒邪，寒凝心脉;或忧思恼怒，肝郁气滞，瘀血内阻;或饮食失节，损伤脾胃，聚湿生痰，闭阻心脉;或劳倦伤脾，生化无源，气血不足，心失所养;或久病不愈，房劳伤肾，进而损及心之阴阳等引起，后世医家对此多有研究[1-14]。吾师国医大师雷忠义先生，博读医著，继承发扬并创新，多年来一直致力于胸痹心痛的理论和临床研究。雷老于20世纪70年代提出“痰瘀致病”理论，此痰瘀互结的新理论，见解独特，造诣颇深，并且取得了显著的临床效果。雷老融化痰宣痹、活血化瘀为一，从痰瘀治疗胸痹心痛，对于提高辨治胸痹心痛的水平，增加治疗胸痹心痛的手段，进一步深入提高中医对胸痹心痛病诊疗规律的认识，保护广大人民的身体健康均具有重要而积极的意义[15-20]。吾辈有幸入师门，成为雷老门下的弟子，跟师临床数日，亲眼所见雷老用痰瘀理论治疗胸痹数例，临床疗效显著，现总结雷老“痰瘀”理论治疗胸痹的经验如下，供同道们商榷。……