摘要
该文探讨冠心病合并焦虑抑郁状态的病因病机、治法、方药,结合现代医学研究进展,该研究认为冠心病合并焦虑抑郁状态属于"双心疾病"范畴,病位在心,涉及肝脾肾,病机为肝郁气滞、心神失养、肾失封藏、脾失运健.根据具体临床症状辨证论治,临床上治法主要以"疏肝理气活血化瘀、交通心肾滋阴安神、健脾养血益气宁心"进行施治.在治疗心血管疾病的同时,注重心理问题,对提高临床治疗疗效具有重要意义.
Abstract
This paper discusses the etiology,pathogenesis,treatment methods,and prescriptions of coronary heart disease combined with anxiety and depression.Combined with the progress of modern medical research,this study believes that coronary heart disease combined with anxiety and depression belongs to the category of"dual heart dis-ease",the disease is located in the heart,involving the liver,spleen,and kidney,and the pathogenesis is liver depres-sion and Qi stagnation,heart and mind are not nourished,kidneys fail to seal and store,and spleen fails to move and function.According to the specific clinical symptoms,the treatment method in clinical practice is mainly to"soothe the liver and regulate Qi,promote blood circulation and remove blood stasis,connect the heart and kidney,nourish Yin and calm the mind,and strengthen the spleen and nourish blood,replenish Qi and calm the mind".While treating cardio-vascular diseases,paying attention to psychological problems is of great significance to improving the clinical treatment effect.