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基于象思维视域探讨冠心病伴抑郁因机治法

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[目的]以气血为本探讨冠心病伴抑郁形神共病之因,以江河类比其病机并提出相应治则治法,最终达养形全神之效.[方法]以象思维为支点,将气血生成类比自然云雨转化,分析形神共病之因.以气血周流运行不畅类比江河之患,分析冠心病伴抑郁发病不同阶段的核心病因病机.并基于"流水不腐"这一自然现象,发掘冠心病伴抑郁的治疗与治水思想的异曲同工之处.[结果]自然之中阳化气成云,阴成形为雨,一如人体水谷气化与营气化血,气血互根互用,血气和利,方能形神相持.冠心病伴抑郁为形神共病,本质为气血失和,其核心病机虚、瘀、毒、郁互结,与江河之水的沉滞之患有相似之处.治疗此病需根据病变不同时期予以健脾补虚开源、活血化瘀疏浚、祛邪解毒净化及理气开郁泄洪之法,形神兼顾以达气血同调之功.[结论]通过援物比类的思维方式启发思路、触类旁通,使冠心病伴抑郁辨病辨证治疗化繁为简,使血气淖泽滑利,阴阳和调,亦是"圣人立象以尽意"的最终目的.
Explore the Etiology,Pathogenesis and Treatment of Coronary Heart Disease with Depression from"Image Thought"
[Objective]To discuss the causes of coronary heart disease with depression and other body and spirit diseases,which are related to river water,and propose the corresponding treatment methods.[Methods]By using the method of image thinking,this paper links the transformation of cloud and rain with the Qi and blood of human body,which is the common cause of body and spirit diseases.At the same time,this paper links the cause of coronary heart disease with depression with river water,and treats the disease with the method of treating water.[Results]The transformation between clouds and rain in nature is similar to the transformation of Qi and blood in the human body.Qi and blood come from the same source and affect each other,and Qi and blood remain smooth,so as not to cause physical and mental diseases.The root cause of coronary heart disease with depression is that Qi and blood are not smooth,and a series of lesions they produce are similar to the blockage of the river,so it is necessary to regulate Qi and blood according to the different stages of the disease,with the method of strengthening the spleen,promoting blood circulation,detoxification and opening depression.[Conclusion]Inspiring ideas through the analogy of image thinking can correctly understand and treat coronary heart disease with depression,which is also the purpose of image thinking.

image thoughtcoronary heart disease with depressionmental and physical co-morbidityQi and bloodpathogenesisdiagnosis and treatment

虞吴敏、徐凤凯、贾瑞婷、张裕惠、朱爱松

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浙江省中医"瘀毒"证重点实验室,浙江中医药大学 杭州 310053

中医"治未病"智慧健康浙江省工程研究中心,浙江中医药大学

浙江中医药大学基础医学院

嘉兴市第二医院

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象思维 冠心病伴抑郁 形神共病 气血 病机 辨治

国家自然科学基金项目国家中医药管理局科技司-浙江省中医药管理局共建科技计划项目浙江省尖兵领雁攻关项目

82174246GZY-ZJ-KJ-240112023C03G1753701

2024

10.16466/j.issn1005-5509.2024.07.002

浙江中医药大学学报
浙江中医药大学

浙江中医药大学学报

CSTPCD
影响因子：1.049
ISSN：1005-5509
年,卷(期)：2024.48(7)
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