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徐凤芹基于"得火就范"理论治疗PCI术后焦虑抑郁

Professor Xu Fengqin's Clinical Experience in Treating Anxiety and Depression After PCI Based on Theory of"De Huo Jiu Fan"

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徐凤芹教授基于象形思维与五行理论,认为心在五行属火,所主为脉,所藏为神,经皮冠状动脉介入治疗术(percutaneous coronary intervention,PCI)后焦虑抑郁患者君火不明、相火离位之象已现,血脉瘀阻,心脉受损,祸及心脏,连累心神.君火以明、相火以位为其临证要旨,治疗时应从火论治,常施以柴胡加龙骨牡蛎汤,解郁合欢汤等,多法并用得火就范,使君相二火各司其职、各安其位,南方离火归于北方坎水之下成其既济之位,乾下坤上复其泰来之象,心神同调,双心共治,人正心安.
Professor Xu Fengqin,based on pictographic thinking and the theory of the Five Elements,believes that the Heart belongs to Fire in the Five Elements,governing the pulse and storing Shen.After percutaneous coronary intervention(PCI),anxiety and depression patients have symptoms of Jun Fire dysfunction and Xiang Fire hyperactivity,blood stasis,Heart pulse injury,and eventually damage the Heart and Shen.The key point of the clinical treatment is to reverse that,by treating from the perspective of Fire.Chaihu,Longgu Muli Decoction and Jieyu Hehuan Decoction,etc.Can be used.With multiple methods the Fire would be located in the right place(De Huo Jiu Fan)so the two Fires perform their respective duties and settle down in their respective positions.Specifically,the Fire in the South will be under the Water in the North and become the harmonious pair.The Heaven and Earth will be restored to the best condition.The Shen will be in harmony with Heart and people will be at peace of mind.

anxietydepression"Fire being located in the right place"("De Huo Jiu Fan")percutaneous coronary intervention ther-apydouble Heart diseaseFireXu Fengqin

李的徽、翁家俊、环璐瑶、张艳虹、徐凤芹

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山西中医药大学,山西 太原 030024

中国中医科学院西苑医院,北京 100091

北京大学中医药临床医学院(西苑医院),北京 100091

北京大学医学部中西医结合系,北京 100191

北京中医药大学研究生院,北京 100029

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焦虑 抑郁 "得火就范" 经皮冠状动脉介入治疗术 双心疾病 徐凤芹

国家自然科学基金中医药传承与创新"百千万"人才工程(岐黄工程)项目中国中医科学院科技创新工程项目全国名老中医药专家传承工作室建设项目全国老中医药专家学术经验继承项目(第七批)

8220492302045006CI2021A01406国中医药人教函[2022]75号

2023

中医学报
河南中医药大学,中华中医药学会

中医学报

CSTPCD
影响因子:1.264
ISSN:1674-8999
年,卷(期):2023.38(12)
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