Article(id=1304438801091284994, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438800676048898, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260029, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1734710400000, receivedDateStr=2024-12-21, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1788932045480, onlineDateStr=2026-09-09, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1788932045480, onlineIssueDateStr=2026-09-09, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1788932045480, creator=13701087609, updateTime=1788932045480, updator=13701087609, issue=Issue{id=1304438800676048898, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='2', pageStart='1', pageEnd='128', issueExtLink='null', onlineDate='null', pubDate='1771516800000', pubDateStr='2026-02-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1788932045382, creator='13701087609', updateTime=1788934764784, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1304450206712483920, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438800676048898, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1304450206712483921, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438800676048898, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=34, endPage=37, ext={EN=ArticleExt(id=1304438801472966660, articleId=1304438801091284994, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Experience of Renowned Veteran TCM Physician Guo Shikui in Treating Senile Coronary Heart Disease Based on the Theory of "Qi - Blood - Vessel - Spirit" Chain Imbalance, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=This article interprets the pathological characteristics of coronary heart disease in the elderly from the perspective of the dysregulation of the "Qi - Blood - Vessel - Spirit" chain. It posits that deficiency is the fundamental basis of coronary heart disease in the elderly, with qi deficiency being the initiating factor. Prolonged qi deficiency leads to stagnation of deficient qi, which affects the blood, making qi stagnation and blood stasis the primary cause. When deficient qi stagnates in the vessels, vessel obstruction becomes the key pathological mechanism. When deficient qi stagnates and affects the spirit, mental restlessness becomes an independent risk factor. Based on this, the article summarizes the experience of the renowned traditional Chinese medicine practitioner Guo Shikui in treating coronary heart disease in the elderly by focusing on restoring the "Qi - Blood - Vessel - Spirit" chain. Specifically, for deficiency, tonifying qi is essential, promoting free flow through tonification; for blood stasis, activating circulation is appropriate, using free flow as tonification; for vessel obstruction, promoting free flow is crucial, warming and unblocking to relieve pain; for mental disturbance, harmonizing is the norm, resolving stagnation and calming the spirit. The aim is to provide a perspective and method for the treatment of coronary heart disease in the elderly with traditional Chinese medicine., authors=ZHAO Xiaosen¹, GUO Mingdong², WENG Weiliang², SU Qingmin³, LI Qiuyan², ZHANG Wantong², authorsList=ZHAO Xiaosen, GUO Mingdong, WENG Weiliang, SU Qingmin, LI Qiuyan, ZHANG Wantong, authorCompany=1 Shanxi University of Chinese Medicine, Taiyuan 030000, China;
2 Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
3 China Academy of Chinese Medical Sciences, Beijing 100700, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=国家重点研发计划 (2019YFC1708703); 中国中医科学院西苑医院能力提升项目 (XYZX0101-11); 山西中医药大学研究生优硕创新计划 (2022YS006)), CN=ArticleExt(id=1304438801389080579, articleId=1304438801091284994, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=名老中医郭士魁从“气-血-脉-神”链失调论治老年冠心病经验, columnId=1303760928365892493, journalTitle=中医药学报, columnName=临证体会, runingTitle=null, highlight=null, articleAbstract=本文从“气-血-脉-神”链失调角度认识老年冠心病病理特点，认为老年冠心病以虚为本，气虚是其始动因素。气虚日久，虚气留滞，滞之于血，气滞血瘀是其主要病因；虚气留滞，滞之于脉，脉络瘀阻是其病机关键；虚气留滞，滞之于神，心神不安是其独立危险因素。在此基础上，总结名老中医郭士魁从畅通“气-血-脉-神”链论治老年冠心病的经验，其中虚损以补气为要，以补促通；血瘀以行为宜，以通为补；脉阻以通为用，温通止痛；神乱以和为常，解郁安神。旨在为中医药治疗老年冠心病提供思路和方法。, authors=赵小森¹, 郭明冬², 翁维良², 苏庆民³, 李秋艳², 张菀桐², authorsList=赵小森, 郭明冬, 翁维良, 苏庆民, 李秋艳, 张菀桐, authorCompany=1 山西中医药大学，山西 太原 030000;
2 中国中医科学院西苑医院，北京 100091;
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