运用“双心同治”理论治疗冠心病  

Treatment of Coronary Heart Disease with the Theory of "Simultaneously treatment on psycho-cardiology"

作　　者：杨璇妹 陈晓虎[1] 史海波[1] 

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《中国中医急症》2018年第1期97-100,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81573908);江苏省中医药局科技项目(YB2015011)

摘　　要：冠心病常并发焦虑、抑郁、失眠等精神心理障碍,称之为"双心疾病",而精神心理问题的持续存在又可诱发冠心病的发作或加重其病情,影响预后。基于中医对心的生理特点的认识及西医双心同治的思想,笔者探讨了冠心病"双心同病"的中医内涵,从"血脉之心"和"神明之心"病理互损、相互为病的角度进行阐述,并在气虚、血瘀的病机基础上,提出心神失调是冠心病的又一重要病机。因此在运用"双心同治"理论治疗冠心病时,当血脉之心和神明之心兼顾,在调和血脉的基础上,将安神贯穿治疗始终。Coronary heart disease （CHD） is often accompanied by mental disorders such as anxiety,depression and insomnia. It is called ＂psycho-cardiology disease＂. The continuous existence of mental and psychological problems can induce the onset of CHD,aggravate the condition and influence the prognosis. Based on the physiological characteristics of traditional Chinese medicine and the western medicine＇s idea of simultaneously treatment on psycho-cardiology,the author discusses the ＂psycho-cardiological abnormality＂ of patients with CHD in TCM connotation. As the ＂blood vessels of the heart＂ and ＂the mind＂ inflence each other pathologically,we put forward that disorder of the mind is an important pathogenesis of CHD on the basis the pathogenesis of Qi deficiency and blood stasis. Therefore,when we use the theory of ＂imuhaneously treatment on psycho-cardiology＂ to treat CHD, we should take the heart of blood and the heart of mind both into consideration.

关 键 词：冠心病 双心同治 安神 

分 类 号：R541.4[医药卫生—心血管疾病]