首页|基于"心-脉-神"互言探讨肝心同治冠心病合并抑郁(双心疾病)的理论研究

基于"心-脉-神"互言探讨肝心同治冠心病合并抑郁(双心疾病)的理论研究

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双心疾病作为"血脉之心"与"神明之心"同病的复合疾病,已经成为现代社会影响人类健康的主流问题之一,其中的冠心病合并抑郁属于临床中常见的发病类型。冠心病是一种严重威胁健康的心血管疾病,焦虑和抑郁是其不良预后的潜在危险因素。冠心病合并抑郁属中医"胸痹""郁证"范畴,"心藏脉,脉舍神",心脏对生命活动具有重要的控制和调节作用,"从心论治"使机体心主神明、心主血脉功能正常发挥。心血管疾病与情志病是密不可分的,胸痹患者心脉不畅,肝失疏泄,痰瘀互结,气机郁滞加重,由此引发情志的改变。双心疾病与中医的"心主血脉""心主神明""肝主藏血""肝主疏泄"功能失常密切相关,"心"与"肝"的状态失衡是导致疾病进展的主要因素,故"肝心同治"是调节关键病机-肝心失调的必由之法,以疏肝解郁、调气和血为主。基于对"从心论治""心-脉-神"与"肝心同治"的理论探讨,结合现代科学技术,旨在为防治冠心病合并抑郁提供新的思路与机制预测。
Theoretical Study on Treatment of Coronary Heart Disease with Depression(Psycho-Cardiological Disease)with Liver and Heart Based on"Heart-Vessels-Spirit"Interaction
As a compound disease of"heart of blood and vessels"and"heart of the spirit",psycho-cardiological disease has become one of the mainstream problems affecting the human health in modern society,among which coronary heart disease combined with depression is a common clinical morbidity type.Coronary heart disease(CAD)is a serious cardiovascular disease threatening the health.Anxiety and depression are potential key risk factors for its poor prognosis.Coronary heart disease com-bined with depression belongs to"chest Bi syndrome"and"depression"in traditional Chinese medicine,"heart governs the ves-sels,vessel stores the spirit",the heart has an important control and regulation of life activities,"treating from heart"makes the heart function of governing blood vessels and the spirit normally.Cardiovascular disease and emotional disease are inseparable.Chest Bi syndrome patients have obstructed heart meridians,loss of liver function,accumulation of phlegm and blood stasis,and worsening of Qi stagnation,which can lead to emotional changes.The stagnation of Qi increases,which leads to the change of e-motion.The psycho-cardiological disease is closely related to the dysfunctions of"heart governing blood vessels","heart gover-ning the spirit","liver governing blood storage"and"liver governing free flow of Qi"in traditional Chinese medicine.The im-balance of the state of"heart"and"liver"is the main factor leading to the disease progress.Therefore,"simultaneous treatment of heart and liver"is the necessary method to regulate the key pathogenesis—dysfunction of liver and heart,mainly to soothe liver and relieve depression,regulate Qi and harmonize blood.Based on the theoretical discussion of"treating from heart","heart-vessles-spirit"and"simultaneous treatment of heart and liver",and combined with modern science and technology,this paper aimed to provide new ideas and mechanism prediction for the prevention and treatment of coronary heart disease with depression.

heart-vessles-spiritsimultaneous treatment of heart and livercoronary heart disease with depressionpsycho-cardiological disease

孟晓媛、宋囡、王莹、裘雪莹、张艳、刘继东

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辽宁中医药大学,辽宁沈阳 110847

心-脉-神 肝心同治 冠心病合并抑郁 双心疾病

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(9)